Cause of maximum pain in hospitalized children and adolescents - A pilot project
© Heitzeneder et al. 2015
Published: 30 October 2015
In recent years, much has been achieved in interdisciplinary cooperation concerning pain management and pain therapy with children and adolescents . Key points were the age-appropriate assessment of pain at rest, on movement and maximum pain and their adequate treatment . But there exist only few data concerning the reasons for maximum pain in children and adolescents [3, 4]. This pilot study investigates this issue in children and adolescents from admission to discharge.
Material and methods
For this exploratory pilot study, children and adolescents aged 11-18 years, which had a surgical intervention at the Department of Paediatric and Adolescent Surgery of the University of Graz, were interviewed by using a semi-structured interview guide. A descriptive analysis of the frequency of reported causes for the maximum pain and an examination of the relationships between the different types of surgery and the maximum pain followed.
A total of 41 patients were included in this study. The most common reasons of maximum pain was the preoperative period (n = 8), followed by preoperative manual examinations (n = 4) and the first mobilization attempts postoperatively (n = 4). The most frequent and painful surgery were appendectomy (n = 9), followed by knee arthroscopy and surgeries (n = 6). Osteosyntheses of upper limb fractures were less painful.
The reasons for maximum pain regarding different types of surgery found in adults and children/adolescents, could be also confirmed in children and young people aged 11-18 years. The preoperative period as well as the preoperative manual examinations and the first mobilization attempts postoperatively represent new approaches for a future closer research.
- Messerer B, Sandner-Kiesling A: Organization of pediatric pain management: Austrian interdisciplinary recommendations for pediatric perioperative pain management. Schmerz. 2014, 28 (1): 14-24.PubMedView ArticleGoogle Scholar
- Messerer B, Gutmann A, Vittinghoff M, et al: Postoperative pain assessment in special patient groups: part I+II. Schmerz. 2011, 25 (3): 245-65.PubMedView ArticleGoogle Scholar
- Balga I, Konrad C, Meissner W: Postoperative Qualitätsanalyse bei Kindern: Schmerz sowie postoperative Übelkeit und Erbrechen. Anaesthesist. 2013, 62: 707-19.PubMedView ArticleGoogle Scholar
- Stewart DW, Ragg PG, Sheppard S, et al: The severity and duration of postoperative pain and analgesia requirements in children after tonsillectomy, orchidopexy, or inguinal hernia repair. Paediatr Anaesth. 2012, 22: 136-43.PubMedView ArticleGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.