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Postoperative pain children

Yan Xin, Xin Li, JinDong Du, Jie Cheng, ChunYan Yi, HuaDong Mao
OBJECTIVE: Day surgery for tonsillectomy has become more and more popular in China. However, many parents face difficulties to cope up with the pain and side effects after surgery. The present study was aimed to examine the efficacy of telephone follow-up on children's post-discharge recovery after tonsillectomy. METHODS: In this prospective study, the sample consisted of 863 children randomly assigned to receive clinic visit after discharge or 1 to 14 d' telephone follow-up after discharge...
December 13, 2018: Indian Journal of Pediatrics
Irfan Qadir, Saeed Ahmad, Atiq Uz Zaman, Chirag Muhammad Khan, Shahzad Ahmad, Amer Aziz
Purpose: This study was performed to assess the clinical and radiological outcomes following one-stage hip reconstruction, consisting of open reduction femoral shortening and pelvic osteotomy, for neglected developmental dislocation of the hip (DDH). Materials and Methods: This is a retrospective analysis of 77 hips in 65 patients (46 females and 19 males; 12 had bilateral dislocations), operated at a Ghurki Trust Teaching Hospital in Pakistan between 2013 and 2015...
December 2018: Hip & Pelvis
Mark C Kendall, Lucas J Castro Alves, Edward I Suh, Zachary L McCormick, Gildasio S De Oliveira
Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. The majority of the articles published from 2013 to 2017 reported that the use of regional anesthesia minimized postoperative pain and reduced opioid consumption...
2018: Local and Regional Anesthesia
Laura Bogusaite, Ilona Razlevice, Laura Lukosiene, Andrius Macas
BACKGROUND Adequate preoperative information for pediatric patients and their families can prevent preoperative anxiety and improve postoperative outcome. The aim of this study was to conduct a survey to determine the preoperative information needs of children and their parents before anesthesia for elective surgery. MATERIAL AND METHODS Two healthcare centers enrolled children from 10 to 17 years of age who had planned elective surgery under general or regional anesthesia, and their parents and anesthesiologists...
December 4, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Thomas Jaschinski, Christoph G Mosch, Michaela Eikermann, Edmund Am Neugebauer, Stefan Sauerland
BACKGROUND: The removal of the acute appendix is one of the most frequently performed surgical procedures. Open surgery associated with therapeutic efficacy has been the treatment of choice for acute appendicitis. However, in consequence of the evolution of endoscopic surgery, the operation can also be performed with minimally invasive surgery. Due to smaller incisions, the laparoscopic approach may be associated with reduced postoperative pain, reduced wound infection rate, and shorter time until return to normal activity...
November 28, 2018: Cochrane Database of Systematic Reviews
Joshua T Bram, Andrew J Gambone, Christopher J DeFrancesco, Brendan M Striano, Theodore J Ganley
Joint immobilization after anterior cruciate ligament (ACL) reconstruction may lead to intra-articular adhesions and range of motion deficits. Some practitioners thus advocate for the use of postoperative continuous passive motion (CPM) machine protocols. However, previous studies have failed to show CPM to be effective in increasing postoperative range of motion. Continuous passive motion has, however, been shown to reduce rates of arthrofibrosis requiring manipulation under anesthesia (MUA) in adult populations...
November 26, 2018: Orthopedics
Ana Cláudia Mota Bonisson, Magda Lourenço Fernandes, Guilherme Freitas Araújo, Fabrício Eduardo Vieira, Luíza Melo Noronha, Renato Santiago Gomez
BACKGROUND AND OBJECTIVES: The combination of clonidine with local anesthetic administered for epidural anesthesia via caudal route seems to improve the quality of postoperative analgesia, but with conflicting results. This study compared the postoperative analgesia of three different doses of clonidine combined with bupivacaine in caudal epidural anesthesia in children undergoing hypospadias repair. METHODS: Eighty children aged 1 to 10 years, candidates for surgical repair of hypospadias, were randomly divided into four groups of 20 patients to receive general anesthesia combined with caudal epidural anesthesia with bupivacaine 0...
