Bremont-Panes DA, Torres-Mata LY, Ham-Mancilla O

Language: Spanish
References: 12
Page: 147-149
PDF size: 856.07 Kb.

ABSTRACT

Introduction: post-surgical pain and its control is really important for a faster recovery; anesthesiologists currently have tools that prevent it and that have given good results in adults, such as elastomeric pump; studies who evaluate its use in children are needed. Objectives: to evaluate the analgesic control of the use of the epidural elastomeric pump in pediatric patients undergoing urological surgery. Material and methods: retrospective, observational, cross-sectional, descriptive, retrospective study. Data were collected from clinical records of patients under 10 years of age, male and female, who underwent urological surgeries. Results: there were 75 patients, 49 males (65.3%), with a mean age of 5.6 ± 2.4 years. The predominant surgery was pyeloplasty (26.6%). Pain was 2.3 (interquartile range 2.1-2.8) 13.3% required emergency analgesia. 1.3% had a prolonged hospital stay and 5.3% had delayed ambulation. No other complications occurred. Conclusions: epidural elastomeric pumps were safe and effective for pain control in children.

REFERENCES

1. Campos T, Eulufi S, Razmilic MAF, Hollstein KEG, Díaz IMMP, Merino WU, et al. Recomendación clínica "manejo del dolor agudo perioperatorio en niños". Rev Chil Anest. 2018;47:46-63.

2. Garibay F, Navarrete M, Castillo J, García F, Sánchez J. Cirugía urológica robótica. Primer serie pediátrica prospectiva en Latinoamérica. Rev Sanid Mil. 2018;72:281-288.

3. Tardáguila A, Romero R, Parente A, Rivas S, Fanjul M, Corona C, et al. Fast-track en urología infantil: nefrectomía en prono ambulatoria. Cir Pediatr. 2013;26:81-85.

4. Ayón-Villanueva H, Rivera-Ordoñez A, Guajardo-Rosas J, Juárez-Lemus Á, Chejne-Gómez F, Ramos-Alanís A. Esquemas de analgesia epidural para bombas de infusión. Rev Mex Anestesiol. 2017;40:207-209.

5. Lovich-Sapola J, Smith CE, Brandt CP. Postoperative pain control. Surg Clin North Am. 2015;95:301-318.

6. Michalek C, Carson SL. Implementing barcode medication administration and smart infusion pumps is just the beginning of the safety journey to prevent administration errors. Farm Hosp. 2020;44:114-121.

7. Interiano A. Uso de las bombas de perfusión elastoméricas para el dolor de la fractura costal. Nurs (Ed española). 2012;30:48-49.

8. García-Arreola DAP. Infusiones epidurales para el manejo del dolor postoperatorio en pediatría TT. Anest México. 2019;31:34-42. Disponible en: https://www.scielo.org.mx/pdf/am/v31n2/2448-8771-am-31-02-34.pdf

9. Ziesenitz VC, Vaughns JD, Koch G, Mikus G, Care I. Pharmacokinetics of fentanyl and its derivatives in children: a comprehensive review. Clin Pharmacokinet. 2019;57:125-149.

10. Orellana-Centeno JE, Morales-Castillo V, Gonzáles-Osorio M. Escala visual análoga Wong-Baker FACES^® y su utilidad en la odontología infantil. Salud y Adm. 2018;5:51-57. Disponible en: https://revista.unsis.edu.mx/saludyadmon/es/article/view/117/106

11. Garra G, Singer A, Domingo A, Thode H. The Wong-Baker pain FACES scale measures pain, not fear. Pediatr Emerg Care. 2013;29:17-20.

12. Karnik PP, Dave NM, Garasia M. Comparison of analgesic efficacy and safety of continuous epidural infusion versus local infiltration and systemic opioids in video-assisted thoracoscopic surgery decortication in pediatric empyema patients. Saudi J Anaesth. 2018;12:240-244.