Pediatric pain after ambulatory surgery: where's the medication?

Abstract:

OBJECTIVE:The purpose of this controlled study was to provide a description of children's postoperative pain, including pain intensity and analgesic consumption. METHODS:Participants included 261 children, 2 to 12 years of age, undergoing routine tonsillectomy and adenoidectomy surgery. Baseline and demographic data were collected before surgery, and a standardized approach to anesthesia and surgical procedures was used. Pain and analgesic consumption were recorded for 2 weeks at home. RESULTS:On the first day at home, although parents rated 86% of children as experiencing significant overall pain, 24% of children received 0 or just 1 medication dose throughout the entire day. On day 3 after surgery, although 67% of children were rated by parents as experiencing significant overall pain, 41% received 0 or 1 medication dose throughout the entire day. CONCLUSIONS:We conclude that a large proportion of children receive little analgesic medication after surgery and research efforts should be directed to the discrepancy between high ratings of postoperative pain provided by parents and the low dosing of analgesics they use for their children.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Fortier MA,MacLaren JE,Martin SR,Perret-Karimi D,Kain ZN

doi

10.1542/peds.2008-3529

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

e588-95

issue

4

eissn

0031-4005

issn

1098-4275

pii

peds.2008-3529

journal_volume

124

pub_type

杂志文章
  • Renal transplantation in children ages 1 to 5 years.

    abstract::Renal transplantation was carried out in 21 children ages 1 to 5 years. Eighteen received grafts from a living, related donor (LRD). Four children died, one following rejection, and three because of infection. Five children lost their initial grafts and two have received new transplants. Cumulative patient survival tw...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.61.3.458

    authors: Hodson EM,Najarian JS,Kjellstrand CM,Simmons RL,Mauer SM

    更新日期:1978-03-01 00:00:00

  • Early diagnosis of coarctation of the aorta in children: a continuing dilemma.

    abstract:UNLABELLED:Because late repair of coarctation of the aorta (COA) is associated with premature cardiovascular disease in adult life, early detection and treatment is important. OBJECTIVES:To determine the timing of referral to see whether early detection of COA has improved in the past decade, to evaluate the pattern o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ing FF,Starc TJ,Griffiths SP,Gersony WM

    更新日期:1996-09-01 00:00:00

  • Validity of Newborn Clinical Assessment to Determine Gestational Age in Bangladesh.

    abstract:BACKGROUND:Gestational age (GA) is frequently unknown or inaccurate in pregnancies in low-income countries. Early identification of preterm infants may help link them to potentially life-saving interventions. METHODS:We conducted a validation study in a community-based birth cohort in rural Bangladesh. GA was determin...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-3303

    authors: Lee AC,Mullany LC,Ladhani K,Uddin J,Mitra D,Ahmed P,Christian P,Labrique A,DasGupta SK,Lokken RP,Quaiyum M,Baqui AH,Projahnmo Study Group.

    更新日期:2016-07-01 00:00:00

  • Fecal bacteriotherapy for relapsing Clostridium difficile infection in a child: a proposed treatment protocol.

    abstract::Clostridium difficile infection (CDI) is a potentially serious emerging infectious disease. The incidences of CDI in childhood and CDI cases complicated by relapses have increased by 50% or more in North America during the past 2 decades. We report here the case of a 2-year-old child with relapsing CDI caused by the e...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-3363

    authors: Russell G,Kaplan J,Ferraro M,Michelow IC

    更新日期:2010-07-01 00:00:00

  • Breastfeeding and developmental delay: findings from the millennium cohort study.

    abstract:OBJECTIVE:We investigated whether the duration and exclusivity of breastfeeding affects the likelihood of gross and fine motor delay in infants and examined the effect of factors that might explain any observed differences. METHODS:The study sample included all term singleton infants who weighed > 2500 g at birth and ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-3141

    authors: Sacker A,Quigley MA,Kelly YJ

    更新日期:2006-09-01 00:00:00

  • A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination.

    abstract:OBJECTIVE:A human papillomavirus vaccine was licensed in June 2006. The vaccine is quadrivalent, protecting against 2 human papillomavirus strains that cause cervical cancer and 2 that cause genital warts. The objective of this study was to determine physician characteristics, knowledge, and attitudes associated with a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1946

    authors: Daley MF,Liddon N,Crane LA,Beaty BL,Barrow J,Babbel C,Markowitz LE,Dunne EF,Stokley S,Dickinson LM,Berman S,Kempe A

