Self-administered Pain Control - Patient Controlled Analgesia

A new device for self administering pain control. Heiko Rudolph's PhD work The response is fast. Adaptive PCA adjusts itself to the differences in patients.

Patient Controlled Analgesia (PCA) allows the patient to administer his own pain relief via a computer controlled infusion pump. When the patient feels pain he presses a button and a strong pain medication (analgesic, such as Morphine) is infused directly into the bloodstream. Most patients do not obtain enough pain relief with the current models because:
• The amounts of pain medication are fix

ed at a low 'safe' level.
• The amount of pain medication required varies up to 20 times between patients.
• Social perceptions. A new PCA system,
called the "Adaptive PCA" has been developed and trialed on 21 patients at the Royal Melbourne Hospital Australia. Depending on the patient, it allows a greater range of pain medication and follows the patient's time dependent profile. Greater pain relief is achieved with the new Adaptive PCA system. The Adaptive PCA system was developed by Dr Heiko RUDOLPH and Professor Jack Cade of the Royal Melbourne Hospital, Australia. Adaptive PCA - PhD thesis at The University of Melbourne:
https://minerva-access.unimelb.edu.au/handle/11343/39221?show=full

Key publication 1:
Smart technology improves patient‐controlled analgesia: a preliminary report
H Rudolph, JF Cade, PT Morley, JS Packer, B Lee - Anesthesia & Analgesia, 1999

Key publication 2:
Pain relief using smart technology: an overview of a new patient-controlled analgesia device
H Rudolph, JS Packer, JF Cade, B Lee, P Morley - … Technology in Biomedicine, IEEE Transactions on, 1999

Market opportunity

This Adaptive PCA System provides significantly better pain relief, and is the next level in PCA devices. Adaptive PCA would suit a manufacturer of PCA pumps seeking to increase their market share. Adaptive PCA is ready for commercialization. To create a new line of Adaptive PCA pumps would require only small changes in existing PCA pumps and the addition of a 'Smart Handset'. Further Intellectual Property can be created through advances in the Adaptive PCA algorithm. NOTE: the website : http://mondo.com.au/adaptive.html
is not active but shows a previous company working on this project

31/01/2018

Self administred pain control, anyone have especially good or bad experiences ?

PCA: The Indications For and the Advantages and Disadvantages of Patient Controlled Analgesia | Pain Community Centre

16/10/2017

PCA could do a lot more but is held back ....
PCA 101

PCA: The Indications For and the Advantages and Disadvantages of Patient Controlled Analgesia | Pain Community Centre Patient Controlled Analgesia (PCA) is most commonly used for intravenous opioid demand dosing although the principle can be applied to other treatment modalities e.g. epidural, oral, iontophoresis and intranasal. This article refers to intravenous Patient Controlled Analgesia.

11/10/2017

what do they NOT tell you in this lovely article ?

Patient-Controlled Analgesia – PCA Patient-controlled analgesia (PCA) is a pain management therapy commonly used in hospitals. Learn more about the benefits.

28/08/2017

customer feedback is missing for PCA devices. This means that the gaps in the system are not being addressed, people have more pain than they really need to....

https://upload.wikimedia.org/wikipedia/commons/4/4f/Business_Feedback_Loop_PNG_version.png

upload.wikimedia.org

29/07/2017

PCA has come a long way, and much more to go...

01/03/2017

The idea of self admin pain is great, buuuuuuuuuuuuuuutt...... there are problems..... in on the practical level.... like all good ideas the devil is in the detail

11/01/2017

excellent article in the BBC about Pain....http://www.bbc.com/future/story/20170110-why-pain-is-so-hard-to-measure---and-treat

Why pain is so hard to measure – and treat It is surprisingly difficult to explain what we feel when we are hurt, so doctors are developing new ways of assessing agony

18/12/2016

excellent review article on IV PCA, from 2005
http://www.mascc.org/assets/documents/pain_Patient_Controlled_Analgesia_Grass.pdf

www.mascc.org

Born to Choose: The Origins and Value of the Need for Control

05/10/2016

PCA gives patients choice
the psychology of choice
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2944661/

Born to Choose: The Origins and Value of the Need for Control Belief in one’s ability to exert control over the environment and to produce desired results is essential for an individual’s well being. It has been repeatedly argued that the perception of control is not only desirable, but it is likely ...

What You Need to Know About Pain Control After Surgery

14/09/2016

Why is pain control so important?
In addition to keeping you comfortable, pain control can help speed your recovery and may reduce your risk of developing certain complications after surgery, such as pneumonia and blood clots. If your pain is well controlled, you will be better able to complete important tasks, such as walking and deep breathing exercises.

PCA gives patients a sense of control over their pain
http://my.clevelandclinic.org/health/treatments_and_procedures/hic_Pain_Control_after_Surgery

What You Need to Know About Pain Control After Surgery Our award-winning blog brings you insights on health, nutrition and wellness from experts you can trust. Enjoy recipes, videos, infographics and more from the nation's no.1 hospital blog.