ESRA Academy. Huda A. Sep 8, 2016; 138304; 0131 Topic: Patient Controlled Analgesia
Dr. Anwar ul Huda
Dr. Anwar ul Huda

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Background and Aims:

Effective postoperative analgesia is essential in elderly patients because inadequate pain control after surgery is associated with adverse outcomes in these patients. The objective of this audit is to assess the ease of using PCA in elderly patients and their satisfaction with its use and pain control in postoperative period.


This audit was conducted in Royal Bournemouth Hospital from 1st January 2015 till 31st January 2015. All patients aged more than 75 years who had PCA postoperatively were included. Descriptive data for gender, type of surgical specialty, use of regional block, pain control, and convenience of pain control, ease of equipment, nursing dependence and preference for next time were summarized in percentages.


Out of 25 patients, 16 (64 %) patients had morphine as PCA and 9 (36 %) had fentanyl as PCA. Pain control was excellent in 5 (20 %) patients, good in 20 (80 %). 17 (68 %) patients reported some side effects i.e, 2 (8 %) nausea/vomiting, 14 (56 %) drowsiness and 1 (4 %) had itching. 100 % patients agreed with ease of equipment. Nineteen (76 %) felt no dependence on nursing staff for pain relief, 6 (24 %) felt little dependence. Mean satisfaction score was 8.32. 25 (100 %) patients would prefer it again if needed.


The general acceptability of PCA among patients from all surgical specialties was good but we need to address the issue of relatively higher side effects

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