    更新日期:2006-12-01 00:00:00

  • Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children.

    abstract:OBJECTIVE:To examine complaints for which children were referred to a pediatric rheumatology service and to determine whether there are specific complaints that are more likely to indicate the presence of chronic arthritis or chronic, systemic inflammatory disease. METHODS:A retrospective chart review of 414 children ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.2.354

    authors: McGhee JL,Burks FN,Sheckels JL,Jarvis JN

    更新日期:2002-08-01 00:00:00

  • An elementary school-based health clinic: can it reduce medicaid costs?

    abstract:OBJECTIVE:School-based health services have evolved from primarily controlling communicable disease to comprehensive programs with direct services, education, and improvement of the school environment. School-based health clinics (SBHCs), currently 1157 in number, are used to reach children for preventive and other rou...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.105.4.780

    authors: Adams EK,Johnson V

    更新日期:2000-04-01 00:00:00

  • Preimmunization anti-pneumococcal antibody levels are protective in a majority of patients with cystic fibrosis.

    abstract:OBJECTIVE:Although invasive pneumococcal disease is infrequent in cystic fibrosis (CF), it is recommended that all patients with CF receive pneumococcal immunization. As part of a comprehensive program to immunize our clinic population, we obtained preimmunization anti-pneumococcal antibody levels. We hypothesized that...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.4.e62

    authors: Lahiri T,Waltz DA

    更新日期:2001-10-01 00:00:00

  • Trends in mortality and morbidity for very low birth weight infants, 1991-1999.

    abstract:BACKGROUND:Medical care for very low birth weight (VLBW) infants and their mothers has changed dramatically during the 1990s, yet it is unclear how these changes have affected mortality and morbidity. OBJECTIVE:We used the Vermont Oxford Network Database to identify trends in clinical practice and patient outcomes for...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.110.1.143

    authors: Horbar JD,Badger GJ,Carpenter JH,Fanaroff AA,Kilpatrick S,LaCorte M,Phibbs R,Soll RF,Members of the Vermont Oxford Network.

    更新日期:2002-07-01 00:00:00

  • Thyroid screening for early discharged infants.

    abstract:OBJECTIVE:As neonatal discharge before 24 hours of life becomes commonplace, the rejection of congenital hypothyroidism (CH) screening specimens obtained too early has created the need for numerous additional tests. We sought to determine whether the specimens obtained before 24 hours could be used safely. METHODS:Dur...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Saslow JG,Post EM,Southard CA

    更新日期:1996-07-01 00:00:00

  • Risk for PHACE syndrome in infants with large facial hemangiomas.

    abstract:OBJECTIVES:This study was conducted to determine the prevalence of posterior fossae of the brain, arterial anomalies, cardiac anomalies, and eye anomalies (PHACE) in infants with large facial hemangiomas. The extracutaneous manifestations of PHACE may be associated with significant morbidity, and the prevalence of PHAC...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-3166

    authors: Haggstrom AN,Garzon MC,Baselga E,Chamlin SL,Frieden IJ,Holland K,Maguiness S,Mancini AJ,McCuaig C,Metry DW,Morel K,Powell J,Perkins SM,Siegel D,Drolet BA

    更新日期:2010-08-01 00:00:00

  • Decreasing PICU catheter-associated bloodstream infections: NACHRI's quality transformation efforts.

    abstract:OBJECTIVE:Despite the magnitude of the problem of catheter-associated bloodstream infections (CA-BSIs) in children, relatively little research has been performed to identify effective strategies to reduce these complications. In this study, we aimed to develop and evaluate effective catheter-care practices to reduce pe...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2009-1382

    authors: Miller MR,Griswold M,Harris JM 2nd,Yenokyan G,Huskins WC,Moss M,Rice TB,Ridling D,Campbell D,Margolis P,Muething S,Brilli RJ

    更新日期:2010-02-01 00:00:00

  • Prolonged episodes of hypoxemia in preterm infants undetectable by cardiorespiratory monitors.

    abstract:OBJECTIVE:To determine whether episodes of prolonged hypoxemia occur without prolonged apneic pauses (> or = 20 seconds) and without bradycardia (pulse rate, < or = 100 beats per minute) in apparently well preterm infants. METHODS:Long-term recordings of arterial oxygen saturation as measured by pulse oximetry (SpO2),...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Poets CF,Stebbens VA,Richard D,Southall DP

