Pediatric Perioperative Pain Management

Frizzell, Kaela; Cavanaugh, Priscilla K.; Herman, Martin J.

doi:10.1016/j.ocl.2017.06.007

Cited by 33 publications

(43 citation statements)

References 77 publications

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“…Regional anesthesia techniques in the pediatric population are being used frequently in postoperative pain management due to the increased experience and accessibility of ultrasonography. When used in combination with general anesthesia, regional analgesia techniques reduce intra-operative and postoperative opioids and provide good postoperative pain control [1,2,7-8]. In our case, we managed to minimize postoperative pain by performing a single injection ESP block in combination with IV acetaminophen for postoperative analgesia in femur fracture surgery.…”

Section: Discussionmentioning

confidence: 96%

Ultrasound-guided Lumbar Erector Spinae Plane Block For Postoperative Analgesia in Femur Fracture: A Pediatric Case Report

Balaban

Koçulu

Aydın

2019

Cureus

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The erector spinae plane (ESP) block is a recently defined regional anesthesia technique which is considered as an effective method in postoperative multimodal analgesia. ESP block is usually performed at the thoracic region in pediatric patients, but it is also possible to perform ESP block at the lumbar region. Femur fracture is one of the most common procedures especially in pediatric orthopedic surgery where postoperative pain management is essential. We aim to present a case of effective postoperative analgesia provided by ultrasound-guided lumbar ESP block in a 6-year-old patient after femur fixation surgery.

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Section: Discussionmentioning

confidence: 96%

Ultrasound-guided Lumbar Erector Spinae Plane Block For Postoperative Analgesia in Femur Fracture: A Pediatric Case Report

Balaban

Koçulu

Aydın

2019

Cureus

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“…Tonsillektomi sonrası ibuprofen kullanımının tonsillektomi kanaması geliĢimini arttırmadığı gösterilmiĢ ancak 12 yaĢından büyük çocuklarda ve rekürren tonsillit hikâyesi olanlarda kanama riskinin arttığı belirtilmiĢtir (32). Ketorolak sıklıkla birçok merkezde postoperatif ağrı tedavisinde intravenöz (0.5 mg/kg/doz) olarak kısa süreliğine (1-3 gün) kullanılmaktadır (5).…”

Section: Flacc Ağrı Değerlendirme Skalasıunclassified

“…Kılavuz, intravenöz yol gerekli olduğu zaman postoperatif sistemik analjezi için hasta kontrollü analjezi (HKA) kullanılmasını önermektedir (güçlü öneri, orta dereceli kanıtlar) (7) (30). Omurga ameliyatlarında pediatrik ve eriĢkin hastalarda postoperatif dönemde erken ağrı skorlarını iyileĢtirse de postoperatif opioid tüketimine etkisi olmadığı belirtilmiĢtir (5). Pediatrik günübirlik cerrahi uygulanan hastalarda asetominofen ile birlikte kodein infantlarda en çok reçete edilen ilaç iken 10 yaĢın üstündeki çocuklarda asetominofen ile birlikte hidrokodon en sık reçete edilen ilaçlardır (31).…”

Section: Flacc Ağrı Değerlendirme Skalasıunclassified

“…Postoperatif ağrı yönetimi çocuklarda önemlidir, ağrı tedavisinin yetersiz kalması hastanede kalıĢ süresinin uzamasına, hasta memnuniyetsizliğine ve morbidite ve mortalitenin artmasına neden olmaktadır. (5). Pediatrik ağrı konusunda giderek artan bilgiye rağmen, çocuklarda ağrı tedavisi hala yeterli değildir, yetersiz ağrı tedavisi yaĢamın ilerleyen dönemlerinde negatif davranıĢsal ve fizyolojik sonuçlar Ģeklinde karĢımıza çıkabilmektedir (2).…”

Section: Introductionunclassified

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Çocuklarda Postoperatif Ağrı Yönetimi

Okyay¹,

Ayoğlu²

2018

Pediatric Practice and Research

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Postoperatif ağrı, ameliyat sonrası dönemde morbidite ve mortaliteyi etkileyebilen önemli bir etkendir. Çocuklarda ağrıyla ilgili bilgiler gün geçtikçe artıyor olmasına rağmen ağrı tedavisinde hala yetersizlikler mevcuttur. Postoperatif ağrıyı azaltmak için intraoperatif ve postoperatif birçok yöntem bulunmaktadır. Bu derlemede "Postoeratif Ağrı Tedavisi Kılavuzu" eşliğinde çocuklarda postoperatif ağrı yönetimi hakkında güncel bilgilerin anlatılması amaçlanmıştır.

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“…In addition, opioid-induced adverse effects can be easily prevented or titrated in the clinical setting. 16,23,34…”

Section: Introductionmentioning

confidence: 99%

The effects of aging on hydromorphone-induced thermal antinociception in healthy female cats

Simon

Scallan

Monteiro

et al. 2019

PR9

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Introduction: This study aimed to evaluate the effects of aging on hydromorphone-induced thermal antinociception in cats. Methods: In a prospective, randomized, blinded, controlled design, 10 healthy female cats received each of the following treatments intramuscularly: hydromorphone (0.1 mg/kg) and 0.9% saline (0.05 mL/kg) with a 1-week washout between treatments at 6, 9, and 12 months of age. Skin temperature and thermal thresholds (TTs) were recorded before and up to 12 hours after injection. Data were analyzed using a repeated-measures linear mixed model (α = 0.05). Results: After saline treatment, TT was not significantly different from baseline at any time point for any age group. After hydromorphone treatment, TT was significantly higher than baseline at 6 months for up to 1 hour, and at 9 and 12 months for up to 4 hours. Peak TT at 6, 9, and 12 months were 50.4 ± 2.7, 50.9 ± 2.0, and 53.6 ± 2.0°C at 0.5, 1, and 1 hours, respectively. Mean TT was significantly higher after hydromorphone treatment when compared with saline treatment at 9 and 12 months for up to 4 hours but not at 6 months. Magnitude of antinociception was consistently larger at 12 months when compared with 6 months of age. Hydromorphone provided a shorter duration and smaller magnitude of antinociception at 6 months when compared with 9 and 12 months. Conclusion: Pediatric cats may require more frequent dosing of hydromorphone than adults.

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Pediatric Perioperative Pain Management

Cited by 33 publications

References 77 publications

Ultrasound-guided Lumbar Erector Spinae Plane Block For Postoperative Analgesia in Femur Fracture: A Pediatric Case Report

Ultrasound-guided Lumbar Erector Spinae Plane Block For Postoperative Analgesia in Femur Fracture: A Pediatric Case Report

Çocuklarda Postoperatif Ağrı Yönetimi

The effects of aging on hydromorphone-induced thermal antinociception in healthy female cats

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