A comparison of two regimens of patient-controlled analgesia for children with sickle cell disease

Title

A comparison of two regimens of patient-controlled analgesia for children with sickle cell disease

Creator

Trentadue NO; Kachoyeanos MK; Lea G

Publisher

Journal Of Pediatric Nursing

Date

1998

Subject

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

Description

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

Rights

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

Journal Article

Citation List Month

Backlog

Pages

15-9.

Issue

1

Volume

13

Citation

Trentadue NO; Kachoyeanos MK; Lea G, “A comparison of two regimens of patient-controlled analgesia for children with sickle cell disease,” Pediatric Palliative Care Library, accessed September 16, 2021, https://pedpalascnetlibrary.omeka.net/items/show/11611.

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