    更新日期:1995-06-01 00:00:00

  • Long-term pulmonary sequelae in children who were treated with extracorporeal membrane oxygenation for neonatal respiratory failure.

    abstract:OBJECTIVE:Extracorporeal membrane oxygenation (ECMO) is a life-saving therapy for neonates with intractable respiratory failure, but the long-term pulmonary outcome is unknown. Our aim was to investigate the long-term pulmonary sequelae of these children. STUDY DESIGN:We studied 50 children at 11.1 +/- 1.1 years (mean...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2003-1080-L

    authors: Hamutcu R,Nield TA,Garg M,Keens TG,Platzker AC

    更新日期:2004-11-01 00:00:00

  • Fatal hepatitis B in early infancy: the importance of identifying HBsAg-positive pregnant women and providing immunoprophylaxis to their newborns.

    abstract::Infants born to women who are asymptomatic hepatitis B surface antigen (HBsAg) carriers frequently acquire hepatitis B virus infection in infancy. The spectrum of disease in such affected infants includes mild transient acute hepatitis B, chronic active hepatitis with or without cirrhosis, chronic persistent hepatitis...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Delaplane D,Yogev R,Crussi F,Shulman ST

    更新日期:1983-08-01 00:00:00

  • Flunisolide aerosol for treatment of severe, chronic asthma in steroid-independent children.

    abstract::The efficacy and safety of flunisolide aerosol were studied in 46 steroid-independent children with asthma inadequately controlled by nonsteroid drugs. This was a double-blind, placebo-controlled, parallel study lasting eight weeks. Patients were randomly assigned either flunisolide by inhalation, 0.5 mg twice a day, ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Meltzer EO,Kemp JP,Orgel HA,Izu AE

    更新日期:1982-03-01 00:00:00

  • Free Tax Services in Pediatric Clinics.

    abstract:OBJECTIVES:The earned income tax credit (EITC), refundable monies for America's working poor, is associated with improved child health. Yet, 20% of eligible families do not receive it. We provided free tax preparation services in clinics serving low-income families and assessed use, financial impact, and accuracy. MET...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-3608

    authors: Marcil LE,Hole MK,Wenren LM,Schuler MS,Zuckerman BS,Vinci RJ

    更新日期:2018-06-01 00:00:00

  • Biphasic anaphylactic reactions in pediatrics.

    abstract:OBJECTIVES:The objectives of this study were to: 1) determine the incidence of biphasic reactions in children with anaphylaxis; 2) establish what risk factors can predict progression to a biphasic reaction; and 3) assess the utility of inpatient observation for patients whose anaphylaxis appears to have resolved. METH...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.4.762

    authors: Lee JM,Greenes DS

    更新日期:2000-10-01 00:00:00

  • Evaluation and treatment of the human immunodeficiency virus-1--exposed infant.

    abstract::In developed countries, care and treatment are available for pregnant women and infants that can decrease the rate of perinatal human immunodeficiency virus type 1 (HIV-1) infection to 2% or less. The pediatrician has a key role in prevention of mother-to-child transmission of HIV-1 by identifying HIV-exposed infants ...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引

    doi:10.1542/peds.114.2.497

    authors: King SM,American Academy of Pediatrics Committee on Pediatric AIDS.,American Academy of Pediatrics Infectious Diseases and Immunization Committee.

    更新日期:2004-08-01 00:00:00

  • Successful treatment of bowenoid papulosis in a 9-year-old girl with vertically acquired human immunodeficiency virus.

    abstract::A 9-year-old black girl with vertically acquired human immunodeficiency virus (HIV) and no history of condyloma acuminata presented with a 4-year history of enlarging and spreading dark brown flat papules in the perineum. Some of the lesions were confluent and extended from the clitoris to the labia majora and posteri...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.112.1.e73

    authors: Godfrey JC,Vaughan MC,Williams JV

    更新日期:2003-07-01 00:00:00

  • Stakeholder Perspectives on Research and Practice in Autism and Transition.

    abstract:OBJECTIVES:Individuals with autism spectrum disorder (ASD) are reported to experience significant challenges during the transition to adulthood. Although recent evidence indicates that individuals with ASD experience poor outcomes in adulthood, little is understood about the contributing factors. In this qualitative st...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-4300F

    authors: Kuo AA,Crapnell T,Lau L,Anderson KA,Shattuck P

    更新日期:2018-04-01 00:00:00

  • Clinical features and epidemiology of invasive Kingella kingae infections in southern Israel.

