A prospective audit of pain profiles following general and urological surgery in children

• DOI: 10.1111/pan.13256
• Publication Date: 2017-10-14T04:30:26Z
• Authors: Caroline A. Wilson; David Sommerfield; Thomas F. E. Drak...; Claudia Lagrange; Anoop Ramgolam; Britta S. von Ung...
• Keywords: Telephone interview

Summary Background Postoperative pain is frequently undertreated in children both hospital and at home following discharge. Pain has short‐ long‐term consequences for children, their families, the healthcare system. A greater understanding of procedure‐specific postoperative trajectories required to improve management. Aim To determine duration severity acute experienced by undergoing 8 different general urological procedures (primary outcomes). Behavioral disturbance rates, nausea vomiting scores, parental satisfaction were also examined during follow‐up period (secondary Method Families (0‐18 years) common invited enroll study. Children's measured using a proxy 0‐10 numerical rating scale, collected telephone interview until was resolved. Analgesia prescribed given, behavioral disturbance, method medication education communication, measured. Results Of 360 patients recruited, 326 complete datasets available. Patients underwent laparoscopic appendicectomy (57), open (19), circumcision (50), cystoscopy (52), hypospadias repair (22), inguinal hernia (51), orchidopexy or umbilical (24). peaked on day after surgery all groups, decreased over time. lasted median 5 days appendicectomy, 0‐2 other procedures. rates closely followed scores. administration varied widely between within groups. Conclusion management inadequate most groups studied, particularly repair, with experiencing least moderate surgery. There need standardized management, increased dual analgesia prescribing, ensure that receive adequate home.