Abstract
Treatment of postoperative pain with IV-PCA using opioids is on the rise. However, there are some surgeons, nurses, and pharmacists who hesitate to use IV-PCA with opioids. PCA pumps have so many hidden functions that prompt resolution of malfunctions of the PCA pump is not easy on occasion. Problems with IV-PCA are various and include drugs, pumps, patients, and medical staff members. It is important to have knowledge about frequent problems related to IV-PCA and to create strategies to manage them in advance. We describe the problems with IV-PCA and their management.