Pain status and sedation level in Chinese children after cardiac surgery: an observational study

Bai, Jinbing; Hsu, Lily

doi:10.1111/j.1365-2702.2012.04263.x

Cited by 7 publications

(5 citation statements)

References 43 publications

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“…Pain was evaluated with a complex scale analyzing face, legs, activity, weeping and consolability, and sedation was evaluated with CB scale. Results have shown that the use of analgesics and sedatives in the PICU was variable and that children had low pain scores, but high sedation rates, indicating that health professionals should address ways to improve postoperative pain and to manage sedation for this population 10 . With regard to observation of pain, the North American Consensus for Sedation and Analgesia in ICU, defines that pain evaluation should be systematically documented and carried out with adequate scales for this population.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Comfort-Behavior and Ramsay scales in a pediatric intensive care unit

Soares¹,

Mohallem²,

Brandi³

et al. 2014

Revista Dor

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Section: Discussionmentioning

confidence: 99%

Comparison between Comfort-Behavior and Ramsay scales in a pediatric intensive care unit

Soares¹,

Mohallem²,

Brandi³

et al. 2014

Revista Dor

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“…Children's individual coping mechanisms and cultural backgrounds may influence pain perception and reporting therefore providers may consider these factors while managing pain. 6,28…”

Section: Very Low Strongmentioning

confidence: 99%

“…It is important to recognise that social and cultural factors may influence the experience of pain and treatment should be adjusted based on individual response. 5,6,28 Though we did not identify literature examining the impact of implicit bias or racism on the treatment of pain among children undergoing congenital heart surgery, this is a known problem in medicine [30][31][32] and pain should never be managed differentially based solely on a patient's race or ethnicity.…”

Section: Moderate Strongmentioning

confidence: 99%

Management of routine postoperative pain for children undergoing cardiac surgery: a Paediatric Acute Care Cardiology Collaborative Clinical Practice Guideline

et al. 2022

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Background: Pain following surgery for cardiac disease is ubiquitous, and optimal management is important. Despite this, there is large practice variation. To address this, the Paediatric Acute Care Cardiology Collaborative undertook the effort to create this clinical practice guideline. Methods: A panel of experts consisting of paediatric cardiologists, advanced practice practitioners, pharmacists, a paediatric cardiothoracic surgeon, and a paediatric cardiac anaesthesiologist was convened. The literature was searched for relevant articles and Collaborative sites submitted centre-specific protocols for postoperative pain management. Using the modified Delphi technique, recommendations were generated and put through iterative Delphi rounds to achieve consensus Results: 60 recommendations achieved consensus and are included in this guideline. They address guideline use, pain assessment, general considerations, preoperative considerations, intraoperative considerations, regional anaesthesia, opioids, opioid-sparing, non-opioid medications, non-pharmaceutical pain management, and discharge considerations. Conclusions: Postoperative pain among children following cardiac surgery is currently an area of significant practice variability despite a large body of literature and the presence of centre-specific protocols. Central to the recommendations included in this guideline is the concept that ideal pain management begins with preoperative counselling and continues through to patient discharge. Overall, the quality of evidence supporting recommendations is low. There is ongoing need for research in this area, particularly in paediatric populations.

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“…NICU studies are usually focused on specific procedures. [12][13][14][15][16] For PICU patients, non-invasive procedures such as oral care, positioning and dressing changes can cause pain, in addition to invasive procedures such as intravenous and arterial access, suctioning, or reintubation. In a study conducted in the PICU by Baarslag et al, it was reported that patients experience an average of 11 painful procedures on a daily basis and that in general analgesics are not administered during such procedures.…”

Section: Introductionmentioning

confidence: 99%

“…While multiple studies have evaluated the impact of pain in the neonatal ICU (NICU), 10,11 there are only a limited number of studies on painful procedures and intensity of pain resulting from procedures in the PICU. NICU studies are usually focused on specific procedures 12‐16 . For PICU patients, non‐invasive procedures such as oral care, positioning and dressing changes can cause pain, in addition to invasive procedures such as intravenous and arterial access, suctioning, or reintubation.…”

Section: Introductionmentioning

confidence: 99%

Pain intensity of sedated paediatric intensive care unit patients during treatment and care procedures

Akgün

İnal

2021

Nursing in Critical Care

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Background: Although various pharmacological and non-pharmacological methods are used in the management of pain in the Paediatric Intensive Care Unit, patients experience more pain than those being treated in other units. Aim and objectives: This study was conducted to determine the intensity of pain during invasive patient care and dressing change procedures in sedated paediatric intensive care unit (PICU) patients and to assess the impact of analgesics and demographic factors. The study also sought to evaluate any correlation between the face, legs, activity, cry, consolability (FLACC) and COMFORT scales. Design: The research was conducted as a descriptive cross-sectional study. Methods: The total sample size consisted of 30 mild-to-moderately sedated patients under the age of 18 in the PICU of a university hospital in Turkey between September the 1st, 2016, and December the 31st, 2016. The procedures were classified in to three groups: Invasive, Patient Care and Dressing Change. The FLACC and COM-FORT scales were utilized to assess pain. Results: The intensity of pain did not differ according to the demographic characteristics (median [IQR]) by gender-COMFORT

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Pain status and sedation level in Chinese children after cardiac surgery: an observational study

Abstract: The pain and sedation status for children after cardiac surgery changed across the postoperative days. Healthcare providers should be trained in the use of reliable tools to accurately monitor children's pain and sedation levels.

Cited by 7 publications

References 43 publications

Comparison between Comfort-Behavior and Ramsay scales in a pediatric intensive care unit

Comparison between Comfort-Behavior and Ramsay scales in a pediatric intensive care unit

Management of routine postoperative pain for children undergoing cardiac surgery: a Paediatric Acute Care Cardiology Collaborative Clinical Practice Guideline

Pain intensity of sedated paediatric intensive care unit patients during treatment and care procedures

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