PMID- 18624275
OWN - NLM
STAT- MEDLINE
DCOM- 20081003
LR  - 20140730
IS  - 0214-1221 (Print)
IS  - 0214-1221 (Linking)
VI  - 21
IP  - 2
DP  - 2008 Apr
TI  - [Pain and anxiety in pediatric surgery].
PG  - 84-8
AB  - INTRODUCTION: Postsurgery pain is a common complaint in children and significant 
      postoperative pain may last for weeks. Severe perisurgery pain may aggravate 
      long-lasting negative effects. In order to prevent harmful effects, children 
      should be provided with effective-secure analgesia. The aim of this work was to 
      determine current practice of postsurgery pain management in children. MATERIAL 
      AND METHODS: An observational prospective study in pediatric patients undergoing 
      surgery in our hospital was performed. Children's (< 14 years old) having 
      elective major surgery and outpatient surgery were collected prospectively. 
      Clinical stage, surgery and anaesthesia procedures, postsurgery analgesia and 
      perioperative complications were recorded. Pain control was measured by an 
      analogic visual scale (AVS) before surgery, in post-anaesthesia recovery unit 
      (PARU), in one-day unit (ODU) and 24 h after surgery (24hU). STATISTICAL 
      ANALYSIS: mean values +/- sem or SD, frequency and percentage of incidence of N 
      cases, t-test, ANOVA of one and several ways, chi-square, correlations of two 
      variables, linear and logistic regressions depending of variables' types. 
      RESULTS: 77 patients with mean age of 5 years old and mean weight of 22 kg were 
      studied. The most frequently employed anesthetic technique was the general one. 
      Forty per cent of the patients were pre-medicated with midazolam. Little pain 
      before surgery is observed and after surgery it is moderate. Anxiety is higher 
      after surgery and immediately after it in the recovery room or the Post 
      Anesthesia Care Unit (PACU), subsequently it diminishes, especially patients with 
      same-day admission surgery. Positive correlations between pain and anxiety 
      intensities were found in each determination done. CONCLUSIONS: Is observed that 
      pain and anxiety round surgery in children had insufficient treatment, reason why 
      we think we should make treatment protocols, adapted at this population, its 
      necessities and the different types of procedures they can be subjected.
FAU - Perez Bertolez, S
AU  - Perez Bertolez S
AD  - Servicio de Cirugia Pediatrica, Hospital Regional Universitario Materno-lnfantil, 
      Malaga. spbertolez@yahoo.es
FAU - Bellido Estevez, I
AU  - Bellido Estevez I
FAU - Gomez Luque, A
AU  - Gomez Luque A
FAU - Perez Rodriguez, J
AU  - Perez Rodriguez J
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Dolor y ansiedad en cirugia pediatrica.
PL  - Spain
TA  - Cir Pediatr
JT  - Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica
JID - 8900492
SB  - IM
MH  - Anxiety/*epidemiology/*etiology
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Male
MH  - Pain, Postoperative/*epidemiology/etiology
MH  - Prospective Studies
MH  - Surgical Procedures, Operative/*adverse effects
EDAT- 2008/07/16 09:00
MHDA- 2008/10/04 09:00
CRDT- 2008/07/16 09:00
PHST- 2008/07/16 09:00 [pubmed]
PHST- 2008/10/04 09:00 [medline]
PHST- 2008/07/16 09:00 [entrez]
PST - ppublish
SO  - Cir Pediatr. 2008 Apr;21(2):84-8.