An audit of pain management following pediatric day surgery at British Columbia Children's Hospital.
A prospective audit of 225 children was conducted to evaluate current pain management strategies both in-hospital and at home following day surgery at British Columbia Children's Hospital (Vancouver, British Columbia). Anesthetic, postanesthetic care unit and surgical day care unit records were collected to generate in-hospital data. A telephone questionnaire was administered 48 h postdischarge for at home data. Pain reports and scores were significantly higher (P<0.01) at home compared with in-hospital. Children undergoing certain procedures were more likely to experience significant pain. Although good pain control was commonly achieved after surgery, improvements may be possible by increasing the use of multimodal analgesia, providing standardized written discharge instructions and using surgery-specific pediatric analgesia guidelines.
Queen's University, Canada.
Serena
S
Shum
Joanne
J
Lim
Trish
T
Page
Elizabeth
E
Lamb
Jennifer
J
Gow
John Mark
JM
Ansermino
Gillian
G
Lauder
D000293:Adolescent; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data*; D000698:Analgesia / Q000706:statistics & numerical data; D001955:British Columbia; D002648:Child; D002675:Child, Preschool; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D059408:Pain Management / Q000706:statistics & numerical data*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors