Outpatient Patient Controlled Analgesia (PCA) for the Palliative Care Patient.

IF 0.9 Q3 ANESTHESIOLOGY
Jacob T Painter, Kennede McLeroy-Charles, Heather Moore, Sarah Harrington, Lindsey E Dayer
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引用次数: 0

Abstract

This study explores the under-researched domain of patient-controlled analgesia (PCA) for cancer pain management in adult outpatients, focusing on the transition from patient-controlled analgesia pumps (PCA pump) to oral medications. While existing literature primarily addresses the use of PCA in inpatient settings, this descriptive study investigates the initiation of outpatient PCA in palliative care patients. The retrospective chart review includes data from all admissions between July 1, 2014, and December 31, 2020. Among the 49 identified patients, 41 were admitted for cancer-related pain, with an indication for PCA such as insufficient pain relief, highly fluctuating pain, or inadequate response to other routes. Of these patients, 13 were successfully transitioned from outpatient PCA to oral opioids. The study underscores the effective use of PCA as a transitional tool following a pain crisis that necessitates inpatient admission. Future research avenues could explore healthcare utilization, length of stay, and required outpatient resources, such as home visits or telehealth, for optimal PCA use in outpatient settings.

姑息治疗病人的门诊病人控制镇痛(PCA)。
本研究探讨了患者自控镇痛(PCA)在成人门诊患者癌症疼痛治疗中的应用,重点关注从患者自控镇痛泵(PCA 泵)到口服药物的过渡。现有文献主要论述了在住院环境中使用 PCA 的情况,而本描述性研究则调查了姑息治疗患者在门诊开始使用 PCA 的情况。回顾性病历审查包括 2014 年 7 月 1 日至 2020 年 12 月 31 日期间所有入院患者的数据。在已确认的 49 名患者中,有 41 人因癌症相关疼痛入院,有 PCA 适应症,如疼痛缓解不足、疼痛波动大或对其他途径反应不佳。在这些患者中,有 13 人成功地从门诊 PCA 过渡到了口服阿片类药物。这项研究强调,在出现疼痛危机而必须住院治疗时,可有效使用 PCA 作为过渡工具。未来的研究途径可以探索医疗保健利用率、住院时间和所需的门诊资源(如家访或远程医疗),以便在门诊环境中优化 PCA 的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
9.10%
发文量
40
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