Petrat G, Klein U, Meissner W
Department of Anaesthesia and Critical Care Medicine, Friedrich-Schiller-University Jena, Germany.
Eur J Pediatr Surg. 1997 Feb;7(1):38-41. doi: 10.1055/s-2008-1071046.
The results of this study show that postoperative patient-controlled pain therapy in children with piritramide is - in a similar way as with adults - a safe method involving a low incidence of side effects. A special pump parameter setting is required with larger bolus dose sizes and longer lockout intervals, not very different from the experience gained with adults, and which is based on other values than those recommended up to now with morphine for paediatric PCA. Side effects were rarely observed. The fear of respiratory depression constitutes no rational reason to deny the younger patients this form of analgesia provided that monitoring is guaranteed.
