Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study

Moura, Louise Amália de; Pereira, Lílian Varanda; Minamisava, Ruth; Borges, Natália de Carvalho; Castral, Thaíla Corrêa; Souza, Layz Alves Ferreira

doi:10.1590/0034-7167-2020-0151

Cited by 6 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the international literature, children with surgical ( 21 , 22 ) and orthopedic ( 12 , 23 ) conditions have better management of pain complaints, which can influence the assessment of health professionals who, by taking into account their previous experiences, tend to prioritize these specialties, while under-evaluating and under-treating conditions that they believe do not cause pain. This study corroborates what has been exposed here, that surgical and orthopedic conditions were more medicated for pain compared to other clinical specialties (p < 0.05), despite these latter having documented pain complaints and medications prescribed.…”

Section: Discussionmentioning

confidence: 99%

Pain management in hospitalized children: A cross-sectional study

Carvalho

Souza

Domingues

et al. 2022

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To characterize pain management in hospitalized children. Method: This is an observational, cross-sectional, retrospective and descriptive study of quantitative approach, carried out in a secondary hospital in the city of São Paulo, through analysis of 1,251 medical records of children admitted to the pediatric department. Data were tabulated and analyzed through descriptive statistics. Results: A total of 88.8% of children were assessed for pain with standardized instruments and 86% had analgesia prescribed. Among the assessments, 37.8% of the children had pain; of these, 26% had severe pain, greater in orthopedic conditions; 18.3% were not medicated, even with the presence of pain and prescribed analgesia; 4.3% had no analgesics prescribed; only 0.4% received non-pharmacological measures, and 40.3% had a report of reassessment. Professionals provided greater analgesia to children with surgical and orthopedic conditions compared to clinical conditions (p < 0.05). Conclusion: Pain management in hospitalized children is ineffective, from initial assessments to reassessments after interventions, with prioritization of medication actions guided by professional judgment in the face of pain complaints.

show abstract

Section: Discussionmentioning

confidence: 99%

Pain management in hospitalized children: A cross-sectional study

Carvalho

Souza

Domingues

et al. 2022

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Inguinal hernia repair (IHR) is the second common operation in pediatric surgery practice following appendectomy, and bilateral repair is needed in 10.9% of these cases due to presence of contralateral inguinal hernia [1,2]. After IHR, the children generally experiences mild to moderate, and occasional severe pain [3,4]. For pediatric population the prevalence of chronic pain after IHR is 5% which is a solid cause for severe pain [5].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, the effects of these blocks on the incidence of chronic pain after pediatric IHR is not wellinvestigated in the literature. As a matter of fact, there are no recommendations for bilateral IHR in pediatric postoperative pain guidelines, despite these surgical procedures being an independent risk factor for severe pain [3,7].…”

Section: Introductionmentioning

confidence: 99%

Effects of ultrasound guided caudal epidural and transversus abdominis plane block on postoperative analgesia in pediatric inguinal hernia repair surgeries

Polat¹,

Şentürk

Karadeniz

et al. 2023

Journal of Pediatric Urology

View full text Add to dashboard Cite

Incidence and predictors of postoperative severe acute pain within 24 hours after cesarean section performed under spinal anesthesia at public hospitals in West Shoa, Ethiopia, 2022 prospective cohort study

Bekele,

Ayana,

Haile

et al. 2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Background: Acute postoperative pain is common after a caesarean section; the mother suffers severe pain in the first 24 h after the caesarean section compared to spontaneous birth. Failure to discover predictors of pain leads to maternal dissatisfaction, increased expenses, and restricted movement; it increases the risk of deep vein thrombosis, lengthens hospital stays, and decreases social intimacy. Methods and materials: An institution-based prospective cohort study was conducted among 422 women who went to undergo caesarean sections under spinal anaesthesia at public hospitals in West Shoa from 30 July to 30 October. Participants were selected by systematic random sampling. Data were collected by a structured questionnaire, and the collected data were entered into SPSS version 20 and exported into STATA 64 for analysis. The results were presented in tables and figures. Risk factors were assessed by Poisson regression with a robust standard error. Results: The overall incidence of severe postoperative pain after a caesarean section performed under spinal anaesthesia within 24 h of follow-up was 50.4% [95% confidence interval (CI): 40.7, 60.1]. Preoperative anxiety risk ratio 1.7 (95% CI: 1.4–2.0), preoperative pain risk ratio 1.3 (95% CI: 1.0–1.48), type of incision risk ratio 11.3 (95% CI: 1.1–1.6), spinal anaesthesia without adjuvants risk ratio 4.1 (95% CI: 1.5–10.9), and duration of surgery risk ratio 1.5 (95% CI: 1.3–1.8) were found to be predictors for postoperative severe acute pain after caesarean section performed under spinal anaesthesia. Conclusion: In this study, the overall incidence of severe acute pain after a caesarean section under spinal anaesthesia was high. Preoperative fear, duration of the operation, preparatory pain, spinal anaesthesia without the use of adjuvants, and the type of incision were risk factors for severe acute postoperative pain after a caesarean section under spinal anaesthesia.

show abstract

Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study

Cited by 6 publications

References 19 publications

Pain management in hospitalized children: A cross-sectional study

Pain management in hospitalized children: A cross-sectional study

Effects of ultrasound guided caudal epidural and transversus abdominis plane block on postoperative analgesia in pediatric inguinal hernia repair surgeries

Incidence and predictors of postoperative severe acute pain within 24 hours after cesarean section performed under spinal anesthesia at public hospitals in West Shoa, Ethiopia, 2022 prospective cohort study

Contact Info

Product

Resources

About