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Analgésie auto-contrôlée (PCA) par voie péridurale (PCEA)

  • Published:
Douleur et Analgésie

Résumé

L'analgésie auto-controlée (PCA) est une technique aujourd'hui largement utilisée, qui permettrait d'obtenir une meilleure gestion de la douleur postopératoire par comparaison aux méthodes classiques d'analgésie par les morphiniques; en ce qui concerne ces médicaments, la voie péridurale (E) offrirait une analgésie de qualité supérieure à celle obtenue par voie parentérale. II a pu sembler judicieux d'associer ces deux méthodes (PCEA). L'article voudrait apporter une réflexion concernant l'utilisation des produits habituellement utilisés par PCEA, à savoir les morphiniques, les anesthésiques locaux — ou leur association.

Summary

Patient controlled analgesia (PCA) is a well admitted technique which allows better pain control compared to former techniques in the postoperative period. Pain relief after epidural administration (E) of opioids is considered of better quality compared to parenteral administration. PCA and E have been used simultaneously with success, becoming PCEA. This paper discusses the use of opioids, local anesthetics and their association by PCEA.

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Authors and Affiliations

  1. Département d'anesthésie-réanimation, Hôpital Ambroise Paré, 9 avenue Charles-de-Gaulle, F-92100, Boulogne

    L. Brasseur, I. Cattaneo & M. Esteve

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  1. L. Brasseur
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  2. I. Cattaneo
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  3. M. Esteve
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Brasseur, L., Cattaneo, I. & Esteve, M. Analgésie auto-contrôlée (PCA) par voie péridurale (PCEA). Doul. et Analg. 7, 119–122 (1994). https://doi.org/10.1007/BF03007842

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  • DOI: https://doi.org/10.1007/BF03007842

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