Patient Controlled Analgesia (PCA)

Patient Controlled Analgesia treatment in Hebbal, Bangalore

Patient Controlled Analgesia  treatment in Hebbal, Bangalore effectively use to treat acute, chronic, postoperative and labour pain. Various medications are applied for patient-controlled analgesia. Medications are administered intravenously with the help of a catheter. 

In simple terms, PCA is a device that helps to administer medicine with the help of a button. When you press the button, the device automatically administers the medicine. The device has been used to relieve pain since 1971, and the PCA pump appeared in 1976 for the first time. Since then, a PCA pump has been used to deliver medicines, including fentanyl, morphine and hydromorphone.

How is Patient Controlled Analgesia Used?

The healthcare provider sets the medicine dosage per your age, type of surgery, weight and health conditions. You can receive the medicine only by pressing the button whenever you feel pain. But you may not receive the medicine even if you press the button when it is not time to welcome another dosage.

Benefits of Patient-Controlled Analgesia

Those who use patient-controlled analgesia experience reasonable pain control compared to some pain treatment procedures.

Different Ways to Apply Patient-Controlled Analgesia

The administration of Patient Controlled Analgesia is possible with the help of a Pump, Route, and Medication. These have been mentioned below,

  • Pumps

There are different types of pumps available in the market. All these pumps include a locking device, programming screen, patient button and medication chamber. Your healthcare provider will set the medication dosage in the pump, and the provider will assess the loading dose, lockout interval, infusion rate and one and four-hour limits.

  • Routs

Routes include administering medicine with the help of an intravenous catheter, indwelling nerve catheter, iontophoretic transdermal system etc.

  • Medications

Medications used in this process include opioids and local anaesthetics. Opioid medications include fentanyl, morphine, hydromorphone, sufentanil and remifentanil. Despite the availability of various medications, morphine has been used commonly. At the same time, local anaesthetics are applied with the help of an epidural catheter and an indwelling nerve catheter. Other medications can also be used to improve the pain.


Before the administration of PCA, the healthcare provider will examine the patient. Various assessment procedures include cognitive assessment, periodic pain assessment, and respiration assessment. 

A cognitive assessment is conducted to examine whether the patient can mentally participate in Patient Controlled Analgesia. Periodic pain assessment is necessary to track the effectiveness of the treatment. Respiration assessment is done to assess the breath's heart rate sound to ensure the medications' effectiveness during the treatment.

Methods of Administration of PCA dose

There are different methods of administration of PCA doses. These methods include initial loading dose, demand dose, continuous infusion rate and lockout interval. 

  • A nurse measures the initial loading dose to ascertain the minimum effective concentration. 

  • The demand dose is the amount of medication the patients receive after pressing the button.

  • A lockout interval is the specified time after the patient receives the demand dose. The purpose of lockout intervals is to prevent overdosing on the medicine.

  • A continuous infusion rate is to maintain the minimum effective concentration.

These techniques keep the healthcare providers aware of the amount of medicine the patients take. Book an appointment at Manipal Hospitals to know more about treatments with the help of best doctors in Bangalore. 

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