We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Percepción paterna de tolerabilidad al dolor y requerimientos analgésicos después de cirugía abdominal en niños.
- Authors
Larragoiti-Correa, Eugenio; Rendón-Macías, Mario Enrique
- Abstract
Objective: to determine if child pain tolerance perceived by their parents could predict the difficulty for its post abdominal surgery control. Methods: a prospective cohort study; children (3 to 16 years old) perceived as tolerant (PT) and non-tolerant to pain (NoPT). The analgesic plan was decided by their surgeons. We analyzed the level of pain (through Wong-Baker facial pain scale) and analgesic requirements (drug, dose modifications) immediately after recovery from anesthesia, 24 and 48 hours later. Results: 62 patients were evaluated (34 PT and 28 NoPT). Since the recovery NoPT children requested more analgesics (42.9 % versus 2.9 %, p < 0.001) and higher doses. At 24 hours, although 87 % received analgesia, NoTP children required extra doses (50 % versus 23.5 % PT, p = 0.03). After 48 hours, 83 % (PT) and 72 % (NoPT) kept receiving analgesia (p = 0.36) but the NoPT still asked for more rescue doses (46.7 % versus 14.7 %, p = 0.01). Conclusions: it is important to identify children perceived as poor tolerant or no tolerant to pain before a painful procedure, in order to plan an efficient strategy for pain control.
- Subjects
PAIN in children; PAIN tolerance; ABDOMINAL surgery; POSTOPERATIVE care; ANALGESICS; PSYCHOLOGY of parents; SURGEONS
- Publication
Revista Medica del IMSS, 2013, Vol 51, Issue 3, p284
- ISSN
0443-5117
- Publication type
Article