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Text
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<a href="http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9503762" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9503762</a>
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Title
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A comparison of two regimens of patient-controlled analgesia for children with sickle cell disease
Publisher
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Journal Of Pediatric Nursing
Date
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1998
Subject
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Child; Female; Male; Analgesics; Case-Control Studies; Anemia; Comparative Study; retrospective studies; Human; Adolescence; Patient-Controlled; Midwestern United States; Morphine/administration & dosage; Analgesia; Opioid/administration & dosage; Pain/drug therapy/etiology; Sickle Cell/complications
Creator
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Trentadue NO; Kachoyeanos MK; Lea G
Description
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Recently, patient controlled analgesia (PCA) has gained prominence in the treatment of pain for children suffering from vaso-occlusive crisis associated with sickle cell disease. Because there are several different regimens that can be used for PCA, the purpose of this study was to compare and contrast two regimens of patient controlled analgesia (PCA) in terms of safety, efficacy, and cost for the treatment of vaso-occlusive pain associated with sickle cell disease. In this study a retrospective chart review was conducted. The charts of 26 children, hospitalized on 60 different occasions in which PCA was used in the treatment of vaso-occlusive disease were included in the final sample. Patients were grouped according to the type of PCA regimen they received: high dose PCA/low basal infusion (HPCA/LBI) or low dose PCA/high basal infusion (LPCA/HBI). Children in Group 1 (HPCA/LBI) used significantly less morphine during their hospitalization, were hospitalized fewer days, and reported lower pain scores on day 2. There were considerable cost savings due to decreased length of stay, less morphine consumed overall, and fewer days required for rental of the PCA pump.
1998
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
1998
Adolescence
Analgesia
Analgesics
Anemia
Backlog
Case-Control Studies
Child
Comparative Study
Female
Human
Journal Article
Journal of Pediatric Nursing
Kachoyeanos MK
Lea G
Male
Midwestern United States
Morphine/administration & dosage
Opioid/administration & dosage
Pain/drug therapy/etiology
Patient-Controlled
Retrospective Studies
Sickle Cell/complications
Trentadue NO