The Safety and Efficacy of Parent-/Nurse-Controlled Analgesia in Patients Less than Six Years of Age

Monitto, Constance L.; Greenberg, Robert S.; Kost‐Byerly, Sabine; Wetzel, Randall C.; Billett, Carol; Lebet, Ruth; Yaster, Myron

doi:10.1097/00000539-200009000-00014

Cited by 73 publications

(94 citation statements)

References 21 publications

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“…Patient controlled analgesia may be applied in children ≥6 years. In younger children nurse controlled analgesia should be given [45]. Effective pain treatment is necessary for open kidney surgeries because 3 muscle layers are incised.…”

Section: Bladder and Kidney Surgeriesmentioning

confidence: 99%

Postoperative Pain Management in Urology

2016

Ann Clin Anal Med

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Section: Bladder and Kidney Surgeriesmentioning

confidence: 99%

Postoperative Pain Management in Urology

2016

Ann Clin Anal Med

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“…10 Fa kat bu lan tı, kus ma, ka şın tı so lu num depres yo nu ve se das yon gi bi yan et ki le ri ne de ni ile dik kat li kul la nıl ma lı dır. 11 Biz ça lış ma mız da ço cukla rı pos to pe ra tif dö nem de pe ri fe rik ok si jen sa tü -ras yon la rı nı mo ni tö ri ze ede rek en cid di komp likas yon olan so lu num dep res yo nu ve ap ne olu şu -mu nu er ken ta nı ma yı ve ön le me yi amaç la dık.…”

Section: 6unclassified

“…14 HKA ile mor fin alan ço cuk lar da ya pı lan ça lış -ma lar da bu lan tı kus ma in si dan sı %30-50 ara sın da ola rak ra por edil miş tir. 15 Ça lış ma mız da bu lan tı insi dan sı %68, kus ma in si dan sı ise %18 ola rak tes pit edil miş tir. Bu lan tı ve kus ma sı olan ço cuk la ra (HKA uy gu la nan 11 ço cu ğa, PSK uy gu la nan dört ço cu ğa uy gu lan mış tır) on dan set ron HCl di lal tı çö zü ne bi lir tab let (8 mg) ve ril miş ve şikâyet le ri 15-20 dk.…”

Section: 6unclassified

See 1 more Smart Citation

A Comparison of Continuous Sciatic Nerve Block and Patient Controlled Analgesia with Morphin for Postoperative Analgesia in Children Undergoing Major Foot Surgery

Saricaoglu¹,

Ayhan²,

Aycan³

et al. 2010

Turkiye Klinikleri J Med Sci

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“…In general, the majority of children five to six years of age and older can successfully use a PCA (27). Although there is support for the practice of nurse-controlled analgesia, there is some concern expressed about the use of parent-controlled analgesia in pediatrics (39,40). However, in an end-of-life situation, a child may be too weak or too sick to activate the pump.…”

Section: Pain Managementmentioning

confidence: 99%

Ensuring Pain Relief for Children at the End of Life

Grégoire

Frager

2006

Pain Research and Management

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Pain management in the context of pediatric palliative care can be challenging. The present article reviews, through a case-based presentation, the nonpharmacological and pharmacological methods used to ensure adequate pain control in children facing end of life. Details on the impressive range of opioid dosages required and routes of administration are highlighted from published literature and clinical experience. Where available, evidence-based recommendations are provided. Potential side effects of pain medication and barriers to good pain control are discussed. Novel analgesics and innovative delivery methods are presented as future tools enhancing pain relief at the end of life. Some challenges to ethically grounded research in this important context of care are reviewed. A lthough applicable to pain management and palliative care broader than that faced at the end of life, the present article is largely focused on this narrower context of care. Pediatric palliative care is defined as the active and total approach to care, embracing physical, psychological and spiritual elements, focusing on enhancement of quality of life for the child and support for the family (1). It is not limited to end-of-life or terminal care but rather has a broader, more inclusive approach and integrates palliative care concurrently with curative-oriented goals. There is a wide range of lifethreatening diseases affecting children, and the palliative care team may be involved for years. The present article focuses on the management of pain at the end of life, which may extend from days to months. The understanding necessary within the team to ensure excellence when caring for infants, children and adolescents at the end of life is highlighted. Aspects of pain assessment are largely addressed by other authors within this special section of Pain Research & Management.Children of all countries are faced with life-threatening conditions. In North America, more than one-half of pediatric deaths occur in children younger than one year of age, with congenital malformations, chromosomal abnormalities, and disorders related to prematurity or low birth weight constituting the main causes (2). For the older population of children, unintentional injuries and homicide are the main causes of death, where the lack of time or the context may preclude the inclusion of palliative care (2). The next largest grouping of illnesses resulting in childhood death is cancer (2), followed by a myriad of diverse conditions. There is a paucity of data in the literature about the main symptoms experienced by children whose deaths are disease related.In a United States-based study (3) of children who died of cancer, the four main symptoms reported in the last month of life were fatigue, pain, dyspnea and poor appetite. Of more than 80% of the children having pain, relief was achieved in only 27% of the cases. A similar study from Australia (1) examined symptom prevalence and characteristics in 30 inpatients whose deaths were predominantly secondary to cancer. The...

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The Safety and Efficacy of Parent-/Nurse-Controlled Analgesia in Patients Less than Six Years of Age

Cited by 73 publications

References 21 publications

Postoperative Pain Management in Urology

Postoperative Pain Management in Urology

A Comparison of Continuous Sciatic Nerve Block and Patient Controlled Analgesia with Morphin for Postoperative Analgesia in Children Undergoing Major Foot Surgery

Ensuring Pain Relief for Children at the End of Life

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