Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Pain management and postoperative carePoints to remember:1. Stick the correct strength device label on to the back of the drugchart, signed and dated. This label is provided as a pink ororange sticker inside the PCA bag when supplied.2. When the device is attached to the patient the date, time andsignature boxes need to be completed to indicate the drug hasbeen administered; otherwise, it appears that the device hasnever been connected.3. It is not acceptable to write “Morphine PCA as per policy”. Thisdoes not indicate the strength of PCA required.PCA for childrenThis guideline was written in June 2007. Essential points are listedbelow.PCA is used for the treatment of acute pain in children. It is a safeand effective method of providing post-operative pain relief whenanalgesia is required for moderate or severe pain for a period of morethan 24 hours.Any child who can understand and has the physical capacity tooperate the PCA demand button can usually use PCA after tuitionand with encouragement. Most five-year old children can operatePCAs very successfully. Children must weigh at least 18 kg and beaged five years old to be assessed for using a PCA.Initial assessment to determine if the child is suitable for PCA1. Child can handle the PCA button.2. Child wants to use PCA.3. Child can understand that pushing the button will not necessarilyalways give them their medicine.4. Child understands the pain assessment tool.108 Anaesthetists Handbook January 2010