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 7 publications

(5 citation statements)

References 19 publications

(44 reference statements)

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“…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

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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.

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Section: Discussionmentioning

confidence: 99%

Pain management in hospitalized children: A cross-sectional study

Carvalho

Souza

Domingues

et al. 2022

Rev. esc. enferm. USP

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“…Acute postoperative pain in children has several risk factors, including the following: Pre-operative anxiety, pre-operative pain, and two surgical procedures performed at the same time. [35] Children should not be discharged after day surgery until pain is well controlled and staff are confident that simple medication will provide adequate analgesia at home. Pain should be manageable by simple analgesia through rectal or oral paracetamol/ ibuprofen.…”

Section: Painmentioning

confidence: 99%

Day-case surgery patient selection and discharge criteria in children

Mehmetoğlu

2023

Zeynep Kamil Med J

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Day-case surgery (DCS) is a planned procedure, in which patients are admitted for surgery and discharged on the same day. DCS confers major advantages for the child and the family, as it reduces the potential negative impact of an overnight stay and allows for the patient to have familiar surroundings during recovery. Children are excellent candidates for DCS because they are usually healthy, free of systemic disease, and typically require straightforward, minor, or intermediate surgical procedures. While there are numerous well-accepted benefits of DCS for patients and health-care organizations, one problem with this approach is determining if the procedure is feasible and safe. Effective patient selection and postoperative assessment with protocol-driven discharge is fundamental for DCS but requires experience and an understanding of the criteria for each intervention. This study aimed to present the criteria for patient selection and discharge of pediatric surgery patients who underwent DCS.

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“…[1][2][3] Previous studies about the occurrence of acute post-operative pain in children reported that 40% of children who underwent surgery experienced acute postoperative pain. [4][5][6] Pain experienced by children at such a young age has a certain level of difficulty and complexity, 7 considering that children under the age of 36 months are not able to express the pain intensity and pain type. A cross-sectional study conducted by Mekonnen et al, revealed that an experience of moderate to severe postoperative pain in children is associated with psychological, physiological, and emotional adverse effects.…”

Section: Introductionmentioning

confidence: 99%

Analgesic Potential Comparison Between Piperine-Combined Curcumin Patch and Non-Piperine Curcumin Patch: A Pragmatic Trial on Post-Cleft Lip/Palate Surgery Pediatric Patients

Maulina,

Purnomo,

Khamila

et al. 2024

JPR

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Purpose Despite its well-acknowledged analgesic potential, curcumin’s low bioavailability has been recognized. Piperine, a substance naturally contained in pepper, has been known for its effect on increasing curcumin bioavailability. To investigate the analgesic potential of curcumin and piperine addition to curcumin patch used as adjuvant therapy in the management of acute postoperative orofacial pain. Patients and Methods This pragmatic trial recruited 75 patients that underwent oromaxillofacial surgery at Unpad Dental Hospital, Bandung, Indonesia. Research participants were randomly assigned to three different groups: the first group that did not receive any intervention other than the post-operative standard treatment (POST), the second group that received POST and non-piperine curcumin patch, and the third group that received POST and piperine-combined curcumin patch. Participants’ pain intensity was evaluated by using the face, leg, activity, cry, and consolability (FLACC) pain scale and salivary prostaglandin-E 2 (PGE 2 ) level for two-time points, which were eight hours apart. All data were gathered and analyzed to compare the within and between-group differences. Results Within groups comparison of the FLACC scores for two evaluation points showed significant differences for all groups (p < 0.01). For salivary PGE2 analysis, a comparison of the non-piperine group to the piperine group also showed significant results. Yet, when all three groups were compared, regardless of the differences, the results were not statistically significant. Conclusion Despite of the proven efficacy of curcumin patch, the addition of piperine to the curcumin patch in the current study did not provide any significant effects. Further investigation is of importance.

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

Cited by 7 publications

References 19 publications

Pain management in hospitalized children: A cross-sectional study

Pain management in hospitalized children: A cross-sectional study

Day-case surgery patient selection and discharge criteria in children

Analgesic Potential Comparison Between Piperine-Combined Curcumin Patch and Non-Piperine Curcumin Patch: A Pragmatic Trial on Post-Cleft Lip/Palate Surgery Pediatric Patients

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