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Doctor insights on: Patient Controlled Analgesia

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What is the purpose of using a pca - patient control analgesia?

What is the purpose of using a pca - patient control analgesia?

Better pain control: With patient controlled analgesia you get better pain control with less side effects and usage of narcotics is less than when narcotics are given intravenous by nurses as needed. ...Read more

Analgesia (Definition)

Analgesia is the decrease or absence of pain sensibility without a loss of consciousness. Experiencing pain relief may happen without a person ...Read more


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Please help! what is the purpose of a patient control analgesia?

Please help! what is the purpose of a patient control analgesia?

Patient controlled: It is a machine that delivers a set dose of a narcotic intravenously by the patient pushing a button. There is a maximum quantity per hour and button can only be pushed at certain intervals. The safety comes from fact patient will not be able to push button if overdosed. There are also epidural infusion patient controlled for women in labor, delivering a local anesthetic. ...Read more

Dr. Joshua Batt Dr. Batt
<b>3</b> doctors agreed:
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Managing Neck Pain (Checklist)

Use pain medication as directed
once
Avoid fast movements
Once
See your doctor if your neck pain hasn't improved in 1 week
once
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Which is better--epidural or patient-controlled analgesia after surgery?

Which is better--epidural or patient-controlled analgesia after surgery?

Both!: There is a relatively novel form of perioperative pain relief known as patient-controlled epidural analgesia(or pcea). It's similar to pca in that you as the patient control how much medication you receive. However, instead of the medication being delivered to your veins, it's delivered to your epidural space, where it is more effective and less likely to produce systemic side effects. ...Read more

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Which is better, epidural or patient-controlled analgesia after surgery?

Which is better, epidural or patient-controlled analgesia after surgery?

Depends: It depends on what surgery you are having, and what the expertise of your anesthesiologist is. Pca is a means of the patient giving themselves intravenous narcotic. Epidural anesthetic can be very good for some types of surgery, and there is also continuous epidural anesthesia for some situations. You should confer with your surgeon and your anesthesiologist as to what is best for your condition. ...Read more

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Managing Knee Pain (Checklist)

Try to determine the cause
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Write down severity, duration, location (front/back of knee, etc.)
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If swollen, ice the knee with a bag of ice, bag of frozen peas, etc.
once
See a doctor
Once
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Which is better: an epidural or patient-controlled analgesia for pain after a surgery?

Epidurals : post op epidurals are usually used to provide pain control for a region of the body with less sedation properties and only for a certain period of time if an epidural catheter is used. A PCA is a pain reliever given thru the vein at a prescribed amount by the surgeon with its possible side effects. Also there are risks with anything including epidurals. This should be discussed with your surgeon ...Read more

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Expert opinions? Which is better, epidural or patient-controlled analgesia for pain after surgery?

Depends on surgery: But for first few acute days, more likely to have patient controlled analgesia and is more appropriate in most situations. ...Read more

Dr. Robert Kent Dr. Kent
<b>2</b> doctors agreed:
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Managing Pain from Cancer (Checklist)

Ask oncologist to refer you to cancer pain specialist
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Ask pain specialist about both interventional and medication options
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If pancreatic cancer, ask about a celiac plexus block
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If neuropathy, request trial of ketamine-based topical creams
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Which is better, epidural or patient-controlled analgesia for pain control after surgery?

Which is better, epidural or patient-controlled analgesia for pain control  after surgery?

Both!: There is a relatively novel form of perioperative pain relief known as patient-controlled epidural analgesia(or pcea). It's similar to pca in that you as the patient control how much medication you receive. However, instead of the medication being delivered to your veins, it's delivered to your epidural space, where it is more effective and less likely to produce systemic side effects. ...Read more

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Dr. Robert Kent Dr. Kent
<b>2</b> doctors agreed:
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Living with Ongoing Pain (Checklist)

Be sure correct diagnosis is made
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Only go to a pain physician trained to treat chronic pain
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Continue to look for more therapies that might be right for you
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Keep moving. Do not let pain sideline you. Pain will only get worse.
Once
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Are pain management doctors held accountable if a patient becomes addicted to use of a drug?

Are pain management doctors held accountable if a patient becomes addicted to use of a drug?

Good question: Addiction is a psychological disorder and many patients who become addicted are predisposed to that state. Medications are take at their own risk. There should be an informed consent with a patient along with education prior to starting opioid therapy. Unfortunately many pain providers may not do this. No one has to take pain medications. These medications are taken electively. ...Read more

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Pain management specialist that has treated patients with RSD/CRPS ?

Pain management specialist that has treated patients with RSD/CRPS ?

Pain Management: Your doc or your local medical association can refer you to a pain management specialist. They do lots of good work but please do not forget behavioral approaches such as clinical hypnosis (see www.asch.net), biofeedback, massage therapy, talk therapy, etc. Peace and good health. ...Read more

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Managing Back Pain (Checklist)

Lose weight
Daily
Reduce stress by moving gracefully with tai chi, yoga, or dance
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Increase flexibility with gentle exercises and/or physical therapy
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Gradually increase muscle tone and strength to support your back
Daily
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What is the process for receiving pain management? How do I go about receiving pain management? What is the process for new patients? .

What is the process for receiving pain management? How do I go about receiving pain management? What is the process for new patients?

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Expectations: The best pain groups will comprehensively address the history of your chronic pain condition, review diagnostic tests and or order new ones, perform a detailed pertinent physical examination, then design an individualized treatment plan which can include injections, braces, creams, medications, physical therapy and more options. All of these may be initiated at the first visit. ...Read more

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Are there any legitimate pain management doctors left that still want to advocate for legitimate pain patients?

Are there any legitimate pain management doctors left that still want to advocate for legitimate pain patients?

Yes: I do pain management and i believe in coordinated care by the primary physician, psychiatrist, surgeons, and myself. Chronic pain crosses many specialties and there can be many components that make it worse or better. ...Read more

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Dr. Craig Wiener Dr. Wiener
<b>2</b> doctors agreed:
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Managing Chronic Pelvic Pain (Checklist)

office evaluation
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pelvic exam
once
ultrasound
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What pain management clinics offer out-patient ketamine for crps/rsd?

What pain management clinics offer out-patient ketamine for crps/rsd?

None: No reputable clinic would offer this medication on an outpatient basis. This drug is an anesthetic and requires continuous monitoring with administration. ...Read more

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Why do pain management clinics make patients undergo urine screenings?

Why do pain management clinics make patients undergo urine screenings?

Urine screening : To monitor compliance with prescribed medications ; to check for use of illegal drugs. The providers are practicing their responsibility to the patient, the general public ; the medical license. ...Read more

Dr. Satvinder Dhesi
1,439 doctors shared insights

Pain Management (Definition)

Pain management is the control of pain through medication, ...Read more