PCA Vs. PCEA

  1. 0
    I see both PCA's with dilaudid/morphine and PCEA's with fentanyl. It seems to me that PCA's are more effective for pain control. What is the deciding factor in whether the pt gets a pcea or pca????? And has anyone else noticed more effective pain relief with pca rather than pcea????

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  2. 6 Comments...

  3. 0
    What is a PCEA?
  4. 0
    I feel my patients get better pain relief with a PCEA (epidual pain pump) than a PCA, however I feel they are more traumatic to wean from due to more consistent basal rates.

    I prefer PCA's because we generally don't use basals on them, and I am not as nervous about an IV site vs and spinal site.

    "My foot is numb"

    "Ah crap...let me page the on call"

    Tait
  5. 0
    patient controlled epidural anesthesia
  6. 0
    Quote from EJSRN
    I see both PCA's with dilaudid/morphine and PCEA's with fentanyl. It seems to me that PCA's are more effective for pain control. What is the deciding factor in whether the pt gets a pcea or pca????? And has anyone else noticed more effective pain relief with pca rather than pcea????
    I've noticed that patients get the epidurals more if they have a certain type of surgery but what type of surgery is not ringing a bell right now. I don't know if that helps but maybe it will jog your memory because mine seems to be shot right now, lol.
  7. 0
    Quote from EJSRN
    patient controlled epidural anesthesia
    So let me get this straight. The only difference between a PCEA and a TEC (tunneled epidural catheter) is that the patient controls the PCEA and the TEC just runs constantly? Correct?
  8. 0
    We don't use patient controlled epidurals. Plenty of *regular* epidurals, but they just have a basal rate and that's it.


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