• J Child Health Care · Sep 2007

    Randomized Controlled Trial

    Parental assessment and management of children's postoperative pain: a randomized clinical trial.

    • Vanessa Unsworth, Linda S Franck, and Imti Choonara.
    • Academic Division of Child Health, University of Nottingham, Derby, UK.
    • J Child Health Care. 2007 Sep 1;11(3):186-94.

    AbstractAs day case surgery increases, one needs to improve the management of pain in children at home. This study wished to determine whether the use of a self-report pain scale would result in children receiving more analgesia. Eighty-eight children aged four to 12 years undergoing tonsillectomy, whose parents agreed they could participate, were randomly assigned into two groups. Group A received the routine postoperative advice and a three-day prescription of paracetamol, ibuprofen and codeine. In addition, group B used the Wong-Baker Faces Pain Scale. Seventy-two children completed the study. There was no difference in the total number of analgesics administered to children in the two groups (p = 0.26, Mann- Whitney U-test). It appears that a self-report pain scale does not improve the postoperative management of pain in children at home.

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