Hopkins D, Shipton E A, Tissandie J P
Department of Anaesthesia, Hillbrow Hospital, Johannesburg.
S Afr J Surg. 1992 Dec;30(4):168-70.
A trial was conducted (among 22 patients) to assess a new use of patient-controlled devices. Using a patient-controlled analgesia (PCA) pump under the anaesthetist's guidance, the patients self-administered a neurolept mixture consisting of droperidol and alfentanil. The patients were then able to undergo minor surgery (dilatation and curettage). The majority remained detached, sedated and pain-free, while able to control the PCA pump during the procedure. Patient-controlled neuroleptanalgesia or PCNA, as we propose to call this technique, appeared practical, effective and safe. The method was generally well accepted and highly rated by the patients.
进行了一项（针对22名患者的）试验，以评估患者自控设备的一种新用途。在麻醉师的指导下，患者使用患者自控镇痛（PCA）泵自行给予由氟哌利多和阿芬太尼组成的神经安定合剂。然后患者能够接受小手术（刮宫术）。大多数患者在手术过程中保持清醒、镇静且无痛，同时能够控制PCA泵。我们提议将这种技术称为患者自控神经安定镇痛（PCNA），它似乎实用、有效且安全。该方法总体上得到了患者的良好接受和高度评价。
