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Postoperative pain children

Romina Brignardello-Petersen
No abstract text is available yet for this article.
August 6, 2018: Journal of the American Dental Association
Devin McBride, Zaid Aljuboori, Eyas M Hattab, Richard Downs, Shiao Woo, Brian Williams, Joseph Neimat, Eric Burton
BACKGROUND: Pilocytic astrocytoma is a low-grade central nervous system tumor most commonly seen in children. Dissemination from a primary intracranial tumor along the neuroaxis has been described at both presentation and disease progression. However, the development of an intradural extramedullary pilocytic astrocytoma independent of a primary intraparenchymal tumor in an adult patient with no history of pilocytic astrocytoma has rarely been reported. CASE PRESENTATION: A 69-year-old woman presented with progressive myelopathic symptoms and thoracic radicular pain...
August 9, 2018: BMC Cancer
Johan M Berghmans, Marten J Poley, Jan van der Ende, Francis Veyckemans, Stephanie Poels, Frank Weber, Bert Schmelzer, Dirk Himpe, Frank C Verhulst, Elisabeth Utens
BACKGROUND: Children undergoing adenotonsillectomy are at risk of severe postoperative pain and sleep problems. Little is known about the specific child risk factors for these problems. AIMS: The aim of this study was to assess the occurrence of postoperative pain, sleep problems, and medication adherence, and assess the influence of internalizing and externalizing problems on postoperative pain. METHODS: This prospective cohort study included 160 children, aged 1...
August 5, 2018: Paediatric Anaesthesia
Alisha Gupta, Anjan Dhua, Sandeep Agarwala, Veereshwar Bhatnagar
Introduction: A crossing lower polar vessel (CLPV) is found in 11%-20% of children of pelviureteric junction obstruction (PUJO). Preoperative imaging (Doppler or magnetic resonance angiography (MRA)) may help but does not form a part of routine diagnostic workup. An attempt has been made here to evaluate clinical and imaging features (ultrasound and renal dynamic scan [RDS]) in children of PUJO with CLPV and define variables that could provide a diagnostic clue to its presence. Materials and Methods: Records of children having PUJO with CLPV over 10 years (2006-2015) were reviewed retrospectively...
July 2018: Journal of Indian Association of Pediatric Surgeons
Illya Martynov, Martin Lacher
Introduction  Single-incision pediatric endosurgery (SIPES) for the treatment of acute appendicitis in children has recently gained popularity due to its advantages including minimization of postoperative scars or less incisional pain. The principal disadvantages of SIPES include the limited degrees of freedom of movement and high health care costs. To overcome these issues, some surgeons have reported to use noncommercial ports for SIPES appendectomy. Case Report  In this report, we present a case of a 10-year-old female patient with acute appendicitis undergoing SIPES appendectomy using own homemade glove port and straight rigid instruments...
January 2018: European Journal of Pediatric Surgery Reports
An Teunkens, Marc Van de Velde, Kristien Vermeulen, Philippe Van Loon, Guy Bogaert, Steffen Fieuws, Steffen Rex
BACKGROUND AND AIMS: Circumcision is a frequently performed procedure in day case pediatric surgery. Dorsal penile nerve block has proven its effectiveness for the management of acute postoperative pain after circumcision. We investigated if the ultrasound-guided placement of a dorsal penile nerve block could reduce opioid requirement as compared to a landmark-based technique. METHODS: Three hundred and ten prepubertal children, aged between 52 weeks postconception and 11 years, were included in this prospective, observer-blinded, randomized controlled trial and received either a landmark- or an ultrasound-guided dorsal penile nerve block, using a caudal needle and injecting 0...
July 23, 2018: Paediatric Anaesthesia
S Byun, S Song, J H Kim, T Ryu, M Y Jeong, E Kim
BACKGROUND: Emergence delirium is a behavioural disturbance after general anaesthesia in children that can distress patients, parents, and primary caregivers. We hypothesised that listening to the mother's recorded voice can reduce ED compared with listening to a stranger's recorded voice. METHODS: This prospective, double-blind, randomised study was conducted in 2- to 8-yr-old patients who had undergone general anaesthesia. Sixty-six patients were randomly assigned to listen to either the mother's voice (Group M, n=33) or a stranger's voice (Group S, n=33)...
