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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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| Published in: | Pediatric anesthesia 2001-07, Vol.11 (4), p.453-458 |
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| Main Authors: | , , , , , , |
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| cites | cdi_FETCH-LOGICAL-c5066-85b33054f4eeecd146d81c6c4f2aab200403d11fc1817da33bffc95874b1121b3 |
| container_end_page | 458 |
| container_issue | 4 |
| container_start_page | 453 |
| container_title | Pediatric anesthesia |
| container_volume | 11 |
| creator | Malviya, Shobha Voepel-Lewis, Terri Tait, Alan R. Merkel, Sandra Lauer, Anthony Munro, Hamish Farley, Frances |
| description | 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 |
| doi_str_mv | 10.1046/j.1460-9592.2001.00686.x |
| format | article |
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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 < 0.002). Self‐report was used for 81% of pain assessments in children without CI, while a behavioural tool was used for 75% of assessments in cognitively impaired children. Children with CI received smaller total opioid doses on POD 1–3 compared to those without CI (P ≤ 0.02). Furthermore, children without CI received patient/nurse‐controlled analgesia for more postoperative days than children with CI (P=0.02).
Conclusions: Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1046/j.1460-9592.2001.00686.x</identifier><identifier>PMID: 11442864</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>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</subject><ispartof>Pediatric anesthesia, 2001-07, Vol.11 (4), p.453-458</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5066-85b33054f4eeecd146d81c6c4f2aab200403d11fc1817da33bffc95874b1121b3</citedby><cites>FETCH-LOGICAL-c5066-85b33054f4eeecd146d81c6c4f2aab200403d11fc1817da33bffc95874b1121b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1058363$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11442864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malviya, Shobha</creatorcontrib><creatorcontrib>Voepel-Lewis, Terri</creatorcontrib><creatorcontrib>Tait, Alan R.</creatorcontrib><creatorcontrib>Merkel, Sandra</creatorcontrib><creatorcontrib>Lauer, Anthony</creatorcontrib><creatorcontrib>Munro, Hamish</creatorcontrib><creatorcontrib>Farley, Frances</creatorcontrib><title>Pain management in children with and without cognitive impairment following spine fusion surgery</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>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 < 0.002). Self‐report was used for 81% of pain assessments in children without CI, while a behavioural tool was used for 75% of assessments in cognitively impaired children. Children with CI received smaller total opioid doses on POD 1–3 compared to those without CI (P ≤ 0.02). Furthermore, children without CI received patient/nurse‐controlled analgesia for more postoperative days than children with CI (P=0.02).
Conclusions: Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.</description><subject>Analgesia, Patient-Controlled</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>children</subject><subject>Cognition Disorders</subject><subject>cognitive impairment</subject><subject>Communication</subject><subject>Female</subject><subject>Humans</subject><subject>Intellectual Disability</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</subject><subject>pain assessment</subject><subject>pain management</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - diagnosis</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Postoperative Complications</subject><subject>Postoperative Nausea and Vomiting</subject><subject>postoperative pain</subject><subject>Spinal Fusion</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqNkM1u1DAUhS0EoqXwCsgLxC6pHf_EI7GpKuhUqoaCQF0ax7meekicwU6YmbfH86PCkpWP5e_46n4IYUpKSri8XJWUS1LMxKwqK0JoSYhUstw-Q-dPD89zpkIUQnJxhl6ltMogq2T1Ep1RynmlJD9HP-6ND7g3wSyhhzDifLOPvmsjBLzx4yM2oT2EYRqxHZbBj_43YN-vjY-Hhhu6btj4sMRp7QNgNyU_BJymuIS4e41eONMleHM6L9D3Tx-_Xc-Lu883t9dXd4UVRMpCiYYxIrjjAGDbvEWrqJWWu8qYJu_ICWspdZYqWreGscY5OxOq5g2lFW3YBXp__Hcdh18TpFH3PlnoOhNgmJKuyUzVrKozqI6gjUNKEZxeR9-buNOU6L1dvdJ7iXovUe_t6oNdvc3Vt6cZU9ND-7d40pmBdyfAJGs6F02wPv0zQCgmWcY-HLGN72D33_P1_dUih1wvjnWfRtg-1U38qWXNaqEfFjd6QeZf5l8fhK7ZH1H_pbo</recordid><startdate>200107</startdate><enddate>200107</enddate><creator>Malviya, Shobha</creator><creator>Voepel-Lewis, Terri</creator><creator>Tait, Alan R.</creator><creator>Merkel, Sandra</creator><creator>Lauer, Anthony</creator><creator>Munro, Hamish</creator><creator>Farley, Frances</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200107</creationdate><title>Pain management in children with and without cognitive impairment following spine fusion surgery</title><author>Malviya, Shobha ; Voepel-Lewis, Terri ; Tait, Alan R. ; Merkel, Sandra ; Lauer, Anthony ; Munro, Hamish ; Farley, Frances</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5066-85b33054f4eeecd146d81c6c4f2aab200403d11fc1817da33bffc95874b1121b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Analgesia, Patient-Controlled</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>children</topic><topic>Cognition Disorders</topic><topic>cognitive impairment</topic><topic>Communication</topic><topic>Female</topic><topic>Humans</topic><topic>Intellectual Disability</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</topic><topic>pain assessment</topic><topic>pain management</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - diagnosis</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Postoperative Complications</topic><topic>Postoperative Nausea and Vomiting</topic><topic>postoperative pain</topic><topic>Spinal Fusion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malviya, Shobha</creatorcontrib><creatorcontrib>Voepel-Lewis, Terri</creatorcontrib><creatorcontrib>Tait, Alan R.</creatorcontrib><creatorcontrib>Merkel, Sandra</creatorcontrib><creatorcontrib>Lauer, Anthony</creatorcontrib><creatorcontrib>Munro, Hamish</creatorcontrib><creatorcontrib>Farley, Frances</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malviya, Shobha</au><au>Voepel-Lewis, Terri</au><au>Tait, Alan R.</au><au>Merkel, Sandra</au><au>Lauer, Anthony</au><au>Munro, Hamish</au><au>Farley, Frances</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain management in children with and without cognitive impairment following spine fusion surgery</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2001-07</date><risdate>2001</risdate><volume>11</volume><issue>4</issue><spage>453</spage><epage>458</epage><pages>453-458</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>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 < 0.002). Self‐report was used for 81% of pain assessments in children without CI, while a behavioural tool was used for 75% of assessments in cognitively impaired children. Children with CI received smaller total opioid doses on POD 1–3 compared to those without CI (P ≤ 0.02). Furthermore, children without CI received patient/nurse‐controlled analgesia for more postoperative days than children with CI (P=0.02).
Conclusions: Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11442864</pmid><doi>10.1046/j.1460-9592.2001.00686.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric anesthesia, 2001-07, Vol.11 (4), p.453-458 |
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| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| 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 |
| title | Pain management in children with and without cognitive impairment following spine fusion surgery |
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