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Scientific article
English

Antalgie contrôlée par le patient dans les situations palliatives. Concepts et aspects pratiques

Published inRevue médicale suisse, vol. 19, no. 855, p. 2381-2384
Publication date2023
Abstract

Patient-Controlled Analgesia (PCA) involving the use of on-demand subcutaneous or intravenous opioids offers patients greater autonomy in managing pain. In palliative situations, this method allows a continuous background infusion rate of opioids and allows a patient to self-administer a pre-set bolus dose of opioids. Indications for PCA are moderate to severe pain that is not relieved by 3rd level analgesics administered in oral ore transdermal route or by intermittent injections. PCA prescription, programming, initiation, and safety monitoring require the vigilance of a trained interdisciplinary team. PCA is safe and effective on hospice inpatients and outpatients and encourage their return or their stay at home.

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Keywords
  • Analgesia, Patient-Controlled
  • Analgesics, Opioid / therapeutic use
  • Humans
  • Pain / drug therapy
  • Pain Management
  • Pain, Postoperative / drug therapy
  • Palliative Care
Citation (ISO format)
DIAWARA, Fatoumata, STANCO, Luigi, DIEUDONNE, Nathalie. Antalgie contrôlée par le patient dans les situations palliatives. Concepts et aspects pratiques. In: Revue médicale suisse, 2023, vol. 19, n° 855, p. 2381–2384. doi: 10.53738/REVMED.2023.19.855.2381
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Article (Published version)
accessLevelRestrictedaccessLevelPublic 07/01/2025
Identifiers
ISSN of the journal1660-9379
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