Premium
Patient‐Controlled Analgesic Therapy: Clinical Experience
Author(s) -
Tamsen A.,
Hartvig P.,
Fagerlund C.,
Dahlström B.,
Bondesson U.
Publication year - 1982
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1982.tb01868.x
Subject(s) - medicine , pethidine , anesthesia , analgesic , narcotic , depression (economics) , morphine , narcotic analgesics , respiratory system , acute pain , surgery , economics , macroeconomics
Fifty‐six surgical patients self‐administered i.v. narcotic analgesics to combat postoperative pain. Analgesic demand per h was 2.7±1.1 mg of morphine, 26±10 mg of pethidine or 2.3±0.8 mg of ketobemidone, which reflects the equianalgesic ratios. Acute respiratory depression was seen in two hypovolaemic patients as evidenced by a raised PaCO 2 on air breathing. Carbon dioxide retention disappeared upon correction of hypovolaemia. Late respiratory complications of short duration were encountered in 13%. Drowsiness and dry mouth were the most frequent complaints. Self‐administered analgesia was considered highly satisfactory by the patients.