    abstract:OBJECTIVE:To characterize the clinical spectrum and epidemiology of invasive Kingella kingae infections in children living in southern Israel. DESIGN:Five-year observational, descriptive study. POPULATION:Children in whom K. kingae was isolated from blood or other normally sterile body fluid. RESULTS:Twenty-five pat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Yagupsky P,Dagan R,Howard CB,Einhorn M,Kassis I,Simu A

    更新日期:1993-12-01 00:00:00

  • Reducing Variation in the Management of Apnea of Prematurity in the Intensive Care Nursery.

    abstract:BACKGROUND:Premature infants have bradycardia and/or desaturation events due to apnea of prematurity that resolve as the infants mature. Despite American Academy of Pediatrics guidelines recommending a standard "event-free" period before discharge, length of observation in our Intensive Care Nursery was variable. By Ju...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-0861

    authors: Coughlin K,Posencheg M,Orfe L,Zachritz W,Meadow J,Yang K,Christ L

    更新日期:2020-02-01 00:00:00

  • Preterm Birth and Poor Fetal Growth as Risk Factors of Attention-Deficit/ Hyperactivity Disorder.

    abstract:BACKGROUND:Previous studies have shown an association between prematurity and attention- abstract deficit/hyperactivity disorder (ADHD). Results concerning late preterm infants are controversial, and studies examining fetal growth represented by weight for gestational age are scarce. Our objective was to examine the as...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-1043

    authors: Sucksdorff M,Lehtonen L,Chudal R,Suominen A,Joelsson P,Gissler M,Sourander A

    更新日期:2015-09-01 00:00:00

  • A review of five years' experience with rubella vaccine in the United States.

    abstract::National morbidity figures show a decline in reported rubella and congenital rubella syndrome since 1969, concurrent with widespread use of rubella vaccine. In addition, no nationwide outbreak, such as the 1963-1964 epidemic, has occurred, though on the basis of long-term secular trends, one would be expected between ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Modlin JF,Brandling-Bennett AD,Witte JJ,Campbell CC,Meyers JD

    更新日期:1975-01-01 00:00:00

  • Neurologic history and examination results and their relationship to human immunodeficiency virus type 1 serostatus in hemophilic subjects: results from the hemophilia growth and development study.

    abstract::In a prospective study of the growth and neuropsychologic function of hemophilic subjects, 333 boys, median age of 12.3 years, had baseline neurologic examinations. The study population included 207 individuals (62%) who were seropositive for human immunodeficiency virus type 1 (HIV-1). Overall results indicated that ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Bale JF Jr,Contant CF,Garg B,Tilton A,Kaufman DM,Wasiewski W

    更新日期:1993-04-01 00:00:00

  • The Improving Renal Outcomes Collaborative: Blood Pressure Measurement in Transplant Recipients.

    abstract:BACKGROUND AND OBJECTIVES:Hypertension is highly prevalent in pediatric kidney transplant recipients and contributes to cardiovascular death and graft loss. Improper blood pressure (BP) measurement limits the ability to control hypertension in this population. Here, we report multicenter efforts from the Improving Rena...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2019-2833

    authors: Seifert ME,Dahale DS,Kamel M,Winterberg PD,Barletta GM,Belsha CW,Chaudhuri A,Flynn JT,Garro R,George RP,Goebel JW,Kershaw DB,Matossian D,Misurac J,Nailescu C,Nguyen CR,Pearl M,Pollack A,Pruette CS,Singer P,VanSick

    更新日期:2020-07-01 00:00:00

  • Trisomy 18 and complex congenital heart disease: seeking the threshold benefit.

    abstract::A prenatal diagnosis of ductal-dependent, complex congenital heart disease was made in a fetus with trisomy 18. The parents requested that the genetic diagnosis be excluded from all medical and surgical decision-making and that all life-prolonging therapies be made available to their infant. There was conflict among t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-3643

    authors: Boss RD,Holmes KW,Althaus J,Rushton CH,McNee H,McNee T

    更新日期:2013-07-01 00:00:00

  • Discordance between male and female deaths due to the respiratory distress syndrome.

    abstract::General neonatal mortality statistics and those for the respiratory distress syndrome (RDS) were examined for the State of Wisconsin from 1979 through 1982. The objectives were to ascertain whether there are differences in total neonatal mortality related to sex and birth weight, to determine the veracity of reported ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Perelman RH,Palta M,Kirby R,Farrell PM

    更新日期:1986-08-01 00:00:00