DOI: https://doi.org/10.14710/jai.v16i1.62112

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.
Open Access Copyright 2024 JAI (Jurnal Anestesiologi Indonesia)

Citation Format:
Cover Image
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.

 

Note: This article has supplementary file(s).

Fulltext View|Download |  Research Instrument
Etichal Clearance
Subject
Type Research Instrument
  View (74KB)    Indexing metadata
 common.other
Graphical Abstract
Subject
Type Other
  View (931KB)    Indexing metadata
 common.other
Copyright Transfer Agreement
Subject
Type Other
  View (2MB)    Indexing metadata
Keywords: analgesic; analgetic profile; analgetic effectiveness; pediatric; postoperative

Article Metrics:

Article Info
Section: Original Articles
Language : EN
Recent articles
The Effects of Dexmedetomidine As an Adjuvant with Levobupivacaine To Epidural Analgesia on The Outcomes of Patients Undergoing Total Abdominal Hysterectomy Surgery Postoperative Analgetic Profile in Pediatric Patients at Dr. Kariadi Hospital Risk Factors of Post Dural Puncture Headache in Cesarean Section Patients: A Multivariate Analysis Study Anesthesia Management in Blalock-Taussig Shunt Procedure Case Report: Managing the Coinfection of Cerebral Malaria and Dengue in the Intensive Care Unit Ultrasound-Guided Supraorbital Nerve Block For Orbital Chronic Cancer Pain - A Case Report More recent articles
Most cited articles
Patofisiologi Penyakit Jantung Koroner Midazolam Intravena Dosis Rendah Tidak Mempengaruhi Nitric Oxide Intraperitoneal Mencit Balb/C Yang Terpapar Lipopolisakarida More cited articles
  1. Berde CB, Sethna NF. Analgesics for the treatment of pain in children. New England Journal of Medicine. 2002;347(14):1094–103
  2. Tamsuri A. Konsep dan penatalaksanaan nyeri. Jakarta: Egc. 2007;212
  3. Milewska MM, Horosz B, Ładyko AR. Pain free hospital: recommendation for the acute pain management in Poland. J Pain Relief. 2013;2(120):846–2167
  4. Lasky T, Ernst FR, Greenspan J. Use of analgesic, anesthetic, and sedative medications during pediatric hospitalizations in the United States 2008. Anesth Analg. 2012;115(5):1155–61
  5. Vittinghoff M, Lönnqvist P, Mossetti V, Heschl S, Simic D, Colovic V, et al. Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative). Pediatric Anesthesia. 2018;28(6):493–506
  6. Kotiniemi LH, Ryhänen PT, Valanne J, Jokela R, Mustonen A, Poukkula E. Postoperative symptoms at home following day-case surgery in children: a multicenter survey of 551 children. Anaesthesia [Internet]. 1997 Oct 1;52(10):963–9. Available from: https://doi.org/10.1111/j.1365-2044.1997.203-az0338.x
  7. Rabbitts JA, Palermo TM, Zhou C, Mangione-Smith R. Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery. J Pain [Internet]. 2015;16(12):1334–41. Available from: https://www.sciencedirect.com/science/article/pii/S1526590015008780
  8. Bernadeth B, Oktaliansah E, Indriasari I. Efektivitas Analgesik Pascaoperasi pada Pasien Pediatrik di Ruang Pemulihan Rumah Sakit Dr. Hasan Sadikin Bandung Periode Juni–November 2018. Jurnal Anestesi Perioperatif. 2019;7(1):68–84
  9. Fortier MA, Del Rosario AM, Rosenbaum A, Kain ZN. Beyond pain: predictors of postoperative maladaptive behavior change in children. Pediatric Anesthesia [Internet]. 2010 May 1;20(5):445–53. Available from: https://doi.org/10.1111/j.1460-9592.2010.03281.x
  10. Yuki K, Daaboul DG. Postoperative maladaptive behavioral changes in children. Middle East J Anaesthesiol [Internet]. 2011;21(2):183–9. Available from: http://europepmc.org/abstract/MED/22435270
  11. Deoni SCL, Mercure E, Blasi A, Gasston D, Thomson A, Johnson M, et al. Mapping Infant Brain Myelination with Magnetic Resonance Imaging. The Journal of Neuroscience [Internet]. 2011 Jan 12;31(2):784. Available from: http://www.jneurosci.org/content/31/2/784.abstract
  12. Gao W, Lin W, Chen Y, Gerig G, Smith JK, Jewells V, et al. Temporal and Spatial Development of Axonal Maturation and Myelination of White Matter in the Developing Brain. American Journal of Neuroradiology [Internet]. 2009 Feb 1;30(2):290. Available from: http://www.ajnr.org/content/30/2/290.abstract
  13. Laguna A, Pusil S, Bazán À, Zegarra-Valdivia JA, Paltrinieri AL, Piras P, et al. Multi-modal analysis of infant cry types characterization: Acoustics, body language and brain signals. Comput Biol Med [Internet]. 2023;167:107626. Available from: https://www.sciencedirect.com/science/article/pii/S0010482523010910
  14. Walker SM. Pain after surgery in children: clinical recommendations. Curr Opin Anaesthesiol. 2015;28(5):570
  15. Fitri SYR, Lusmilasari L, Juffrie M. The Indonesian version of the Premature Infant Pain Profile–Revised: Translation and adaptation of a neonatal pain assessment. Int J Nurs Sci. 2019;6(4):439–44
  16. Atmoko AF, Yadi DF, Oktaliansah E. Perbandingan Blokade Kaudal Bupivakain 0, 25% dengan Kombinasi Bupivakain 0, 25% dan Klonidin 1 µg/kgBB terhadap Waktu Kebutuhan Analgesik Pascaoperasi Hipospadia. Jurnal Anestesi Perioperatif. 2018;6(2):120–5

Last update:

No citation recorded.

Last update: 2024-12-24 15:02:30

No citation recorded.