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Patient Controlled Epidural Analgesia (PCEA)

Patient Controlled Epidural Analgesia in Hebbal, Bangalore

Patient Controlled Epidural Analgesia in Hebbal, Bangalore, is often used to treat the pain felt by the patient after gynaecological surgery. Since major abdominal surgery takes longer to heal, patients often feel discomfort for a more extended period. After the abdominal surgery, the patients experience bloating, pain and vomiting. Therefore, PCEA is a standard method used to treat post-surgery discomfort. 

PCEA is commonly used at the time of childbirth and surgery of the bowel. One of the significant benefits of the application of PCEA is that the amount of opioids has been reduced, which leads to less possibility of adverse effects. As per the report of various studies, the usage of PCEA also reduces the amount of anaesthetic.

Benefits of Patient-Controlled Epidural Analgesia

Patient Controlled Epidural Analgesia offers higher efficacy and ensures greater patient satisfaction by providing adequate control and greater dignity to the patients. This technique is considered sufficient for a patient who has undergone major surgery, including abdominal surgery and total knee replacement. After surgery, epidural fentanyl or hydromorphone can be used effectively and continuously. But then, local anaesthetic is not recommended for the patient with the risk of hypotension.

Effectiveness of Patient-Controlled Epidural Analgesia

PCEA is effective in reducing pain immediately. It is considered the best treatment for patients' pain after major surgery. PCEA offers self-administration of epidural opioids. The PCEA drug delivery units are featured with safety measures. The delivery units include safety features, including time lock, maximum dose limits and capnography. PCEA has been proven to show better outcomes after surgery. It is helpful for superior pain management benefits using fewer sedatives.

When the patient is recommended to transition IV opioids to oral medications, 90 minutes of overlap time is allowed.

Patient Controlled Epidural Analgesia After Cesarean Section

PCEA with meperidine has been proven to be effective after Cesarean Section. It is even considered superior to epidural morphine and PCEA with fentanyl. PCEA in combination with fentanyl, epinephrine and bupivacaine has fewer side effects than using PCEA with fentanyl alone.

Role of PCEA for Pain Management in Children

PCEA works effectively to manage acute postoperative pain in children and infants. But, pulse oximetry is suggested for the first 24 hours after the infusion begins. Epidural infection is less likely to occur in children undergoing postoperative catheterisation.

Those children who age is three years or more are less likely to have epidural catheters. Age did not have any role in the development of cellulitis at the insertion site, and systemic and local infection also did not occur. However, minor signs of inflammation typically occur in children between the age of 1 day to 15 years during epidural infection.

Apart from the pain relief in the case of the conditions mentioned above, PCEA is also helpful for patients who have undergone surgery for gastric cancer. It has been proved that PCEA is fruitful in superior pain control resulting in lower stress response.

Researchers have claimed many advantages have been proved while using PCEA to relieve pain, and it is also effective to make bowel activity normal after the surgery. Book an appointment at Manipal Hospitals to get detailed information regarding treatments with the help of a team of doctors in Bangalore.

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