Henderson, EM;
Rajapakse, D;
Kelly, P;
Boggs, T;
Bluebond-Langner, M;
(2019)
Patient-Controlled Analgesia for Children With Life-Limiting Conditions in the Community: Results of a Prospective Observational Study.
Journal of Pain and Symptom Management
, 57
(5)
e1-e4.
10.1016/j.jpainsymman.2019.02.015.
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Abstract
The use of patient-controlled analgesia (PCA) for children and young people with life-limiting conditions and life-threatening illnesses is an emerging intervention in pediatric palliative care as an alternative to continuous parental infusion with a separate breakthrough analgesia.1, 2 In pediatric palliative care, PCA is characteristically a continuous infusion of opioid administered via a programmable pump, which enables patients to control their pain by use of on-demand supplemental bolus analgesia.2, 3 This letter highlights barriers to use of PCA in this population as found in our study of PCA in the community and invites comment as a first step in addressing the issues we encountered.
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