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Post-operative pain management in paediatric surgery at Sylvanus Olympio University Teaching Hospital, Togo.
Sama, Hamza Doles; Bang'na Maman, Aboudoul Fataou Ouro; Djibril, Mohaman; Assenouwe, Marcellin; Belo, Mofou; Tomta, Kadjika; Chobli, Martin.
Afiliação
  • Sama HD; Department of Anesthesiology and Intensive Care, Sylvanus Olympio University Teaching Hospital, Lomé, Togo.
Afr J Paediatr Surg ; 11(2): 162-5, 2014.
Article em En | MEDLINE | ID: mdl-24841019
ABSTRACT

BACKGROUND:

The aim of this study was to evaluate pain management in paediatric surgery at Sylvanus Olympio University Teaching Hospital, Lome. PATIENTS AND

METHODS:

A prospective descriptive study was conducted in the Department of Anaesthesiology and Intensive Care at Sylvanus Olympio teaching hospital from 1 January to 30 June 2012. Data collected include demography, type of surgery, American Society of Anaesthesiologists (ASA) classification, anaesthetic protocol, analgesia technique, post-operative complications and cost of analgesia.

RESULTS:

The study includes 106 post-operative children. Abdominal surgery was performed in 41.5% and orthopaedic surgery in 31.1%. A total of 75% of patients were classified ASA 1. General anaesthesia (GA) was performed in 88%. Anaesthetists supervised post-operative care in 21.7% cases. Multimodal analgesia was used in every case and 12% of patients received a regional block. The most frequently unwanted effects of analgesics used were nausea and/or vomiting in 12.3%. At H24, child under 7 years have more pain assessment than those from 7 to 15 years (46% vs 24%) and this difference was statistically significant (chi-square = 4.7598; P = 0.0291 < 0.05). The average cost of peri-operative analgesia under loco regional analgesia (LRA) versus GA during the first 48 h post-operative was US $23 versus $46.

CONCLUSION:

Our study showed that post-operative pain management in paediatric surgery is often not well controlled and paediatric loco regional analgesia technique is under practiced in sub Saharan Africa.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Procedimentos Cirúrgicos Operatórios / Manejo da Dor Tipo de estudo: Etiology_studies / Evaluation_studies / Guideline / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Africa Idioma: En Revista: Afr J Paediatr Surg Assunto da revista: PEDIATRIA Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Togo

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Procedimentos Cirúrgicos Operatórios / Manejo da Dor Tipo de estudo: Etiology_studies / Evaluation_studies / Guideline / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Africa Idioma: En Revista: Afr J Paediatr Surg Assunto da revista: PEDIATRIA Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Togo