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Post-operative symptoms at home in children following day case surgery
Aramide Folayemi Faponle1, Usang Edet Usang
1Dept. Anaesthesia, Obafemi Awolowo Univ. Teaching Hospital, Ile-Ife, Nigeria. folafaps@yahoo.com
Insights
Post-operative symptoms after pediatric day case surgery are common, with pain being the most frequent. Improved patient education and peri-operative analgesia can effectively manage these symptoms and enhance recovery.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Patient Recovery
Background:
- Examines post-operative symptoms in children undergoing day case surgery.
- Focuses on symptoms experienced at home post-discharge.
- Assesses parental evaluation of hospital-provided care instructions.
Purpose of the Study:
- To investigate the types and frequency of post-operative symptoms in pediatric day case surgery patients.
- To evaluate the adequacy of pre-discharge instructions for home care.
- To identify areas for improvement in managing pediatric surgical recovery at home.
Main Methods:
- Prospective, questionnaire-based study of children aged 1 day to 14 years.
- Follow-up conducted over a one-year period after elective day case surgery.
- Parents completed structured questionnaires on symptoms and discharge instructions.
Main Results:
- Pain (72%), emetic symptoms (16%), and difficulty walking (7%) were most common.
- No unplanned hospital admissions occurred.
- Two-thirds of parents felt inadequately informed about wound care and overall recovery.
Conclusions:
- Post-operative symptoms are treatable and preventable.
- Wider use of peri-operative analgesia is recommended.
- Enhanced patient and parent education is crucial for successful day case surgery recovery.
Background:
This prospective questionnaire-based study examined the post-operative symptoms encountered by children who had day case surgery at a dedicated day case surgery unit. The study evaluated the postoperative symptoms at home. The parents also evaluated the instructions given in the hospital for care at home.
Methods:
All children aged 1 day - 14 years operated over a one year period were prospectively followed up following elective day case surgery. The incidence and duration of symptoms were evaluated using a structured questionnaire completed by the parents. Also, the instructions given in hospital for care at home were evaluated by the parents using another questionnaire.
Results:
A total of 100 children were operated during the period. Pain (72%), emetic symptoms (16%) and difficulty with walking (7%) were the commonest symptoms occurring on the way home. There were no unplanned admissions. Two thirds of the parents did not know enough of the treatment of the wound and of the overall recovery of the child.
Conclusion:
Post operative symptoms following elective day case surgery are amenable to treatment and prevention with a wider use of available drugs for peri-operative analgesia.
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