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2013, Number 3

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Rev Med Inst Mex Seguro Soc 2013; 51 (3)

Parental perception of their child´s pain tolerance and abdominal postoperative analgesic requirements

Larragoiti-Correa E, Rendón-Macías ME

Language: Spanish
References: 16
Page: 284-291
PDF size: 96.95 Kb.


ABSTRACT

Objective: to determine if child pain tolerance perceived by their parents could predict the difficulty for its post abdominal surgery control.
Methods: a prospective cohort study; children (3 to 16 years old) perceived as tolerant (PT) and non-tolerant to pain (NoPT). The analgesic plan was decided by their surgeons. We analyzed the level of pain (through Wong-Baker facial pain scale) and analgesic requirements (drug, dose modifications) immediately after recovery from anesthesia, 24 and 48 hours later.
Results: 62 patients were evaluated (34 PT and 28 NoPT). Since the recovery NoPT children requested more analgesics (42.9 % versus 2.9 %, p ‹ 0.001) and higher doses. At 24 hours, although 87 % received analgesia, NoTP children required extra doses (50 % versus 23.5 % PT, p = 0.03). After 48 hours, 83 % (PT) and 72 % (NoPT) kept receiving analgesia (p = 0.36) but the NoPT still asked for more rescue doses (46.7 % versus 14.7 %, p = 0.01).
Conclusions: it is important to identify children perceived as poor tolerant or no tolerant to pain before a painful procedure, in order to plan an efficient strategy for pain control.


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