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Postoperative pain children

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https://www.readbyqxmd.com/read/30305761/influence-of-preoperative-information-support-on-anxiety-pain-and-satisfaction-with-postoperative-analgesia-in-children-and-adolescents-after-thoracic-surgery-a-randomized-double-blind-study
#1
Lucyna Tomaszek, Grazyna Cepuch, Dariusz Fenikowski
AIMS/BACKGROUND: The proportion of patients who experience anxiety prior to planned surgery, even a minimally invasive one, is estimated at 50-70%. Thoracic surgery, causes significant preoperative anxiety, especially in children. The aim of this study was to determine the effect of an important component of psychological preparation for a surgery as information support on levels of anxiety, pain and satisfaction with postoperative analgesia. METHODS: The randomized double blind study including patients aged 9-18 years qualified for lateral thoracotomy or Ravitch procedure...
October 5, 2018: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/30304047/unilateral-electrical-stimulation-of-the-heart-7-acupuncture-point-to-prevent-emergence-agitation-in-children-a-prospective-double-blinded-randomized-clinical-trial
#2
Nobuhito Nakamura, Takahiro Mihara, Toshiyuki Hijikata, Takahisa Goto, Koui Ka
BACKGROUND: Emergence agitation (EA) is a frequent phenomenon in children recovering from general anaesthesia and increases the risk of self-injury. Previously, our group reported that stimulating the heart 7 (HT7) acupuncture point bilaterally using two neuromuscular transmission monitoring devices (NTMs) decreased the incidence of EA. However, bilateral stimulation is a barrier to clinical use because two NTMs are needed for one patient. OBJECTIVE: The objective of this study was to examine the efficacy of unilateral electrical stimulation of HT7 using an NTM to prevent EA in children...
2018: PloS One
https://www.readbyqxmd.com/read/30302887/a-cluster-of-high-psychological-and-somatic-symptoms-in-children-with-idiopathic-scoliosis-predicts-persistent-pain-and-analgesic-use-1-year-after-spine-fusion
#3
Terri Voepel-Lewis, Michelle S Caird, Alan R Tait, Frances A Farley, Ying Li, Shobha Malviya, Afton Hassett, Monica Weber, Emily Currier, Trevor de Sibour, Daniel J Clauw
BACKGROUND: Persistent postoperative pain is a significant problem for many children, particularly for those undergoing major surgery such as posterior spine fusion. More than two-thirds report persistent pain after spine fusion, yet factors that may contribute to poorer outcomes remain poorly understood. AIMS: This prospective, longitudinal study examined how psychologic and somatic symptoms cluster together in children aged 10-17 years with idiopathic scoliosis, and tested the hypothesis that a higher psychological and somatic symptom cluster would predict worse pain outcomes 1 year after fusion...
October 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/30302882/in-hospital-usability-and-feasibility-evaluation-of-panda-an-app-for-the-management-of-pain-in-children-at-home
#4
Terri Sun, Dustin Dunsmuir, Ian Miao, Gregor M Devoy, Nicholas C West, Matthias Görges, Gillian R Lauder, J Mark Ansermino
BACKGROUND: Postoperative pain in children is often poorly managed at home, leading to slower functional recovery, poor oral intake, sleep disturbances, and behavioral changes. Panda is a smartphone application (app) designed to support parents in assessing their child's pain and managing medications. AIMS: The aim of this study was to evaluate the Panda app's usability and feasibility in hospital prior to testing the app at home. METHODS: The study comprised two phases...
October 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/30302881/caudal-and-intravenous-dexmedetomidine-similarly-prolong-the-duration-of-caudal-analgesia-in-children-a-randomized-controlled-trial
#5
Yusheng Yao, Chao Yu, Xiaolan Zhang, Yanhua Guo, Xiaochun Zheng
BACKGROUND: Dexmedetomidine can prolong the duration of action of a local anesthetic agent, but the route of administration that is the most beneficial remains unclear. The purpose of this study was to compare the clinical effectiveness of caudal or intravenous dexmedetomidine administration on postoperative analgesia in children undergoing inguinal hernia repair given caudal levobupivacaine. METHODS: This was a prospective, randomized, double-blinded, placebo-controlled trial...
