Pain management in children with and without cognitive impairment following spine fusion surgery

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 an...

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Bibliographic Details
Published in:Pediatric anesthesia 2001-07, Vol.11 (4), p.453-458
Main Authors: Malviya, Shobha, Voepel-Lewis, Terri, Tait, Alan R., Merkel, Sandra, Lauer, Anthony, Munro, Hamish, Farley, Frances
Format: Article
Language:English
Subjects:
Analgesia, Patient-Controlled
Analgesics, Opioid - therapeutic use
Anesthesia
Anesthesia depending on type of surgery
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
children
Cognition Disorders
cognitive impairment
Communication
Female
Humans
Intellectual Disability
Male
Medical sciences
Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics
pain assessment
pain management
Pain Measurement
Pain, Postoperative - diagnosis
Pain, Postoperative - drug therapy
Postoperative Complications
Postoperative Nausea and Vomiting
postoperative pain
Spinal Fusion
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Summary: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 
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.2001.00686.x