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GUIDELINES FOR PATIENT-CONTROLLED ANALGESIA …

VA SAN DIEGO HEALTHCARE SYSTEM MEMORANDUM 118-28 SAN DIEGO, CA Page 1 of 6 GUIDELINES FOR PATIENT-CONTROLLED ANALGESIA (PCA) AND PATIENT-CONTROLLED EPIDURAL ANALGESIA (PCEA) FOR ACUTE pain MANAGEMENT 1. PURPOSE: To assure the safe and effective use of patient controlled ANALGESIA (PCA) and patient controlled epidural ANALGESIA (PCEA) for the intravenous and epidural administration of opioids and anesthetics. PCEA administration of opioids and local anesthetics is also guided by MCM 125-2, Epidural ANALGESIA . 2. POLICY: PCA or PCEA will be used for the treatment of patients in moderate to severe pain when oral or intermittent parenteral opioids and analgesics are contraindicated or considered to be less efficacious.

of Acute Pain and Cancer Pain. 6th edition. b. Anesthesia Service Memorandum, 125-02, 01/2009 Epidural Analgesia located in Docushare. c. Medical Center Memorandum 11-54, 06/2007 Pain Management. d. VHA Pain Management Home Page. e. Nursing Service, Pain Management Policy 04/2010. f. VHA Directive 2009-053, Pain Management, Oct 28, 2009. g.

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  Guidelines, Patients, Pain, Controlled, Analgesia, Guidelines for patient controlled analgesia

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