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  • Title: [Intravenous patient-controlled analgesia (IV-PCA) for relief of postoperative pain].
    Author: Mizuno J, Morita S, Hanaue N, Hanaoka K, Yokoyama T.
    Journal: Masui; 2011 Aug; 60(8):908-12. PubMed ID: 21861414.
    Abstract:
    Intravenous patient-controlled analgesia (IV-PCA) using opioids such as morphine and fentanyl can be an effective analgesic method for post-operative pain that is resistant to conventional administration of narcotic analgesics and nonsteroidal anti-inflammatory drugs, and where epidural block and peripheral nerve block are not feasible. In addition to post-operative pain relief, IV-PCA can facilitate early ambulation, reduce respiratory complications, and increase patient satis-faction. However, respiratory and circulatory depression, and post-operative nausea and vomiting (PONV) often occur as side effects of IV-PCA with opioids. Administration of droperidol can be an effective treatment for PON.
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