IngentaConnect Pain management in children with and without cognitive impairment...

Authors: Malviya, Shobha¹; Voepel-Lewis, Terri¹; Tait, Alan R.¹; Merkel, Sandra¹; Lauer, Anthony¹; Munro, Hamish¹; Farley, Frances¹

Source: Paediatric Anaesthesia, Volume 11, Number 4, July 2001 , pp. 453-458(6)

Publisher: Blackwell Publishing

Abstract:

Background: We compared pain assessment and management practices in children with and without cognitive impairment (CI) undergoing spine fusion surgery.

Methods: The medical records of 42 children (19 with CI and 23 without) were reviewed and data related to demographics, surgery, pain assessment and management, and side-effects were recorded.

Results: Fewer children with CI were assessed for pain on postoperative days (POD) 0-4 compared to those without CI (P < 0.002). Self-report was used for 81% of pain assessments in children without CI, while a behavioural tool was used for 75% of assessments in cognitively impaired children. Children with CI received smaller total opioid doses on POD 1-3 compared to those without CI (P ≤ 0.02). Furthermore, children without CI received patient/nurse-controlled analgesia for more postoperative days than children with CI (P=0.02).

Conclusions: Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.

Keywords: postoperative pain; pain management; pain assessment; cognitive impairment; children

Document Type: Research article

DOI: 10.1046/j.1460-9592.2001.00686.x

Affiliations: 1: Departments of Anesthesiology and Surgery, University of Michigan Health Systems, Ann Arbor, MI, USA

The full text electronic article is available for purchase. You will be able to download the full text electronic article after payment.

$50.39 plus tax Refund Policy

Pain management in children with and without cognitive impairment following spine fusion surgery