Analgesia pós-operatória para crianças com menos de 1 ano. Análise retrospectiva

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dc.contributor.authorDo Nascimento Jr., Paulo [UNESP]
dc.contributor.authorMódolo, Norma Sueli Pinheiro [UNESP]
dc.contributor.authorRodrigues Jr., Geraldo Rolim [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2022-04-28T19:55:36Z
dc.date.available2022-04-28T19:55:36Z
dc.date.issued2002-11-01
dc.description.abstractBackground and Objectives - Postoperative pain is still a major complication causing discomfort, especially for children. This study aimed at evaluating the use of analgesics from surgery completion to postoperative intensive care unit (PACU) discharge as a prophylactic or therapeutic approach for children less than 1 year of age. Methods - Based on the Anesthesiology Department files, a retrospective analysis was performed with children less than 1 year of age submitted to different surgical procedures from January/2000 to April/2001, to evaluate postoperative analgesia-related aspects. Results - During the study period, 402 children aged less than 1 year were anesthetized. From those, 194 (48.2%) were not medicated with analgesics and 208 (51.8%) were. As to using or not analgesics, the following was observed: Without analgesics: (1) Age: up to 1 month, 68/99; between 1 and 6 months, 53/126; from 6 months to 1 year, 73/177. (2) Weight: 6.7±3.1 kg. (3) Gender: male, 106/240; female, 88/162. (4) ASA Physical Status: ASA I, 69/187; ASA II, 56/113; ASA III, 46/79; ASA IV, 23/23. (5) Caudal anesthesia: 3/4. (6) Anesthesia duration: 106 ± 32 minutes. (7) Referral to intensive care unit (ICU): 93/119. With analgesics: (1) Age: up to 1 month, 31/99; between 1 and 6 months, 73/126; from 6 months to 1 year, 104/177. (2) Weight: 9 ± 2.3 kg. (3) Gender: male, 134/240; female, 74/162. (4) ASA Physical Status: ASA I, 118/187; ASA II, 57/113; ASA III, 33/79; ASA IV, 0/23. (5) Caudal anesthesia: 1/4. (6) Anesthesia duration: 130 ± 38 minutes. (7) Referral to ICU: 26/119. Analgesic drugs used were: dipyrone (60.6%), dipyrone + tramadol (25.5%), dipyrone + nalbuphine (5.3%), tramadol (3.8%), nalbuphine (3.8%), meperidine (0.5%) and fentanyl (0.5%). Conclusions - Analgesics prescription for children, from surgery completion to PACU discharge, was not usual, especially in younger and more severely ill children and in shorter surgical procedures. Dipyrone, alone, and the association dipyrone/tramadol were the most frequent drugs used.en
dc.description.affiliationDepto. Anestesiologia da FMB-UNESP, Distrito de Rubião Junior, 18618-970 Botucatu, SP
dc.description.affiliationUnespDepto. Anestesiologia da FMB-UNESP, Distrito de Rubião Junior, 18618-970 Botucatu, SP
dc.format.extent739-746
dc.identifier.citationRevista Brasileira de Anestesiologia, v. 52, n. 6, p. 739-746, 2002.
dc.identifier.issn0034-7094
dc.identifier.scopus2-s2.0-0036856832
dc.identifier.urihttp://hdl.handle.net/11449/224284
dc.language.isopor
dc.language.isoeng
dc.relation.ispartofRevista Brasileira de Anestesiologia
dc.sourceScopus
dc.subjectAnesthesia, Pediatric
dc.subjectPain, Acute: postoperative
dc.titleAnalgesia pós-operatória para crianças com menos de 1 ano. Análise retrospectivapt
dc.title.alternativePostoperative analgesia in children less than 1 year of age. A retrospective analysisen
dc.typeArtigo

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