Intraoperative local anaesthesia for paediatric postoperative oral surgery pain – a randomized controlled trial

Coulthard, Paul; Rolfe, S. E.; Mackie, I C; Gazal, Giath; Morton, Michael S. Scott; Jackson-Leech, D.

doi:10.1016/j.ijom.2006.07.007

Cited by 25 publications

(18 citation statements)

References 20 publications

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“…1,[44][45][46] Seventy percent of the cases received 2% lidocaine with 1 : 100,000 epinephrine given by infiltration with an anticipated duration of action in soft tissue of approximately 3 hours. The analysis performed used the highest FPS-R score within the first 12 hours after discharge overcoming the local anesthetic effect.…”

Section: Parental Satisfaction With Use Of Pain Assessment Toolmentioning

confidence: 99%

Postoperative Pain in Children After Dentistry Under General Anesthesia

Wong

Copp

Haas

2015

Anesthesia Progress

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The objective of this study was to determine the prevalence, severity, and duration of postoperative pain in children undergoing general anesthesia for dentistry. This prospective cross-sectional study included 33 American Society of Anesthesiology (ASA) Class I and II children 4-6 years old requiring multiple dental procedures, including at least 1 extraction, and/or pulpectomy, and/or pulpotomy of the primary dentition. Exclusion criteria were children who were developmentally delayed, cognitively impaired, born prematurely, taking psychotropic medications, or recorded baseline pain or analgesic use. The primary outcome of pain was measured by parents using the validated Faces Pain Scale-Revised (FPS-R) and Parents' Postoperative Pain Measure (PPPM) during the first 72 hours at home. The results showed that moderate-to-severe postoperative pain, defined as FPS-R 6, was reported in 48.5% of children. The prevalence of moderate-to-severe pain was 29.0% by FPS-R and 40.0% by PPPM at 2 hours after discharge. Pain subsided over 3 days. Postoperative pain scores increased significantly from baseline (P , .001, Wilcoxon matched pairs signed rank test). Moderately good correlation between the 2 pain measures existed 2 and 12 hours from discharge (Spearman rho s correlation coefficients of 0.604 and 0.603, P , .005). In conclusion, children do experience moderate-to-severe pain postoperatively. Although parents successfully used pain scales, they infrequently administered analgesics.

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Section: Parental Satisfaction With Use Of Pain Assessment Toolmentioning

confidence: 99%

Postoperative Pain in Children After Dentistry Under General Anesthesia

Wong

Copp

Haas

2015

Anesthesia Progress

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“…However, the findings about the use of local anaesthesia for postoperative pain control are contradictory. Various authors such as Coulthard, McWilliams, and Townsend reported that local anaesthesia application did not affect postoperative pain scores [9, 15, 16]. However, Atan et al [2] defended the view that local anaesthesia application in the perioperative period was effective in controlling pain.…”

Section: Discussionmentioning

confidence: 99%

Immediate Postoperative Pain and Recovery Time after Pulpotomy Performed under General Anaesthesia in Young Children

Keleş

Kocatürk

2017

Pain Research and Management

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Background The aim of this retrospective study was to compare immediate postoperative pain scores and need for rescue analgesia in children who underwent pulpotomies and restorative treatment and those who underwent restorative treatment only, all under general anaesthesia. Methods Ninety patients aged between 3 and 7 years who underwent full mouth dental rehabilitation under general anaesthesia were enrolled in the study and reviewed. The experimental group included patients who were treated with at least one pulpotomy, and the control group was treated with dental fillings only. The Wong-Baker FACES scale was used to evaluate self-reported pain and need for rescue analgesia. The data were analysed using the Kruskal-Wallis test, two sample t-tests, chi-square tests, and Pearson's correlation analysis. Results Ninety percent of the children experienced postoperative pain in varying degrees of severity. Immediate postoperative pain scores in experimental group were found to be significantly higher than in control group (x2 = 24.82, p < 0.01). In the experimental group, 48% of the children needed rescue analgesia, compared with only 13% of the children in the control group (x2 = 13.27, p < 0.05). Conclusion Children who underwent pulpotomy treatment had higher postoperative pain scores and greater need for rescue analgesia than control group who underwent only dental fillings.

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“…In paediatric patients aged 12 or less requiring dental extractions, the use of local anaesthetic intra‐operatively has not been successful in significantly reducing post‐operative pain and distress. Randomised controlled studies have included the use of topical bupivacaine compared with saline 8 , the use of lidocaine with adrenaline infiltration compared with saline 2 and the use of intra‐ligamental lidocaine injection compared with standard treatment 9 . In this last study, a reduction in pain score was seen at 5 min post‐extraction, but this was not sustained, and the cumulative pain scores over the first hour showed no significant difference.…”

Section: Introductionmentioning

confidence: 94%

The effect of giving intra‐operative local anaesthetic (lidocaine 2% with 1:80 000 adrenaline) on post‐operative pain in adolescents having day‐case oral surgery to facilitate orthodontic treatment: A blinded, randomised controlled trial

Murphy

2011

Oral Surgery

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Aim: To elucidate the effect of giving local anaesthetic to adolescents having oral surgery carried out under day‐case general anaesthetic on their post‐operative pain. Materials and methods: Randomised, blinded, placebo‐controlled design. Sixty‐eight subjects aged 12–16 years randomly assigned to receive either a local anaesthetic (2% lidocaine with 1:80 000 adrenaline) or placebo (saline) infiltration at the surgical site before the start of surgery. Pain assessed by a research nurse using a visual analogue scale, firstly pre‐surgery and then at 30, 60 and 120 min post‐surgery. The time of post‐surgery rescue analgesia requirements also noted. Results: Mean pain scores were significantly less in the local anaesthetic group compared with the placebo group at 30 min post‐surgery (P < 0.01) and at 60 min post‐surgery (P < 0.01). There was no significant difference in mean pain scores at 120 min at which time the mean pain score in the placebo group had reduced to approach that of the local anaesthetic group. More subjects in the placebo group (21) required rescue analgesia compared with the local anaesthetic group (12). The mean time to rescue analgesia was significantly longer in the local anaesthetic group compared with the placebo group (P = 0.04). Conclusions: Giving local anaesthetic infiltrations at the surgical site significantly reduced post‐operative pain in the early stages following oral surgery procedures carried out under general anaesthesia in adolescent subjects. It also reduced the need for post‐surgery analgesia and significantly increased the time from surgery to any such required analgesia.

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Intraoperative local anaesthesia for paediatric postoperative oral surgery pain – a randomized controlled trial

Cited by 25 publications

References 20 publications

Postoperative Pain in Children After Dentistry Under General Anesthesia

Postoperative Pain in Children After Dentistry Under General Anesthesia

Immediate Postoperative Pain and Recovery Time after Pulpotomy Performed under General Anaesthesia in Young Children

The effect of giving intra‐operative local anaesthetic (lidocaine 2% with 1:80 000 adrenaline) on post‐operative pain in adolescents having day‐case oral surgery to facilitate orthodontic treatment: A blinded, randomised controlled trial

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