A psychometric evaluation of the Brazilian versions of the Pediatric Anesthesia Emergence Delirium scale and Children’s Hospital of Eastern Ontario Pain Scale

Quintão, Vinícius Caldeira; Cesar, Rafael do Nascimento; Carmona, Maria José Carvalho; Ferreira, Alexandre Rodrígues

doi:10.1111/pan.14300

Cited by 3 publications

(2 citation statements)

References 4 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, the postoperative pain intensity was assessed by the anesthesiologist using the Children's Hospital of Eastern Ontario pain scale (CHEOPS) (Table 2) every 5 min. The CHEOPS score is based on six items including crying, facial expression, verbal responses, torso movements, wound touching, and leg position; the score ranges from 4 to 13, with 4-6 indicating no pain while higher scores reflecting increasing pain intensity (Zhang et al, 2014;Quintão et al, 2021). Subjects with CHEOPS scores of 10 or higher were administrated intravenous dezocine 0.1 mg/kg.…”

Section: Postoperative Assessmentmentioning

confidence: 99%

Effect of S-ketamine administered at the end of anesthesia on emergence delirium in preschool children undergoing tonsillectomy and/or adenoidectomy

Chen

Ru²,

Ye³

et al. 2023

Front. Pharmacol.

View full text Add to dashboard Cite

Background: S-ketamine (the S-isomer of ketamine) is twice as potent as the racemic mixture of this agent and carries fewer side effects when administered to humans. Information regarding the use of S-ketamine for the prevention of emergence delirium (ED) is limited. Thus, we evaluated the effect of S-ketamine administered at the end of anesthesia on ED in preschool children undergoing tonsillectomy and/or adenoidectomy.Methods: We investigated 108 children aged 3–7 years, who were scheduled for elective tonsillectomy and/or adenoidectomy under general anesthesia. They were randomly assigned to receive either S-ketamine 0.2 mg/kg or an equal volume of normal saline at the end of anesthesia. The primary outcome was the highest score on the pediatric anesthesia ED (PAED) scale during the first 30 min post-surgery. The secondary outcomes included the incidence of ED (defined as a score of ≥ 3 on Aono scale), pain score, time to extubation, and incidences of adverse events. Multivariate analyses were also performed using logistic regression to evaluate the independent factors predictive of ED.Results: The median (interquartile range) PAED score of the S-ketamine group (0 [0, 3]) was significantly lower than that in the control group (1 [0, 7]) (estimate median difference = 0, 95% confidence interval −2 to 0, p = 0.040). Significantly fewer patients in the S-ketamine group had an Aono scale score ≥ 3 (4 [7%] vs. 12 [22%], p = 0.030). Patients in the S-ketamine group also had a lower median pain score than did control subjects (4 [4, 6] vs. 6 [5, 8], p = 0.002). The time to extubation and incidences of adverse events were comparable between the two groups. However, multivariate analyses indicated that except S-ketamine use, pain scores, age and duration of anesthesia were independent factors predictive of ED.Conclusion: S-ketamine (0.2 mg/kg) administered at the end of anesthesia effectively reduced the incidence and severity of ED in preschool children undergoing tonsillectomy and/or adenoidectomy without prolonging the time to extubation or increasing adverse events. However, S-ketamine use was not an independent factor predictive of ED.

show abstract

Section: Postoperative Assessmentmentioning

confidence: 99%

Effect of S-ketamine administered at the end of anesthesia on emergence delirium in preschool children undergoing tonsillectomy and/or adenoidectomy

Chen

Ru²,

Ye³

et al. 2023

Front. Pharmacol.

