Sickle cell disease pain management following the World Health Organization's protocol

Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
A MoussavouM Keita

Abstract

Twenty-four percent of the Gabonese population has sickle cell trait, and 1-3% has sickle cell disease. Patients' management must follow well-defined protocols that take into account the debilitating effect of severe pain episodes. To evaluate the three-step analgesic ladder for control of pain for sickle cell disease pain crises. This is a prospective and descriptive study based on surveys filled between February 2000 and March 2001. Surveys were restricted to sickle cell disease patients having developed pain crises before and during their stay at the hospital. The assessment of the pain was based on the DEGR and EVA scales. The treatment followed the World Health Organisation's analgesic ladder. The criteria used for estimate pain severity and sedation duration were measured before, 2 and 24 h after treatment administration began (H0, H2 and H24) to evaluate its effectiveness. Sixty children were included. All the social layers of the population were represented. The school level was variable. Fifty-six percent of the patients suffered their first pain crisis before they were 1 year old. Thirty-one percent had annual crises and 20% monthly crises. Pain was located in joints in 35% of the cases, and in joints and bones in 15%...Continue Reading

References

Jul 1, 1987·Archives of Internal Medicine·K F BaumG R Serjeant

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Citations

Dec 26, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A Mbika CardorelleA Mouko
May 7, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Pasquale NiscolaPaolo Cianciulli
Mar 9, 2006·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Christine Anne Dumaplin
Jun 1, 2005·British Journal of Nursing : BJN·Diana De
Oct 17, 2008·British Journal of Nursing : BJN·Diana De

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