Extending patient-controlled analgesia to patient-controlled neuroleptanalgesia
Hopkins, D.; Shipton, E.A.; Tissandie, J.P.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 30(4): 168-170
1992
ISSN/ISBN: 0038-2361 PMID: 1295102 Document Number: 397988
A trial was conducted (among 22 patients) to assess a new use of patient-controlled devices. Using a patient-controlled analgesia (PCA) pump under the anaesthetist's guidance, the patients self-administered a neurolept mixture consisting of droperidol and alfentanil. The patients were then able to undergo minor surgery (dilatation and curettage). The majority remained detached, sedated and pain-free, while able to control the PCA pump during the procedure. Patient-controlled neuroleptanalgesia or PCNA, as we propose to call this technique, appeared practical, effective and safe. The method was generally well accepted and highly rated by the patients.