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Titolo:
Pain management in children with and without cognitive impairment following spine fusion surgery
Autore:
Malviya, S; Voepel-Lewis, T; Tait, AR; Merkel, S; Lauer, A; Munro, H; Farley, F;
Indirizzi:
Univ Michigan Hlth Syst, Dept Anesthesiol, Ann Arbor, MI 48109 USA Univ Michigan Hlth Syst Ann Arbor MI USA 48109 l, Ann Arbor, MI 48109 USA Univ Michigan Hlth Syst, Dept Surg, Ann Arbor, MI 48109 USA Univ Michigan Hlth Syst Ann Arbor MI USA 48109 g, Ann Arbor, MI 48109 USA
Titolo Testata:
PAEDIATRIC ANAESTHESIA
fascicolo: 4, volume: 11, anno: 2001,
pagine: 453 - 458
SICI:
1155-5645(200107)11:4<453:PMICWA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELECTIVE DORSAL RHIZOTOMY; CEREBRAL-PALSY; INDIVIDUALS; NURSES;
Keywords:
postoperative pain; pain management; pain assessment; cognitive impairment; children;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Malviya, S Univ Michigan Hlth Syst, Dept Anesthesiol, 1500 E Med Ctr Dr,F3900 Box 0211, Ann Arbor, MI 48109 USA Univ Michigan Hlth Syst 1500 E Med Ctr Dr,F3900 Box 0211 Ann Arbor MI USA 48109
Citazione:
S. Malviya et al., "Pain management in children with and without cognitive impairment following spine fusion surgery", PAEDIATR AN, 11(4), 2001, pp. 453-458

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 usedfor 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 thosewithout CI (P <less than or equal to> 0.02). Furthermore, children withoutCI received patient/nurse-controlled analgesia for more postoperative daysthan 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 07:36:28