August 2018: British Journal of Anaesthesia
Santiago Candela, María Isabel Vanegas, Alejandra Darling, Juan Darío Ortigoza-Escobar, Mariana Alamar, Jordi Muchart, Alejandra Climent, Enrique Ferrer, Jordi Rumià, Belén Pérez-Dueñas
OBJECTIVE The purpose of this study was to verify the safety and accuracy of the Neuromate stereotactic robot for use in deep brain stimulation (DBS) electrode implantation for the treatment of hyperkinetic movement disorders in childhood and describe the authors' initial clinical results. METHODS A prospective evaluation of pediatric patients with dystonia and other hyperkinetic movement disorders was carried out during the 1st year after the start-up of a pediatric DBS unit in Barcelona. Electrodes were implanted bilaterally in the globus pallidus internus (GPi) using the Neuromate robot without the stereotactic frame...
July 20, 2018: Journal of Neurosurgery. Pediatrics
Christian P Both, Jörg Thomas, Philipp K Bühler, Achim Schmitz, Markus Weiss, Tobias Piegeler
BACKGROUND: Due to its potential beneficial effects, intra- and postoperative application of intravenous lidocaine has become increasingly accepted over the last couple of years, e.g. in patients undergoing laparoscopic surgical procedures. Based on its beneficial properties, lidocaine was introduced to the standard of care for all pediatric laparoscopic procedures in our institution in mid-2016. In contrast to adult care, scarce data is available regarding the use of perioperative intravenous lidocaine administration in children undergoing laparoscopic procedures, such as an appendectomy...
July 18, 2018: BMC Anesthesiology
Alex J Thompson, Joseph A Dearani, Jonathan N Johnson, Hartzell V Schaff, Eric C Towe, Jared Palfreeman, Philip L Wackel, Frank Cetta
BACKGROUND: The transapical approach has been utilized in adult HCM patients with either midventricular obstruction or a small LV cavity; however, there are little data on its use in children. METHODS: We retrospectively reviewed all patients (age <21 years) with HCM who underwent a transapical myectomy from January 2002 to December 2016. Indication for surgery was midventricular obstruction in 19/23 (83%) and small LV cavity in 4 (17%). Preoperative symptoms included: dyspnea (96%), chest pain (65%), presyncope (61%), and syncope (35%)...
July 17, 2018: Congenital Heart Disease
Jehan Ahmed Sayed, Sayed Kaoud Abd Elshafy, Emad Zareif Kamel, Mohamed Amir Fathy Riad, Amal Ahmed Mahmoud, Ghada Shalaby Khalaf
Background: Immune responses appear to be affected by anesthetics and analgesics. We investigated the effects of caudal tramadol on the postoperative immune response and pain management in pediatric patients. Methods: Sixty ASA-I pediatric patients aged 3-10 years undergoing lower abdominal surgery. Patients were randomly assigned either to a caudal bupivacaine (0.25%) group (group B), or a group that received caudal tramadol (1 mg/kg) added to the bupivacaine (0...
July 2018: Korean Journal of Pain
Ozlem Kocaturk, Sultan Keles
Background: Pediatric dental procedures are performed under anesthesia because children may be uncooperative in the dental clinic due to their young age. Emergence delirium (ED), which involves a variety of behavioral disturbances that are frequently observed in children following emergence from general anesthesia, remains an unclear phenomenon. The aim of this randomized controlled trial is to compare the incidence of ED in children who underwent full mouth dental rehabilitation under either sevoflurane (SEVO) anesthesia or propofol-based total intravenous anesthesia (TIVA)...
2018: Journal of Pain Research
Eun Kyung Choi, Shiback Lee, Won Jae Kim, Sang-Jin Park
BACKGROUND: Emergence delirium is a common complication of sevoflurane anesthesia in children. AIMS: We examined the effects of maintaining remifentanil infusion during the recovery period on the incidence of emergence delirium in preschool-age children undergoing strabismus surgery under sevoflurane anesthesia. METHODS: Eighty children (aged 3-7 years) were randomly assigned to either the control group (group C; intraoperative remifentanil infusion) or the intervention group (group R; intraoperative remifentanil infusion followed by remifentanil maintenance during the recovery phase)...
