Adverse Effects of IV-PGA and Their Preventions and Treatments

  • WAKASAKI Rumie
    Department of Anesthesiology, Fukuoka University Faculty of Medicine
  • SAKURAI Shizuka
    Department of Anesthesiology, Fukuoka University Faculty of Medicine
  • SHIBATA Shiho
    Department of Anesthesiology, Fukuoka University Faculty of Medicine
  • HIGA Kazuo
    Department of Anesthesiology, Fukuoka University Faculty of Medicine

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  • IV‐PCAに伴う副作用対策

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Description

IV-PCA can control postoperative pain effectively because opioid concentrations in the blood can be increased quickly. Control of postoperative pain with IV-PCA is prompt. IV-PCA has been widely used to treat postoperative pain. Patients' satisfaction with IV-PCA is high. Recent increasing demand of prophylactic postoperative anticoagulation has further increased the role of IV-PCA in postoperative pain control. Proper settings of IV-PCA are mandatory for a safe method of postoperative pain control. However, the side effects of opioids hinder effective postoperative pain control with IV-PCA. Some side effects can lead to severe complications. Early recognition, treatment, and prevention of side effects of opioids are important. We describe the side effects of opioids used for IV-PCA and their treatments.

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