Articles: analgesia.
-
Review Comparative Study
The value of pre-emptive analgesia in the treatment of postoperative pain.
-
Although during the past few years more knowledge on pain and analgesia in the neonate has been acquired, adequate treatment is not always given. To achieve better understanding and treatment of pain in newborn infants, a review of pain perception and pain assessment is given as well as guidelines regarding its prevention and treatment. A proper assessment and an adequate relief of pain contributes to the quality of care for the newborn infant.
-
We reviewed the out-patient consultation notes of 136 pregnant women seen at the Ottawa Civic Hospital from 1985 to 1991 to evaluate the efficacy of an Obstetric Anaesthesia Assessment Clinic (OAC). In addition, their anaesthetic records from labour and delivery were reviewed. For each patient the reason for referral was recorded according to the involved organ system. ⋯ The OAC gave an opportunity for patient education regarding anaesthetic options for labour and delivery. The attending anaesthetist was provided with a risk assessment and anaesthetic management plan which was adhered to with only two exceptions. Finally, the obstetrician was given consistent advice regarding anaesthesia management that may affect obstetrical decisions.
-
The use of epidural fentanyl infusion with patient-controlled epidural analgesia (PCEA) is becoming popular for postoperative analgesia in adults. Its use has not been reported in the pediatric population. We report our initial experience with this technique in pediatric patients. ⋯ Analgesia was assessed as excellent or good in 78% of the patients, 91% in the thoracic catheter group and 57% in the lumbar catheter group (P < .02). Patients with thoracic catheters were more likely to need their infusion and PCEA doses decreased, whereas those with lumbar catheters more often needed their doses increased (P < .05). No patient had respiratory depression.(ABSTRACT TRUNCATED AT 250 WORDS)
-
Tijdschr Kindergeneeskd · Apr 1993
[Pediatric Pain Groups. Management related to pain in hospitalized children].
By means of multidisciplinary Pediatric Pain Groups in hospitals possibilities are created to implement recent knowledge about prevention of pain and relief of pain in children. The activities of these groups are amongst others: developing and testing pain protocols, applying systematic pain assessment and giving information about pediatric pain. These activities result in a reduction of pain in children and in prevention of needless suffering of pain in hospitalized children.