Patterns of postoperative analgesic use with adults and children following cardiac surgery

Beyer, Judith; DeGood, Douglas E.; Ashley, Lisa C.; Russell, Georgine A.

doi:10.1016/0304-3959(83)90129-x

Cited by 299 publications

(90 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These same extent as adults, and that children often beliefs have been proven wrong (7)(8)(9). Other experienced postoperative pain (1)(2)(3)(4)(5)(6). The reasons for misconceptions are, that it is unsafe to administer the undertreatment of pain in children were partly due opioids to children, and that children often suffer to the persistence of old myths such as 'small infants respiratory depression following administration of have an immature nervous system and are unable to morphine.…”

Section: Introductionmentioning

confidence: 94%

Recommended use of morphine in neonates, infants and children based on a literature review: Part 1—Pharmacokinetics

Kart

Christrup

Rasmussen

1997

Pediatric Anesthesia

174

View full text Add to dashboard Cite

SummaryThe English language literature has been reviewed in order to evaluate the present knowledge on morphine's metabolism and pharmacokinetics in children. The majority of preterm neonates are capable of glucuronidating morphine, but birth weight, gestational and postnatal age influence the glucuronidation capability. Term neonates, infants, and children are able to produce morphine glucuronides. For the reported pharmacokinetics parameters a metaanalysis was made; volume of distribution, estimated to be 2.8±2.6 l·kg −1 , seems to be regardless of age, while half-life and clearance were found to be related to age. Half-life was estimated to be 9.0±3.4 h in pre-term neonates, 6.5±2.8 h in term neonates aged 0-57 days, and 2.0±1.8 h for infants and children aged 11 days to 15 years. Clearance was estimated to be 2.2±0.7 ml·min −1 ·kg −1 for preterm neonates, 8.1±3.2 ml·min −1 ·kg −1 in term neonates aged 0-57 days, and 23.6±8.5 ml·min −1 ·kg −1 in infants and children more than 11 days old.

show abstract

Section: Introductionmentioning

confidence: 94%

Recommended use of morphine in neonates, infants and children based on a literature review: Part 1—Pharmacokinetics

Kart

Christrup

Rasmussen

1997

Pediatric Anesthesia

174

View full text Add to dashboard Cite

show abstract

“…One child received two aspirin tablets following spinal fusion, and two with 65-70% second and third degree burns received one aspirin and one acetaminophen tablet each. Beyer et al, 8 comparing 50 children with 50 adults undergoing open heart surgery, showed that the adults received more than twice as many doses of analgesics as the children. Similarly, Schecter et al 9 matched children and adults undergoing inguinal herniorrhaphy or appendectomy or sustaining fractured femurs or second degree burns and, again, the adults received twice as many doses of narcotics per day as the children.…”

Section: Mdtaboliques Aux Stimulation S Nociceptives Comme Chez Les mentioning

confidence: 99%

Postoperative analgesia: opioid infusions in infants and children

Pounder

Steward

1992

Can J Anaesth

View full text Add to dashboard Cite

Postoperative analgesia: opioid infusions in infants and childrenAt least fifteen surveys published between 1952 and 19901-5 attest to the failure of intermittent intramuscular injection of narcotics to provide adequate postoperative analgesia for adult surgical patients. The traditional techniques of postoperative pain control have been even less successful in paediatric patients. Mather and Mackie 6 found that of 170 paediatric surgical patients 16% did not have a postoperative analgesic ordered, 39% did not receive a postoperative narcotic analgesic, 40% were in moderate to severe pain during the day of surgery, and 27% were similarly uncomfortable on the first postoperative day. Doses of analgesics which were ordered were often inappropriate in amount and/or frequency, and were ordered pro re nata, which was interpreted by the nursing staff to mean, "Give as few doses over the longest period of time as possible." Eland and Anderson 7 matched 25 children with 18 adults who were undergoing the same operations. The 25 children received 24 doses of analgesics, of which 11 were narcotics. The 18 adults received CAN . 1 ANAESTH 1992 / 39:9 / pp 969-74

show abstract

“…Primero, los estudios que mostraron que el dolor infantil estaba claramente desatendido en los hospitales. Efectivamente, entre finales de los años 70 y 80 del siglo pasado se publican los resultados de diversos trabajos que descubren y plantean abiertamente la nula atención al control del dolor infantil en los hospitales (12)(13)(14), provocando un intenso debate que fue más allá del ámbito profesional y de las sociedades científicas (11). Segundo, los estudios de Kanwaljeet S.…”

Section: Psicología Y Dolor Crónico (Infantil)unclassified

Psicología y dolor crónico infantil

Miró¹,

Vega²,

Solé³

et al. 2017

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor.

show abstract

Patterns of postoperative analgesic use with adults and children following cardiac surgery

Cited by 299 publications

References 13 publications

Recommended use of morphine in neonates, infants and children based on a literature review: Part 1—Pharmacokinetics

Recommended use of morphine in neonates, infants and children based on a literature review: Part 1—Pharmacokinetics

Postoperative analgesia: opioid infusions in infants and children

Psicología y dolor crónico infantil

Contact Info

Product

Resources

About