October 25, 2018: Revista Brasileira de Anestesiologia
Michal Frelich, Jan Divák, Vojtěch Vodička, Michaela Masárová, Ondřej Jor, Roman Gál
BACKGROUND Postoperative nausea and vomiting (PONV) is a common complication of pediatric anesthesia, but the overall incidence of PONV in patients undergoing adenoidectomy is unknown. The aim of this controlled study was to compare the effect of dexamethasone administration with placebo to reduce PONV in children undergoing endoscopic adenoidectomy under general anesthesia. MATERIAL AND METHODS A randomized placebo-controlled study included 118 pediatric patients who underwent elective endoscopic adenoidectomy under general anesthesia...
November 22, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Don Daniel Ocay, Annik Otis, Alisson R Teles, Catherine E Ferland
Patient-controlled analgesia (PCA) is common practice for acute postoperative pain management. Postoperative PCA use decreases pain intensity and improves patient satisfaction when compared to non-PCA routes of medication administration. Although PCA has several advantages regarding efficacy and safety, adverse events remain a concern. Programming errors and protocols, patient monitoring, and PCA by proxy or with continuous infusion are recurring silent dangers of PCA use in children and adolescents. Innovative considerations need to be emphasized for future improvement of PCA devices for elective surgical patients...
2018: Frontiers in Pediatrics
Fakhr Fakhouri, Ahmad Ghazal, Hasnaa Alnaeb, Rasha Hezan, Joudi Araj
Abdominal presentations in patients with spinal-epidural abscess (SEA) are not uncommon. However, it needs to be continually emphasized that the atypical presentations of these diseases could delay the timely diagnosis and consequently prompt management, which threatens spinal cord, leading to potential to paralysis or even death. We report a case of a young girl who presented with abdominal pain and fever. The diagnosis of SEA was unfortunately so delayed that the patient did not show any functional recovery postoperatively...
October 2018: Asian Journal of Neurosurgery
Sylvia Kramer, Martin Krebs, Claudia Spies, Shahab Ghamari, Claudia Höhne, Karin Becke, Christoph Eich, Andreas Hoeft, Julius Wermelt, Richard K Ellerkmann
The upcoming and ongoing debate on neurotoxicity of anesthetics at a young age put a new spotlight on the emergence delirium of children (paedED). The European Society for Anesthesiology published a consensus guideline on prevention and therapy in 2017 which can be a useful guidance in daily clinical practice. Patient data management systems with their clear documentation concerning pain/therapy of pain and paedED will be valuable tools in order to assess the real incidence of paedED. Differentiating between pain/agitation and paedED migth not always be easy...
November 2018: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Lucyna Tomaszek, Dariusz Fenikowski, Danuta Gawron, Halina Komotajtys
AIMS: (1) To compare the efficacy of bupivacaine/fentanyl and ropivacaine/fentanyl for postoperative pain control (2). To identify the predictors of acute post-operative pain at rest, during deep breathing and coughing. METHODS: The study was performed in patients aged 6-18 years after thoracic surgery. The subjects were randomized to the bupivacaine 0.125%/fentanyl 5.0 μg/mL (n=46) or ropivacaine 0.2%/fentanyl 5.0 μg/mL (n=48) group; analgesic mixtures were administered through epidural catheter...
November 16, 2018: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
Jeroen Hagendoorn, Carolijn L M A Nota, Inne H M Borel Rinkes, I Quintus Molenaar
BACKGROUND: Pancreatoduodenectomy (Whipple resection) in children is feasible though rarely indicated. In several pediatric malignancies of the pancreas, however, it may be the only curative strategy [1]. With the emergence of robotic pancreatoduodenectomy as at least a clinically equivalent alternative to open surgery [2], it remains to be determined whether the pediatric population may potentially benefit from this minimally invasive procedure. Here we present, for the first time, a video of setup and surgical technique of robotic pancreatoduodenectomy in a child...
December 2018: Surgical Oncology
Nilesh G Nagdeve, Pravin D Bhingare, Prashant Sarawade
Aim: The aim of the study was to compare the efficacy and postoperative complications of stented and nonstented open pediatric dismembered pyeloplasty for ureteropelvic junction (UPJ) obstruction. Settings and Design: A balanced, parallel group, prospective randomized controlled trial comparing stented and nonstented Anderson-Hynes Dismembered Pyeloplasty. Subjects and Methods: It included 42 children who required Anderson-Hynes dismembered pyeloplasty for UPJ obstruction (UPJO)...