October 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/30300178/regional-analgesia-added-to-general-anesthesia-compared-with-general-anesthesia-plus-systemic-analgesia-for-cardiac-surgery-in-children-a-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#6
Ann Monahan, Joanne Guay, John Hajduk, Santhanam Suresh
BACKGROUND: The aim of this systematic review was to compare the effects of regional analgesic (RA) techniques with systemic analgesia on postoperative pain, nausea and vomiting, resources utilization, reoperation, death, and complications of the analgesic techniques in children undergoing cardiac surgery. METHODS: A search was done in May 2018 in PubMed, Embase, and the Cochrane Central Register of Controlled Trials for randomized controlled trials comparing RA techniques with systemic analgesia...
October 8, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30294157/efficacy-of-intraosseous-local-anesthesia-for-restorative-procedures-in-molar-incisor-hypomineralization-affected-teeth-in-children
#7
Uma B Dixit, Amil V Joshi
Background: Treatment of teeth affected with molar incisor hypomineralization (MIH) in young patients is challenging due to chronic subclinical pulpal inflammation caused by porous enamel and exposed dentin. Hypersensitivity of the teeth and difficulty in achieving local anesthesia due to altered nerve potential affects the successful completion of the treatment. Aim: The aim of the study was to compare the anesthetic efficacy of the intraosseous (IO) anesthetic technique with conventional local infiltration technique in anesthetizing first permanent molars (FPMs) affected by MIH for restorative procedures in children...
September 2018: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/30293833/comparison-of-the-efficacy-of-ultrasound-guided-serratus-anterior-plane-block-pectoral-nerves-ii-block-and-intercostal-nerve-block-for-the-management-of-postoperative-thoracotomy-pain-after-pediatric-cardiac-surgery
#8
Brajesh Kaushal, Sandeep Chauhan, Kulbhushan Saini, Debesh Bhoi, Akshay K Bisoi, Tsering Sangdup, Maroof Ahmad Khan
OBJECTIVE: The aim of this study was to compare the relative efficacy of ultrasound-guided serratus anterior plane block (SAPB), pectoral nerves (Pecs) II block, and intercostal nerve block (ICNB) for the management of post-thoracotomy pain in pediatric cardiac surgery. DESIGN: A prospective, randomized, single-blind, comparative study. SETTING: Single-institution tertiary referral cardiac center. PARTICIPANTS: The study comprised 108 children with congenital heart disease requiring surgery through a thoracotomy...
August 31, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30289371/preemptive-analgesia-by-paracetamol-ibuprofen-or-placebo-in-pediatric-dental-care-a-randomized-controlled-study
#9
Johnny Kharouba, Tal Ratson, Mostafa Somri, Sigalit Blumer
OBJECTIVE: To compare postoperative pain among children who received an oral dose of paracetamol, ibuprofen or a placebo, prior to tooth extractions. STUDY DESIGN: Thirty minutes prior to dental treatment, children received a liquid dosage, fruit flavored and orange colored, of paracetamol, ibuprofen, or a placebo. Data accessed included children's dental history, their behavior, and their feeling of pain or anxiety according to Wong-Baker FACES: before treatment, following local anesthesia, and following treatment...
October 5, 2018: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/30288096/efficacy-of-preemptive-analgesia-on-acute-postoperative-pain-in-children-undergoing-major-orthopedic-surgery-of-the-lower-extremities
#10
Do-Hyeong Kim, Namo Kim, Jae Hoon Lee, Minju Jo, Yong Seon Choi
Background: Children undergoing major orthopedic surgery of the lower extremities can experience severe postoperative pain; yet, the ideal postoperative pain management strategy is unknown. Thus, in this patient population, we investigated the effect of intraoperative epidural infusion of local anesthetic on acute postoperative pain and analgesic consumption. Patients and methods: Patients (N=50, 3-12 years) randomly received either ropivacaine 0.15% (preemptive group) or normal saline (control group) as an initial bolus of 0...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/30285879/robotic-renal-cyst-decortication-with-calyceal-diverticulectomy-in-a-toddler-technical-practicalities-a-case-report
#11
Yi-Chun Wang, Jia-Dong Xia, Qi-Jie Zhang, Chen Chen, Jian-Xin Xue, Jie Yang, Chao Qin, Ning-Hong Song, Zeng-Jun Wang
BACKGROUND: Incidence of simultaneous renal cyst with calyceal diverticula in contralateral kidney is rare in children. A minimally invasive procedure in different sittings is often recommended. CASE PRESENTATION: A Chinese 15-month-old boy presented to the Urology department of a tertiary care center with right flank pain. He was subjected to magnetic resonance urography and was diagnosed as having right renal cyst and contralateral calyceal diverticula. He underwent robotic cyst decortication and calyceal diverticulectomy using da Vinci robot...
