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Postoperative Analgetic Profile in Pediatric Patients at Dr. Kariadi Hospital

1Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Dr. Kariadi General Hospital, Semarang, Indonesia

2Faculty of Medicine, Diponegoro University, Semarang, Indonesia

3K.R.M.T Wongsonegoro Regional Public Hospital, Semarang, Indonesia

Received: 12 Feb 2024; Revised: 27 Feb 2024; Accepted: 3 Apr 2024; Published: 31 Mar 2024.

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Abstract

Background: Pain management is pivotal for pediatric patients post-surgery due to its common occurrence and significant impact on well-being. Effective management involves considerations such as surgical type, analgesic selection, and proper pain assessment.

Objective: Knowing the profile of postoperative analgesia in pediatric patients at Dr. Kariadi Hospital using pain assessment instruments based on age classification.

Method: Employing an observational descriptive approach with a prospective cohort design, the study sampled 172 pediatric patients across varying pain severity levels. Utilizing total sampling, patients were assessed using age-specific pain instruments. Descriptive statistics were utilized to describe patients' characteristics, as well as the attributes of analgesic effectiveness concerning age, surgery type, and drugs administered. Texts and tables were employed to present the results.

Results: Sampling on 172 patients with grouping based on the type of surgery that causes mild, moderate, and severe pain. Pain scales and analgesics were recorded at 4 moments: (1) when entering the recovery room; (2) leaving the recovery room; (3) 8 hours and (4) 24 hours postoperative. The results showed that the highest use of analgesics was paracetamol alone (59.9%); analgesic effectiveness in the mild pain surgery 97.2-98.6%; moderate pain 92.2-98.9%, and severe pain 90.9-100%.

Conclusion: Postoperative analgesic utilization in pediatric patients at Dr. Kariadi Hospital is generally adequate, predominantly relying on paracetamol. However, enhancements are needed to optimize pain management, particularly for moderate-to- severe pain cases. Strategies to improve analgesic effectiveness should be pursued to ensure comprehensive pain relief for pediatric surgical patients.

 

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Keywords: analgesic; analgetic profile; analgetic effectiveness; pediatric; postoperative

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