Assessment of post-operative pain relief after bupivacaine infiltration in paediatric patients
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 3
Abstract
Background: Pain assessment is the most important and critical component of pain management. Assessing pain in children is an ever challenging as well as a difficult task. Aim: To assess the post-operative pain relief after bupivacaine infiltration in paediatric patients. Material and Methods: A total of 70 patients were grouped as: Group I: (n=35): Patients in which wound was infiltrated with bupivacaine hydrochloride at the end of surgery. Group II: (n=35): Patients in which wound was not infiltrated. Assessment of pain in children of age group 1-5 years was done by simple linear analogue pain diagram of facial expression, by vital parameters and with the help of pain score assessed by parents and was represented in their own words. Assessment of pain in children of age group 6-12 years was done by vital parameters and with the help of visual analogue scale. Results: In both groups from 20 minutes onwards differences were statistically significant upto 4 hrs (p<0.05). The duration of analgesia by all three methods was same. All the methods used to assess the pain were comparable (p>0.05). Conclusion: All the three methods of assessment used were found to be useful. Thus, a combination of self-report and at least one other measure may be a better approach than using a single tool.
Authors and Affiliations
Suryakant Mundhe, Sachin Bhavthankar
Keywords
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