July 13, 2018: Paediatric Anaesthesia
Ewan D McNicol, Emily Rowe, Tess E Cooper
BACKGROUND: Children who undergo surgical procedures in ambulatory and inpatient settings are at risk of experiencing acute pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce moderate to severe pain without many of the side effects associated with opioids. However, NSAIDs may cause bleeding, renal and gastrointestinal toxicity, and potentially delay wound and bone healing. Intravenous administration of ketorolac for postoperative pain in children has not been approved in many countries, but is routinely administered in clinical practise...
July 7, 2018: Cochrane Database of Systematic Reviews
Lindyce A Kulik, Jean A Connor, Dionne A Graham, Patricia A Hickey
BACKGROUND: The description of pressure injury development is limited in children with CHD. Children who develop pressure injuries experience pain and suffering and are at risk for additional morbidity. OBJECTIVES: The objective of this study was to develop a standardized clinical assessment and management plan to describe the development of pressure injury in paediatric cardiac surgical patients and evaluate prevention strategies. METHODS: Using a novel quality improvement initiative, postoperative paediatric cardiac surgical patients were started on a nurse-driven pressure injury prevention standardized clinical assessment and management plan on admission...
September 2018: Cardiology in the Young
Wei Kong, Xinghan Cheng, Guangwu Xiong
Background and Objectives: Laparoscopic sacrospinous ligament suspension, as commonly performed, is associated with extensive stripping, high risk of intraoperative bleeding, and prolonged operative time. We explore the safety and feasibility of posterior laparoscopic approach sacrospinous ligament suspension (LPASLS) in the treatment of pelvic organ prolapse (POP). Methods: We retrospectively analyzed the clinical data of 9 patients with symptomatic POP treated intraoperatively with LPASLS at the Women's and Children's Health Centre, The Third Affiliated Hospital of Chongqing Medical University, between November 2016 and July 2017...
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Mininder S Kocher, Benton E Heyworth, Peter D Fabricant, Frances A Tepolt, Lyle J Micheli
BACKGROUND: Anterior cruciate ligament (ACL) tears are occurring in youth athletes with increasing frequency. Many ACL reconstruction procedures designed to allow for continued growth in patients with open physes have been described, but large series with mid- to long-term outcomes data are lacking. The purpose of the current study was to assess the clinical outcomes of a large cohort of prepubescent children who underwent a physeal-sparing, combined intra- and extra-articular ACL reconstruction with iliotibial (IT) band autograft over a 23-year period...
July 5, 2018: Journal of Bone and Joint Surgery. American Volume
X X Chen, X Jiang, J Zhong, H M Zhang, Q Huang, B Xia
Objective: To assess the postoperative complications in systemically healthy children treated for dental caries under general anesthesia (GA) after discharge and analysis of the correlative factors. Methods: This prospective observational study included 124 children aged 2-8 years old who received extensive dental treatment under GA. General conditions and treatment information were obtained from questionnaires filled by the dentist and the anesthesiologist. Postoperative data were collected from a questionnaire filled by the parents in one week...
November 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
Marco Aurélio Fornazieri, Edson Satoshi Miyazato, Henrique Massamiti Yamamoto, Paulo de Lima Navarro, Fábio de Rezende Pinna, Richard Louis Voegels
BACKGROUND: It is not established whether reducing the exposure of the tonsillar fossa would be an effective strategy for postoperative pain relief among the pediatric population submitted to tonsillectomy. We assessed the impact of closing this region using absorbable sutures on pain, on the resumption of normal diet and on the healing process until seven days after surgery. METHODS: Randomized, double-blind, controlled trial comparing postoperative pain in 132 children between the ages of 5 and 12 years undergoing tonsillectomy having bilateral closure, unilateral closure or non-closure of the tonsillar fossa...
August 2018: International Journal of Pediatric Otorhinolaryngology
Fenella R Shelton, Hirotaka Ishii, Sophie Mella, Dylan Chew, Jemma Winterbottom, Hussein Walijee, Rachel Brown, Edward J Chisholm
OBJECTIVES: To reduce readmission for pain control post-paediatric tonsillectomy. INTRODUCTION: Paediatric tonsillectomy is a common procedure in the UK. Uncontrolled pain at home is a common reason for re-admission and therefore adequate analgesic control following paediatric tonsillectomy is vital for a smooth post-operative recovery. Analgesic regimens at a district general hospital in England were audited and a standardised protocol was subsequently implemented...
August 2018: International Journal of Pediatric Otorhinolaryngology
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