An Assessment of PCA use in Postoperative Pain Management By Seán Cusack
Why? Around a third of patients receive intravenous PCA devices in the acute postoperative phase. Feedback from Pharmacy: some patients use PCA devices very little. There is a lot of effort and cost associated with the use of PCA. There was a suggestion that certain procedures do not produce enough pain to warrant their use.
Conclusions Patients who are prescribed PCA devices report lower pain scores. PCA use is a good indicator of pain, so patient education is satisfactory. There were no obvious preoperative clinical predictors for total PCA use. Based on this data, it is not possible to recommend any groups of patients that do not require a PCA.