Analgesia pós-operatória em pacientes pediátricos: estudo comparativo entre anestésico local, opióides e antiinflamatório não esteróide

Menezes, Miriam Seligman; Gozzani, Judymara Lauzi

doi:10.1590/s0034-70942002000200005

Cited by 4 publications

(1 citation statement)

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“…The association between pain and negative physiological, emotional and psychological symptoms is well established. ( 1 ) The myths that children do not feel pain in a similar manner to adults and that pain does not cause problematic consequences prevail, ( 2 ) despite the evidence of pain perception beginning at the gestational period. ( 3 )…”

Section: Introductionmentioning

confidence: 99%

Pain assessment during blood collection from sedated and mechanically ventilated children

Dantas¹,

Dantas²,

Filho³

et al. 2016

Revista Brasileira De Terapia Intensiva

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ObjectiveThis study assessed pain and observed physiological parameters in sedated and mechanically ventilated children during a routine procedure.MethodsThis observational study was performed in a pediatric intensive care unit. Thirty-five children between 1 month and 12 years of age were assessed before, during, and five minutes after an arterial blood collection for gas analysis (painful procedure). Face, Legs, Activity, Cry and Consolability scale was used to assess pain. In addition, patients' heart rate, respiratory rate, peripheral saturation of oxygen and blood pressure (diastolic and systolic) were recorded. COMFORT-B scale was applied before the pain and physiological parameter assessments to verify sedation level of the subjects.ResultsThere was an increase in Face, Legs, Activity, Cry and Consolability score (p = 0.0001) during painful stimuli. There was an increase in heart rate (p = 0.03), respiratory rate (p = 0.001) and diastolic blood pressure (p = 0.006) due to pain caused by the routine procedure.ConclusionsThis study suggests that assessments of pain using standard scales, such as Face, Legs, Activity, Cry and Consolability score, and other physiological parameters should be consistently executed to optimize pain management in pediatric intensive care units.

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Section: Introductionmentioning

confidence: 99%