Introduction: Wound dressing, a procedure that pediatric patients are commonly exposed to postoperatively, can cause strong physiological and pain behavioral responses despite being brief. This study evaluated the effects of using 24% sucrose plus a pacifier versus a pacifier alone to reduce the pain response from dressing wounds in neonates and infants.
Materials And Methods: Thirty-two neonates and infants who underwent surgery and required postoperative wound dressing were randomized to a pacifier group ( = 16) and a 24% sucrose plus pacifier group ("sucrose group"; = 16).
Background And Purpose: Neuropathic pain (NeuP) associated with traumatic brachial plexus injury (BPI) can be severe, persistent, and resistant to treatment. Moreover, comorbidity associated with NeuP may worsen the pain and quality of life. This study compared persistent NeuP after BPI between patients with and without co-morbid conditions (psychiatric dysfunction and other painful conditions) and tramadol usage as a second-line agent in combination with an antiepileptic and/or antidepressant during a 2-year follow-up.
View Article and Find Full Text PDFObjective: To investigate the effects of restrictive fluid regimen during major abdominal surgery in pediatric patients.
Background: In adults, a restrictive and goal-directed regimen as opposed to a liberal-fluid regimen results in better outcomes after various major surgical procedures. The different ratio of body fluid distribution in pediatric patients from those of adults may influence different needs of fluid.
Background And Objectives: Opioid is the gold standard for treating moderate-to-severe pain in pediatric patients. However, its undesirable side effects lead to unsatisfied postoperative pain management outcome (Pediatr Anesth, 17, 2007, 756). The most commonly reported opioid-related side effects are vomiting (40%), pruritus (20-60%) (Anesthesiology, 77, 1992, 162; Drugs, 67, 2007, 2323), and constipation (15-90%) (Int J Clin Pract, 61, 2007, 1181).
View Article and Find Full Text PDFPurpose: This study was designed to determine the incidence of oxygen desaturation after upper abdominal surgery during the first 48 hr on general surgical wards and also to identify risk factors for oxygen desaturation.
Methods: This descriptive study was conducted in 206 patients not expected to receive supplemental oxygen postoperatively who were undergoing upper abdominal surgery in a tertiary care university hospital. Desaturation was classified either as constant, i.