Observation and Nursing of PCA Pump After Operation
- VernacularTitle:儿童术后应用PCA的观察与护理
- Author:
Xiaofang ZHANG
- Publication Type:Journal Article
- Keywords:
patient-controlled analgesia;
child;
postoperation;
observation;
nursing
- From:
Chinese Medical Equipment Journal
1989;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the analgesic effect and adverse reaction of PCA,and identify the efficacious nursing on 40 paediatric patients of different ages(5-14 years) who experienced abdominal and perineal operations.Methods 40 patients were divided into two groups with formulation analgesia used for PCA 0.075% bupivocaine 100 ml and Fentanyl 0.2 mg in children aged 5-14 years;one for pump speed 3 ml/h in aged 5-9 years,and patient-controlled analgesia by children or parents;another for pump speed 4 ml/h in children aged 10-14 years,and patient-controlled analgesia by children themselves.The effects of postoperative analgesia were observed as well as adverse reactions such as nausea,vomiting,skin itching,urinary retention,headache,etc.Results Analgesia effect was good,and the vital signs was stable with SPO2 over 95%.None was respiratory depression and headache,and two had nausea and vomiting,and one cutaneous pruritus.Conclusions PCA is safe and effective in the paediatric patients of different ages(5-14 years) who experienced abdominal and perineal operations.
