https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=29352738&retmode=xml&tool=Litmetric&email=readroberts32@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09 293527382018112620181126
1460-95922832018MarPaediatric anaesthesiaPaediatr AnaesthPersistent pain following common outpatient surgeries in children: A multicenter study in Italy.231236231-23610.1111/pan.13321The prevalence of persistent postsurgical pain in children is over 20% after major surgeries; however, data are scarce on the prevalence, character, and risk factors among children undergoing common ambulatory surgeries. The primary aim of this study was to evaluate the prevalence of persistent pain following pediatric ambulatory surgery at 1, 3, and 6 months. Secondary aims were to identify risk factors and characterize the pain and consequences of persistent postsurgical pain.ASA I-II, ages 1 month to 16 years old, undergoing elective hypospadias repair, herniorraphy, orchiopexy, and orthopedic surgery were enrolled in a prospective, longitudinal, observational study at 3 pediatric centers in Italy. All patients received general plus regional anesthesia. Postoperative pain was evaluated using age appropriate pain scales at 1 and 3 hours. At 1, 3, and 6 months, pain scores were obtained and Parent's Postoperative Pain Measures (<8 yo) and Child Activity Limitations Interview (>8 yo) surveys were administered.About 350 patients completed the study. The prevalence of pain at 1, 3, and 6 months was 24% (84/350), 6.0% (21/350), and 4.0% (14/350), respectively. Inguinal herniorraphy patients experienced significantly higher pain at all 3-time points; 35.6%, 14.9%, and 9.2%. There was no significant association between mean pain scores >4 in PACU and persistent pain. Pain persisting at 6 months had neuropathic characteristics and frequently interfered with daily activities and sleep.Our data support the presence of persistent pain in pediatric patients after common surgeries. Most patients who developed persistent pain at 6 months had pain at 1 month. We recommend questioning at follow-up visit about persistent pain and functional impairment with follow-up until resolution.© 2018 John Wiley & Sons Ltd.MossettiValeriaV0000-0002-7862-4863Department of Anesthesia and Intensive Care, Città Della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy.BoretskyKarenKDepartment of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.AstutoMarinellaMDepartment of Anesthesia and Intensive Care, Vittorio Emanuele University Hospital, Catania, Italy.LocatelliBruno GBGDepartment of Anesthesia and Intensive Care, Papa Giovanni XXIII Hospital, Bergamo, Italy.ZurakowskiDavidDDepartment of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.LioRodolfoRDepartment of Anesthesia and Intensive Care, Città Della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy.NicolettiRobertaRDepartment of Anesthesia and Intensive Care, Vittorio Emanuele University Hospital, Catania, Italy.SonzogniValterVDepartment of Anesthesia and Intensive Care, Papa Giovanni XXIII Hospital, Bergamo, Italy.MaffiolettiMicolMDepartment of Anesthesia and Intensive Care, Papa Giovanni XXIII Hospital, Bergamo, Italy.VicchioNoemiNDepartment of Anesthesia and Intensive Care, Città Della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy.IvaniGiorgioGDepartment of Anesthesia and Intensive Care, Città Della Salute e della Scienza, Regina Margherita Children's Hospital, Torino, Italy.engJournal ArticleMulticenter StudyObservational Study20180120
FrancePaediatr Anaesth92065751155-5645IMJ Urol. 2019 Jan;201(1):19. doi: 10.1097/01.ju.0000550135.66128.e930577357AdolescentAmbulatory Surgical Proceduresadverse effectsstatistics & numerical dataAnesthesia, ConductionChildChild, PreschoolChronic PainepidemiologyFemaleHernia, InguinalcomplicationssurgeryHerniorrhaphyadverse effectsHumansInfantItalyepidemiologyLongitudinal StudiesMalePain MeasurementPain, PostoperativeepidemiologyPrevalenceProspective StudiesRisk FactorsSurveys and Questionnairesambulatory surgerychildrenpediatric anesthesiapersistent postoperative painregional anesthesiasurgery
201712142018121602018112760201812160ppublish2935273810.1111/pan.13321