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 Vol. 5 No. 1, January 2001
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Right arrow Anesthesiology

AAP Grand Rounds 5:3-4 (2001)
© 2001 American Academy of Pediatrics

ANESTHESIOLOGY

Parent/Nurse Controlled Analgesia Is Safe and Effective

Source: Monitto CL, Greenberg RS, Kost-Byerly S, et al. The safety and efficacy of parent/nurse-controlled analgesia in patients less than six years of age. Anesth Analg. 2000;91:573–579.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

The authors of this study undertook a one-year prospective observational study at the Johns Hopkins Hospital in Baltimore to evaluate the practice of using parent/nurse-controlled administration of opioid analgesia in young children, a practice that had been in use at their hospital for the previous 5 years. Data that were collected on 212 patients (98 females) included demographics, efficacy of analgesia and side effects such as pruritus, vomiting and respiratory depression. These patients were treated for 240 episodes (118 in females) of pain (mostly postoperative). Parent/Nurse-Controlled Analgesia (PNCA) was prescribed by the pain treatment service and included a low basal infusion of opioid plus doses that could be given by a parent or the nurse. PNCA was used for a median of 4 days with a range of 2–54 days. Morphine, hydromorphine, or fentanyl was used (choice at the discretion of the attending physician) and opioid doses were converted to morphine equivalents for comparison. Average use, in mcg/kg/hr of morphine equivalents, was as follows: day 1, . . . [Full Text of this Article]

Thomas Mancuso, MD, FAAP
Anesthesiology, Children’s Hospital, Boston, MA

 



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