Pain control with low-dose alfentanil in children undergoing minor abdominal and genito-urinary surgery

Leoni, Fulvio; Benni, F.; Iacobucci, Tiziana; Francisci, G. De

doi:10.1017/s0265021504009123

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…Below are some suggestions regarding dosing of some of the drugs that may be applicable to the different pain management ladder levels based on the available literature . Table shows dosage suggestions for systemic analgesia, special care must be taken when prescribing opiods in patients with obstructive sleep apnea.…”

Section: Recommendationsmentioning

confidence: 99%

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Vittinghoff

Lönnqvist

Mossetti

et al. 2018

Pediatric Anesthesia

123

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The main remit of the European Society for Paediatric Anaesthesiology (ESPA) Pain Committee is to improve the quality of pain management in children. The ESPA Pain Management Ladder is a clinical practice advisory based upon expert consensus to help to ensure a basic standard of perioperative pain management for all children. Further steps are suggested to improve pain management once a basic standard has been achieved. The guidance is grouped by the type of surgical procedure and layered to suggest basic, intermediate, and advanced pain management methods. The committee members are aware that there are marked differences in financial and personal resources in different institutions and countries and also considerable variations in the availability of analgesic drugs across Europe. We recommend that the guidance should be used as a framework to guide best practice.

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Section: Recommendationsmentioning

confidence: 99%

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Vittinghoff

Lönnqvist

Mossetti

et al. 2018

Pediatric Anesthesia

123

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“…41 Pain in connection with genito-urinary infections is quite often described. 42 Catheter-associated urinary tract infection is the most common nosocomial infection, accounting for more than one million cases every year in American hospitals and NHs. 43 A large-scale epidemiological study in The Netherlands has shown that orofacial pain has an increasing incidence rate with age for most of the pain diagnoses in the general population, with rates as high as 30.6 for trigeminal neuralgia and 44.2 for post-herpetic neuralgia.…”

Section: Pain Prevalence In Nursing Home Patientsmentioning

confidence: 99%

Pain in patients with dementia: A review of pain assessment and treatment challenges

Husebø¹,

Achterberg²,

Lobbezoo³

et al. 2012

Nor J Epidemiol

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Pain represents a major treatment challenge in older people with dementia. The majority of healthy older people experience regular pain and around 50% take regular analgesics. Pain is likely to be equally prevalent in people with dementia, yet only a small minority are prescribed regular analgesics. This is a key issue since recent work has provided evidence that untreated pain may be a major contributor to reduced quality of life and increases the likelihood of emergence of behavioural and psychological symptoms such as agitation. Better assessment and treatment of pain may therefore substantially improve outcomes for people with dementia. In this context, we reviewed the literature and summarised the best available evidence regarding the frequency of pain and pain diagnosis in patients with dementia based on pain assessment and treatment recommendations for these individuals. Hardly any randomized, controlled studies of pain treatment efficacy in patients with dementia are available, with the consequence that most pain treatment recommendations are not based on the highest level of evidence.

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“…Living in a NH, 53% of patients are at risk of developing a pressure ulcer (Horn et al, 2002), and skin diseases found in 95% of the patients were described as one of the most prevalent health problems (Black et al, 2006). Pain in connection with genito-urinary infections is quite often described (Leoni et al, 2004). Catheter-associated urinary tract infection is the most common nosocomial infection, accounting for more than one million cases every year in American hospitals and…”

Section: Pain In Internal Organs the Head And Skinmentioning

confidence: 99%

Who Suffers Most? Dementia and Pain in Nursing Home Patients: A Cross-sectional Study

Husebø¹,

Strand²,

Moe‐Nilssen³

et al. 2008

Journal of the American Medical Directors Association

139

105

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Pain control with low-dose alfentanil in children undergoing minor abdominal and genito-urinary surgery

Abstract: It was concluded that a low-dose, intravenous bolus of alfentanil may be an efficient alternative to peripheral nerve blockade in controlling pain during and after minor abdominal and genito-urinary surgery.

Cited by 4 publications

References 19 publications

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Pain in patients with dementia: A review of pain assessment and treatment challenges

Who Suffers Most? Dementia and Pain in Nursing Home Patients: A Cross-sectional Study

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