Mrs. Laird is a 56-year-old post-surgical patient with an unremarkable social and medical history. Her surgeon has ordered fentanyl patient-controlled analgesia (PCA), but Mrs. Laird admits to you that she is very reluctant to use it for fear of becoming addicted. How should you best respond to Mrs. Laird's concerns?

There is very little likelihood that patient-controlled analgesia (pca) will lead to drug addiction. I'll put it on my list to ask your doctor whether you can have non-narcotic pain relievers for your discomfort.

What is an analgesic?

A class of medications known as analgesics is designed specifically to manage pain. They include acetaminophen (Tylenol), which is supplied over the counter (OTC) or by prescription when taken in conjunction with another drug, and opioids (narcotics), which are only available with a prescription.

What sets anesthesia apart from analgesia?

Analgesia is the process of treating pain with analgesics without inducing unconsciousness or loss of sensation (e.g., Aspirin, Carprofen, etc.). The use of anesthetics to create a lack of body sensation, with or without awareness, is known as anesthesia (e.g., Ketamine, Propofol, Isoflurane, etc.).

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