Background & Aims
Ambulatory surgery is suitable for children. AS created new challenges and rewarding opportunities for pediatric anesthesia. Pain management is one of most important considerations
for pediatric ambulatory patients. One of the main goals for current postoperative care is to set up a program for effective postoperative pain control in pediatric surgical patients for the first time in
Mongolia.
Methods
Two hundred forty one randomly selected children were allocated
into two groups. The empirical pain relief group (the control group,
n=120) included the patients that received intravenous Sul pyrin
and/or meperidine postoperatively. The patients in the multimodal
preemptive pain relief group (the study group, n=121) received
regional nerve blockade with 0.25% bupivacaine combined with
preoperative rectally administered paracetamol 45 mg/kg or
diclofenac 1 mg/kg 60 min before surgery for cases that were to
undergo lower abdominal surgery. But only paracetamol or
diclofenac was rectally administered preoperatively in the other
surgical cases.
Results
The mean time in the recovery room for the study group was shorter
than that for the control group. The severity of postoperative pain
was ‘even more’ in 16.7%, ‘worst’ in 11.8%, ‘a whole lot’ in 26.5% and
‘no pain’ in 27.5% of the control group patients. But the severity of
postoperative pain was ‘little more’ in 11%, ‘a little bit’ in 10.0% and
‘no pain’ in 88.9% of the study group patients. The average
postoperative VAS score was 0.21±0.6 in the study group and
8.36±1.7 in the control group, respectively. Vomiting, nausea and
fever were frequent in the control group.
Conclusions
The pain intensity of the children who were treated with rectally
administered paracetamol or diclofenac combined with regional
nerve block before surgery is significantly decreased as compared
to that of the children who are treated with the traditional method.
References
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Presenting Author
Enkhtuvshin Shagdar
Poster Authors
Enkhtuvshin Shagdar
PhD
State Second Central Hospital, Ulaanbaatar, Mongolia
Lead Author
Topics
- Other