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Patient-controlled analgesia (PCA) is an important alternative for the management of acute and chronic pain. Infusion pumps provide a simple, reliable, and cost-effective means of delivering analgesics and sedatives in a continuous fashion. It may be used for any medication administered either orally or intravenously, including narcotics. Analgesics delivered with a PCA device are based on a dose and a lockout interval that are programmed before the patient leaves the hospital. Typically, the patient self-delivers a preset bolus dose of medication at regular intervals until the desired level of analgesia is reached. The lockout interval prevents the patient from exceeding his preset dose. Generally, the lockout interval is set to 15 or 30 minutes. However, if the preset dose is low, a shorter lockout interval may be required. If a higher dose is desired, the lockout interval may be set longer to reduce the bolus dose delivered by the patient. The dose is then preset according to the patient’s pain and analgesic requirements, based on the pain scale. More analgesia is typically given in the initial hour of administration and less in the second or third hour. Continuous infusion of narcotics or analgesics can be delivered with a PCA device. For example, oxycodone hydrochloride can be administered in a PCA device via a controlled infusion pump. Patients with persistent pain may benefit from a PCA device.Side-by-Side Comparison of Volumetric Contrast-Enhanced Ultrasound and Contrast-Enhanced Computed Tomography in Detecting Ovarian Malignancies.
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