October 2, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/30284715/postoperative-pain-after-spine-surgery-in-pediatric-population
#12
Barbara Kościelniak, Ilona Batko, Krzysztof Kobylarz, Przemysław Tomasik
INTRODUCTION: Postoperative pain is a major aftereffect of surgery. Especially severe occurs after extensive operations within the spine. The goal of the study was to investigate the laboratory predictive factors of intensive postoperative pain in children undergoing extensive surgeryPatients and methods: We recruited 41 children, age median 13 years (IQR:10-15 years) undergoing extensive spine surgery. The subjects were divided into two groups based on the intensity of postoperative pain measured using the 10-point numerical rating scale (NRS), visual analog scale (VAS) or faces pain scale-revised (FPS-R)...
October 4, 2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30283184/the-efficacy-of-intravenous-magnesium-sulfate-versus-intravenous-paracetamol-on-children-posttonsillectomy-pain-and-analgesic-requirement-a-randomized-controlled-study
#13
Mohamed Ahmed Hamed, Mohammed Awad Al-Saeed
Background: One of the most common complications of tonsillectomy is pain, which leading to delayed recovery and later hospital discharge. Aims: We intended to compare the efficacy of magnesium sulfate versus paracetamol on the posttonsillectomy pain and analgesic requirement. Settings and Design: This study design was a prospective randomized controlled double-blinded clinical study. Patients and Methods: A total of 60 children with the American Society of Anesthesiologists physical status classes I and II, aged 3-12 years, scheduled for tonsillectomy were randomly divided into two groups each group contains 30 patients: (Group M): received an initial loading dose of magnesium sulfate 30 mg/kg over 15 min started with induction followed by continuous infusion of 10 mg/kg/h for 1 h regardless of the operation time and (Group P): received paracetamol infusion 10 mg/kg started with induction and continued for 1 h...
July 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/30283169/caudal-analgesia-for-hypospadias-in-pediatrics-comparative-evaluation-of-adjuvants-dexamethasone-and-dexmedetomidine-combination-versus-dexamethasone-or-dexmedetomidine-to-bupivacaine-a-prospective-double-blinded-randomized-comparative-study
#14
Passaint Fahim Hassan, Amany Saleh Hassan, Sarah Abdelsalam Elmetwally
Background: Caudal block is the most commonly used regional anesthetic technique in pediatric surgeries; different additives have been used for better and safer outcome. Aim: The aim of this study is to compare the combination of dexamethasone and dexmedetomidine as adjuvants to bupivacaine versus using each agent solely with bupivacaine in pediatric caudal block as regards their efficiency in pain relief (the duration of postoperative analgesia, first time to request analgesia, and modified objective pain score [MOPS])...
July 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/30278489/effects-of-different-doses-of-intranasal-dexmedetomidine-on-preoperative-sedation-and-postoperative-agitation-in-pediatric-with-total-intravenous-anesthesia-undergoing-adenoidectomy-with-or-without-tonsillectomy
#15
RANDOMIZED CONTROLLED TRIAL
Li-Qin Li, Cong Wang, Hong-Yu Xu, Hong-Liu Lu, Hou-Zhong Zhang
Dexmedetomidine is a highly selective α2 receptor agonist, this study aimed to investigate the effects of different doses of intranasal dexmedetomidine on the preoperative sedation and postoperative agitation in pediatric with total intravenous anesthesia (TIVA) for adenoidectomy with or without tonsillectomy.This is a double-blind placebo-controlled randomized trial. Pediatric were randomly divided into the D1, D2, and S groups, each group contained 30 patients. Twenty-five to 40 minutes before surgery, the D1 and D2 groups received intranasally dexmedetomidine 1 μg kg or 2 μg kg, respectively, while the S group received saline of the same volume...
