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Paediatr Anaesth. 2001 Jul;11(4):453-8.

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

Author information

1
Department of Anesthesiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0211, USA. smalviya@umich.edu

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 < or = 0.02). Furthermore, children without CI received patient/nurse-controlled analgesia for more postoperative days than children with CI (P=0.02).

CONCLUSION:

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

PMID:
11442864
[Indexed for MEDLINE]

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