Mg. Irwin et al., A PATIENTS EXPERIENCE OF A NEW POSTOPERATIVE PATIENT-CONTROLLED ANALGESIC TECHNIQUE, European journal of anaesthesiology, 11(5), 1994, pp. 413-415
A patient underwent major spinal surgery, twice within a 3 week period
. On the first occasion his post-operative pain was managed by convent
ional morphine patient-controlled analgesia (PCA). After the second pr
ocedure his pain was managed by a patient-controlled computer-assisted
titration of alfentanil. This provided the opportunity to compare the
efficacy of these two drug regimens in the same subject. The results
showed comparable quality of analgesia and sedation and similar effect
s on respiration. However, the patient expressed a preference for morp
hine PCA.