September 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30270740/lateral-hemiepiphysiodesis-of-the-first-metatarsal-for-juvenile-hallux-valgus
#16
Y Sabah, O Rosello, J L Clement, F Solla, E Chau, I Oborocianu, V Rampalv
BACKGROUND: Juvenile hallux valgus (JHV) frequently results in an impaired quality of life because of pain and deformity. We used a validated clinical score to investigate the efficacy of lateral hemiepiphysiodesis of the first metatarsal base as a treatment for JHV. METHODS: We conducted a prospective, nonrandomized, single center cohort study of children who underwent lateral hemiepiphysiodesis for 31-IV, with a clinical and radiologic follow-up of at least 2 years...
May 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/30269195/use-of-flexible-intramedullary-nailing-in-combination-with-an-external-fixator-for-a-postoperative-defect-and-pseudarthrosis-of-femur-in-a-girl-with-osteogenesis-imperfecta-type-viii-a-case-report
#17
Dmitry Popkov
Telescopic rodding has been developed in order to obtain long-lasting osteosynthesis in the growing long bones of children with osteogenesis imperfecta (OI). The major and still unsolved drawback of any telescopic rod or nail design is a lack of rotational stability and, currently, no telescopic system allows immediate weight-bearing. When these problems are associated with insufficient longitudinal bone stability and diminished healing capacity, the result can be unfavourable causing secondary bone fragment displacement, delayed or non-union...
September 29, 2018: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/30265228/mri-guided-laser-interstitial-thermal-therapy-in-an-infant-with-tuberous-sclerosis-technical-case-report
#18
Kristopher G Hooten, Klaus Werner, Mohamad A Mikati, Carrie R Muh
Cortical tubers associated with tuberous sclerosis complex (TSC) are potential epileptic foci that are often amenable to resective or ablative surgeries, and controlling seizures at a younger age may lead to improved functional outcomes. MRI-guided laser interstitial thermal therapy (MRgLITT) has become a popular minimally invasive alternative to traditional craniotomy. Benefits of MRgLITT include the ability to monitor the ablation in real time, a smaller incision, shorter hospital stay, reduced blood loss, and reduced postoperative pain...
September 28, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30260861/chemotherapy-curtails-bone-formation-from-compliant-compression-fixation-of-distal-femoral-endoprostheses
#19
Mohammad A Elalfy, Patrick J Boland, John H Healey
BACKGROUND: Modulated compliant compressive forces may contribute to durable fixation of implant stems in patients with cancer who undergo endoprosthetic reconstruction after tumor resection. Chemotherapy effects on bone hypertrophy and osteointegration have rarely been studied, and no accepted radiologic method exists to evaluate compression-associated hypertrophy. QUESTIONS/PURPOSES: (1) What was the effect of chemotherapy on the newly formed bone geometry (area) at 1 year and the presumed osteointegration? (2) What clinical factors were associated with the degree of hypertrophy? (3) Did the amount of bone formation correlate with implant fixation durability? (4) Was the amount of new bone generation or chemotherapy administration correlated with Musculoskeletal Tumor Society (MSTS) score? METHODS: Between 1999 and 2013, we performed 245 distal femoral reconstructions for primary or revision oncologic indications...
September 25, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/30260106/-diagnosis-and-management-in-pediatric-patients-with-ovarian-masses
#20
C C Cabrera Chamorro, C A Caicedo Paredes, E A Portillo Bastidas, F I Pantoja Chamorro, C E Villamil Giraldo, G Chávez Betancourt, R A Zarama Márquez
OBJECTIVE: Review of the diagnosis and management of ovarian masses in children, through the identification of preoperative risk factors of malignancy, the evaluation of surgical management and its results. METHODS: Retrospective study in pediatric patients under 18 years old, managed surgically by ovarian masses. Analyzed data were symptoms, imagining, tumor markers, treatment, outcomes and pathology. The primary endpoint was ovarian malignancy. RESULTS: We identified 54 patients with ovarian masses between 2014 and 2017, of which 49 were benign and 5 malignant; The malignant ovarian masses were significantly larger than the benign, with an average of 19...
August 3, 2018: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
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