title: A Patient-Controlled Analgesia Adaptor to Mitigate Postsurgical Pain for Combat Casualties With Multiple Limb Amputation: A Case Series.
abstract: The use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore function. For those individuals who require multiple surgeries, the use of patient-controlled analgesia (PCA) devices can be an effective way to achieve adequate pain management and promote successful rehabilitation and recovery during inpatient treatment. A subpopulation of patients are unable to independently control a PCA device because of severe multiple limb dysfunction and/or loss. In response to the needs of these patients, our team designed and developed a custom adaptor to assist service members who would otherwise not be able to use a PCA. Patient feedback of the device indicated a positive response, improved independence, and overall satisfaction during inpatient hospitalization.
authors.affiliation: Department of Physical Medicine and Rehabilitation, The Center for Rehabilitation Sciences Research, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Paul F
authors.initials: PF
authors.lastname: Pasquina
authors.affiliation: Department of Physical Medicine and Rehabilitation, The Center for Rehabilitation Sciences Research, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Brad M
authors.initials: BM
authors.lastname: Isaacson
authors.affiliation: Department of Physical Medicine and Rehabilitation, The Center for Rehabilitation Sciences Research, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Johnson
authors.affiliation: Department of Physical Medicine and Rehabilitation, The Center for Rehabilitation Sciences Research, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Rhoades
authors.affiliation: Department of Physical Medicine and Rehabilitation, The Center for Rehabilitation Sciences Research, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.
authors.forename: Mark P
authors.initials: MP
authors.lastname: Lindholm
authors.affiliation: Human Engineering Research Laboratories, U.S. Department of Veterans Affairs, and Department of Rehabilitation Science and Technology, University of Pittsburgh, 6425 Penn Avenue, Suite 400, Pittsburgh, PA 15206.
authors.forename: Garrett G
authors.initials: GG
authors.lastname: Grindle
authors.affiliation: Human Engineering Research Laboratories, U.S. Department of Veterans Affairs, and Department of Rehabilitation Science and Technology, University of Pittsburgh, 6425 Penn Avenue, Suite 400, Pittsburgh, PA 15206.
authors.forename: Rory A
authors.initials: RA
authors.lastname: Cooper
mesh_terms: D000328:Adult; D000671:Amputation, Surgical / Q000009:adverse effects; D016058:Analgesia, Patient-Controlled / Q000295:instrumentation*; D004867:Equipment Design / Q000379:methods; D017743:Equipment Reuse / Q000592:standards; D006801:Humans; D008297:Male; D008889:Military Personnel; D059408:Pain Management / Q000379:methods*; D012656:Self-Help Devices / Q000592:standards*; D034941:Upper Extremity / Q000293:injuries*