Postoperative pain management using intravenous patient-controlled analgesia for pediatric patients

The Journal of Craniofacial Surgery
D ShinH S Kim

Abstract

Pain control is an important consideration after any surgical procedures. Especially in children, more attention and care are needed during the period of postoperative pain control, which must be both sufficiently safe and effective. In this respect, intravenous patient-controlled analgesia provides improved titration of analgesic drugs, thereby maintaining optimal analgesic status with few side effects. Thirty pediatric patients were randomly divided into two groups: the intravenous patient-controlled analgesia group (with nalbuphine HCl and ketorolac tromethamine) and the conventional pethidine HCl intramuscular group. The degree of analgesia was assessed every 4 hours until the second postoperative day. The intravenous patient-controlled analgesia group had significantly lower pain scores and took less time until they were able to walk to the bathroom, but as many side effects as the control group. We concluded that intravenous patient-controlled analgesia is safe and effective for pediatric patients who have moderate to severe pain after operations such as rib cartilage graft, iliac bone graft, and large flap surgeries.

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Citations

May 24, 2005·Journal of Pain and Symptom Management·Klaus A Lehmann
Feb 8, 2014·Der Anaesthesist·A-M Schultz-MachataM Weiss
Oct 1, 2013·Expert Opinion on Drug Safety·David P MartinJoseph D Tobias
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Jan 23, 2008·Transplant International : Official Journal of the European Society for Organ Transplantation·Georgia KostopanagiotouAndreas G Tzakis
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Aug 1, 2014·The Cochrane Database of Systematic Reviews·Alexander SchnabelEsther Pogatzki-Zahn
Jun 3, 2015·The Cochrane Database of Systematic Reviews·Ewan D McNicolJana Hudcova
Jan 19, 2019·Hospital Pediatrics·Carolina DonadoCharles B Berde
Mar 10, 2004·Spinal Cord·S P Cohen, M DeJesus
Apr 22, 2017·Intensive Care Medicine Experimental·Victor JegerAlain Rudiger
May 5, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Jason R SteinAlbert K Oh

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