October 2018: Journal of Indian Association of Pediatric Surgeons
M F Watcha, E Medellin, A D Lee, M A Felberg, S A Bidani
BACKGROUND: As the intensity of nausea, a subjective symptom, is difficult to estimate in children, vomiting is used as the objective clinical endpoint in managing paediatric postoperative nausea and vomiting. The pictorial Baxter Retching Faces (BARF) scale is a validated quantitative measure of paediatric nausea, but versions in languages other than English have not been validated. METHODS: Healthy Spanish-speaking children aged 7-18 yr (n=184) undergoing elective ambulatory surgery rated perioperative pain and nausea using visual analogue (VAS) and pictorial Faces Pain Scale - Revised and BARF scales, along with a Likert scale measurement of symptom changes...
December 2018: British Journal of Anaesthesia
Sandra Pfanner, Lorenzo Diaz, Dariush Ghargozloo, Vincenzo Denaro, Massimo Ceruso
BACKGROUND: There has been little discussion regarding the lesion of the TFCC in pediatric and adolescent patients. This study examines 11 cases treated with open technique. METHODS: Range of motion (ROM), strength and functional scores (QUICK DASH, PWRE, VAS pain, and NAKAMURA score) were evaluated. RESULTS: The mean postoperative flexion-extension arc was 95% of the contralateral side, the radio-ulnar deviation 91% of the contralateral side and the pronation-supination arc 94% of the unaffected side...
December 2018: Journal of Hand Surgery Asian-Pacific Volume
J Kappesser, J de Laffolie, D Faas, H Ehrhardt, C Hermann
BACKGROUND: Many neonatal observational pain assessment tools are available. Their application in clinical settings, however, has been limited. A further difficulty for decision makers may be to choose among the variety of available tools the appropriate one(s) for their patients. Aims of the present study were (1) to compare two commonly cited neonatal pain assessment tools, the Neonatal Facial Coding System - Revised (NFCS-R) and the Children and Infant's Postoperative Pain Scale (CHIPPS), with regard to their psychometric qualities and (2) to explore intuitive clinicians' ratings by relating them to the tools' items...
November 8, 2018: European Journal of Pain: EJP
Marcello Maddalone, Elisa Rota, Ernesto Amosso, Gianluca Porcaro, Luca Mirabelli
Aim: The purpose of this study was to evaluate the surgical options for supernumerary teeth (SNT) in the premaxillary region of children. Materials and methods: A total of 69 patients with 82 partially or completely formed SNT in the anterior maxillary region were identified over a 3-year period. All selected patients were assessed for the number, location, and family history of SNT, damage to adjacent roots, and associated symptoms. The surgical approaches used for removal were recorded...
July 2018: International Journal of Clinical Pediatric Dentistry
Jiri Snajdauf, Michal Rygl, Ondrej Petru, Jiri Nahlovsky, Barbora Frybova, Marianna Durilova, Vladimir Mixa, Radan Keil, Martin Kyncl, Roman Kodet, Adam Whitley
AIM OF STUDY: Duodenum-preserving resection of the pancreatic head (DPRPH) with Roux-en-Y pancreatojejunostomy is a procedure used to remove focal pathological lesions of the pancreatic head. Although predominantly used in adult patients, it is both safe and effective in children. The aim of this study was to review our experience with this procedure, with focus on its indications, complications and long-term outcomes. METHODS: A retrospective analysis of pediatric patients who underwent DPRPH between 1994 and 2015 was performed...
November 1, 2018: Pediatric Surgery International
Sharon P Aliena, Chacko Lini, John J Chirayath
Background and Aims: Management and assessment of postoperative pain in children is often a tough task as they cannot effectively communicate their discomfort. Caudal block is an excellent means of providing postoperative analgesia. In this study, we compared the postoperative analgesic effect of bupivacaine with and without ketamine when given caudally in children undergoing subumbilical surgeries. Material and Methods: Fifty-eight American Society of Anesthesiologists grades I and II children of either gender undergoing subumbilical surgeries were randomly allocated into two groups B and BK of 29 each...
July 2018: Journal of Anaesthesiology, Clinical Pharmacology
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