Thursday, December 19, 2013

New technique for reducing postoperative pain in children

Children who have had major urological procedures benefited postoperatively from locally infused anesthetics delivered using the ON-Q pain relief system, researchers from the Children's Hospital of Orange County say.


The results, published in the Journal of Pediatric Urology, also showed that the kids experienced less postoperative pain, needed fewer narcotic interventions and enjoyed a shortened recovery time.


A total of 40 children were chosen for the study, all of whom were undergoing major urological operations.


The children were divided into two groups, one of which received the standard postoperative treatment of intravenous and oral analgesics. The remaining 20 children were treated using the ON-Q system.


The system delivers a continuous infusion of local anesthetic directly into the surgical wound, via a catheter. The catheter is designed to be "leaky" so the flow of anesthetic can cover a large area. And because it is an automatic and continuous supply, there is no need for caregivers to adjust the dosage.


Staff nurses assessed the children's experience of pain using the Visual Analog Scale (VAS) or Face, Legs, Activity, Cry, Consolability Scale (FLACC), depending on the child's age.


Analgesic consumption was recorded together with recovery parameters, such as temperature, start of oral nutrition and length of hospital stay.


Less postoperative pain with ON-Q system


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