Evaluation of nurse accuracy in rating procedural pain among pediatric burn patients using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale

Shen, Jiabin; Giles, Sheila; Kurtovic, Kelli; Fabia, Renata; Besner, Gail E.; Wheeler, Krista K.; Xiang, Hao; Groner, Jonathan I.

doi:10.1016/j.burns.2016.07.009

Cited by 20 publications

(11 citation statements)

References 12 publications

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“…The FLACC scale was used to assess pediatric postoperative pain [ 11 , 12 ] . The FLACC scale consists of five domains (face, legs, activity, cry, and consolability) with scores of 0, 1 and 2 for each domain and a total score ranging from 0 to 10.…”

Section: Methodsmentioning

confidence: 99%

Sufentanil Reduces Emergence Delirium in Children Undergoing Transthoracic Device Closure of VSD After Sevoflurane-Based Cardiac Anesthesia

Xu¹,

Chen²,

Huang³

et al. 2020

Braz J Cardiovasc Surg

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Objective The aim of this study was to evaluate whether sufentanil can reduce emergence delirium in children undergoing transthoracic device closure of ventricular septal defect (VSD) after sevoflurane-based cardiac anesthesia. Methods From February 2019 to May 2019, 68 children who underwent transthoracic device closure of VSD at our center were retrospectively analyzed. All patients were divided into two groups: 36 patients in group S, who were given sufentanil and sevoflurane-based cardiac anesthesia, and 32 patients in group F, who were given fentanyl and sevoflurane-based cardiac anesthesia. The following clinical data were recorded: age, sex, body weight, operation time, and bispectral index (BIS). After the children were sent to the intensive care unit (ICU), pediatric anesthesia emergence delirium (PAED) and face, legs, activity, cry, consolability (FLACC) scale scores were also assessed. The incidence of adverse reactions, such as nausea, vomiting, drowsiness and dizziness, was recorded. Results There was no significant difference in age, sex, body weight, operation time or BIS value between the two groups. Extubation time (min), PEAD score and FLACC scale score in group S were significantly better than those in group F ( P <0.05). No serious anesthesia or drug-related side effects occurred. Conclusions Sufentanil can be safely used in sevoflurane-based fast-track cardiac anesthesia for transthoracic device closure of VSD in children. Compared to fentanyl, sufentanil is more effective in reducing postoperative emergence delirium, with lower analgesia scores and greater comfort.

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Section: Methodsmentioning

confidence: 99%

Sufentanil Reduces Emergence Delirium in Children Undergoing Transthoracic Device Closure of VSD After Sevoflurane-Based Cardiac Anesthesia

Xu¹,

Chen²,

Huang³

et al. 2020

Braz J Cardiovasc Surg

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show abstract

“…Each score corresponded to a state of consciousness. Merkel especially developed the FLACC scale for children's postoperative analgesia score in 1997 [9,10]. The researchers needed to observe the children for 1 to 15 min, and their pain scores were assessed by a quantitative table and the observed children's condition.…”

Section: Methodsmentioning

confidence: 99%

Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery

Chen¹,

Lei²,

Liu³

et al. 2021

J Cardiothorac Surg

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Objective To study the effect of an early childhood education machine on sedation and analgesia in children after cardiothoracic surgery. Methods A prospective randomized controlled study was conducted in a provincial hospital in China. Fifty-two patients (aged from 1 to 5 years) underwent cardiothoracic surgery (including: ventricular septal defect, patent ductus arteriosus, atrial septal defect, pulmonary stenosis, pulmonary sequestration and congenital cystic adenomatoid lung malformation) were divided into the study group (n = 26) and the control group (n = 26). The patients in the study group underwent intervention with an early childhood education machine (uniform type) in addition to routine standard treatment and nursing, while the patients in the control group only received routine standard treatment and nursing. Richmond agitation sedation score (RASS) and face, legs, activity, cry, consolability (FLACC) score of all of the patients were evaluated, and the negative emotions (self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score) of the parents of the two groups were compared. Results There was no significant difference in the general clinical data between the two groups. The RASS and FLACC scores in the study group were significantly lower than those in the control group, and the SAS and SDS scores of the parents in the study group were significantly lower than those in the control group. Conclusion The application of an early childhood education machine for children after cardiothoracic surgery can effectively reduce postoperative agitation, improve sedation and analgesia of the patients, and ease the pessimistic mood of the patients’ parents.

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“…The FLACC scale consists of five domains (face, legs, activity, cry, and consolability) with scores of 0, 1, and 2 for each domain and a total score ranging from 0 to 10. A FLACC score of ≥3 was considered to indicate unsatisfactory analgesia 11,12 …”

Section: Methodsmentioning

confidence: 99%

“…A FLACC score of ≥3 was considered to indicate unsatisfactory analgesia. 11,12 The data of this study were analyzed by SPSS 22.0. The continuous data are expressed as the mean ± SD, and the counting data are represented by the rate of use (%).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of analgesic and sedative effects of remifentanil‐based fast‐track anesthesia in children undergoing transthoracic device closure of ventricular septal defects

Kim

Huang

et al. 2021

J Card Surg

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Background: This study aimed to evaluate the analgesic and sedative effects of remifentanil-based fast-track cardiac anesthesia in children undergoing transthoracic device closure of ventricular septal defects (VSDs). Methods: A retrospective analysis was conducted on 62 children who underwent transthoracic device closure of VSDs from May 2019 to August 2019. The patients were divided into two groups based on the anesthesia methods: group F was given remifentanil-based fast-track cardiac anesthesia, and Group C was given conventional anesthesia. Patient-related clinical data, postoperative analgesia scores, and sedation scores were collected and analyzed. Results: There was no significant difference in intraoperative hemodynamic changes, bispectral index values, postoperative analgesia scores, sedation scores, or the incidence of adverse events between the two groups. Compared with Group C, the duration of mechanical ventilation and the length of intensive care unit (ICU) and hospital stay in group F were significantly lower. Conclusion: Remifentanil-based fast-track anesthesia can be safely applied in children undergoing transthoracic device closure of VSDs, with acceptable postoperative analgesia and sedation effects and shorter mechanical ventilation times and ICU and hospital stays compared with conventional anesthesia. K E Y W O R D S analgesic, fast-track anesthesia, remifentanil, sedative, VSD 1 | BACKGROUND A ventricular septal defect (VSD) is one of the most common cardiac malformations, accounting for 40% of all cardiac malformations. 1 Surgical repair and percutaneous device closure of VSDs are the two most commonly used methods in clinical practice. 2 In recent years, transthoracic device closure of VSDs without extracorporeal circulation, which is another possible treatment, has been widely used and reported in China. Transthoracic device closure of VSDs has the advantages of a small incision, rapid recovery, fewer complications,

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Evaluation of nurse accuracy in rating procedural pain among pediatric burn patients using the Face, Legs, Activity, Cry, Consolability (FLACC) Scale

Cited by 20 publications

References 12 publications

Sufentanil Reduces Emergence Delirium in Children Undergoing Transthoracic Device Closure of VSD After Sevoflurane-Based Cardiac Anesthesia

Sufentanil Reduces Emergence Delirium in Children Undergoing Transthoracic Device Closure of VSD After Sevoflurane-Based Cardiac Anesthesia

Application and effects of an early childhood education machine on analgesia and sedation in children after cardiothoracic surgery

Evaluation of analgesic and sedative effects of remifentanil‐based fast‐track anesthesia in children undergoing transthoracic device closure of ventricular septal defects

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