View full text Add to dashboard Cite

show abstract

“…After completing the procedure, the child was transferred to the recovery room until awakening. ED was assessed using the Pediatric Anesthesia Emergence Delirium (PAED) 12,13 scale, and pain was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) 14 scale every 5 min until 15 min after awakening. Severe ED was treated with a bolus of propofol (1 mg•kg −1 ), and severe pain was treated with another bolus of fentanyl (1 mcg•kg −1 ).…”

Section: What This Article Addsmentioning

confidence: 99%

Comparison of intravenous and inhalation anesthesia on postoperative behavior changes in children undergoing ambulatory endoscopic procedures: A randomized clinical trial

Quintão

Carlos

Cardoso

et al. 2022

Pediatric Anesthesia

Self Cite

View full text Add to dashboard Cite

Background Early and delayed behavioral changes are well recognized after anesthesia. Intravenous anesthesia may prevent emergence delirium. However, it has not been evaluated as a preventive strategy for delayed postoperative behavior changes. Aims We aimed to determine whether intravenous anesthesia is effective at reducing postoperative behavior changes in children undergoing ambulatory endoscopic procedures when compared to inhalation anesthesia. Methods This randomized, double‐blinded controlled trial was approved by the local IRB. Children aged 1–12 years who underwent ambulatory endoscopic procedures were recruited. Preoperative anxiety was evaluated through the modified Yale Preoperative Anxiety Scale. All children underwent face mask inhalation induction with sevoflurane. After a peripheral line was placed, each child was allocated to sevoflurane or propofol maintenance. Emergence delirium was evaluated through the Pediatric Anesthesia Emergence Delirium scale. The child was discharged home, and behavioral changes were assessed through the Posthospitalization Behavior Questionnaire for Ambulatory Surgery on Days 1, 7, and 14. Results Overall, 175 children were enrolled. On Day 1 after the procedure, 57 children presented at least one negative behavior. On Days 7 and 14, 49 and 44 children presented at least one negative behavior, respectively. The median number of negative behaviors was similar between the groups. Post hoc analyses showed a moderate correlation between emergence delirium and negative postoperative behavior on Day 7 (r = .34; p = <.001) and an increase of 3.31 (95% CI 1.90; 4.36 p < .001) points in the mean summed score of new negative behaviors for individuals with emergence delirium. Conclusion The incidence of postoperative behavior changes in children undergoing ambulatory endoscopic procedures was similar when comparing intravenous with inhalation anesthesia. Children who experience emergence delirium might show a greater incidence of negative postoperative behavior changes.

show abstract

Efficacy of post-surgery family-based participatory cluster pain care in children with developmental dislocation of hip

Yue,

Guo,

Huang

et al. 2024

THC

View full text Add to dashboard Cite

BACKGROUND: Developmental dislocation of the hip (DDH) is a common congenital deformity of the skeletal system in children. OBJECTIVE: To investigate the efficacy of post-surgery cluster nursing in children with DDH. METHODS: A total of 60 children with DDH who underwent hip joint orthopedic surgery in our hospital from September 2021 to September 2022 were enrolled as the research participants in this prospective study, and divided into the control group and the observation group according to the numerical table method, with 30 patients in each group. The control group was given routine pain care, and the observation group was given cluster pain care. The hip joint function scores, pain scores, self-rating anxiety score (SAS) were compared between the two groups and between before intervention and after intervention in the two groups. RESULTS: The pain score of the children and the SAS of the primary caregivers after the intervention in the observation group were lower than those in the control group (P< 0.05), and the hip joint function score and family satisfaction degree were higher than those in the control group (P< 0.05). CONCLUSION: Family-based cluster pain care can reduce pain in children with DDH after surgery, promote hip joint functional recovery, reduce the negative emotions of caregivers, and improve family satisfaction, and has clinical popularization value.

show abstract

A psychometric evaluation of the Brazilian versions of the Pediatric Anesthesia Emergence Delirium scale and Children’s Hospital of Eastern Ontario Pain Scale

Cited by 3 publications

References 4 publications

Effect of S-ketamine administered at the end of anesthesia on emergence delirium in preschool children undergoing tonsillectomy and/or adenoidectomy

Effect of S-ketamine administered at the end of anesthesia on emergence delirium in preschool children undergoing tonsillectomy and/or adenoidectomy

Comparison of intravenous and inhalation anesthesia on postoperative behavior changes in children undergoing ambulatory endoscopic procedures: A randomized clinical trial

Efficacy of post-surgery family-based participatory cluster pain care in children with developmental dislocation of hip

Contact Info

Product

Resources

About