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An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Protocolized post-operative pain management in infants; do we stick to it?
I Ceelie1, S N de Wildt, M de Jong
1Department of Pediatric Surgery & Intensive Care, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.
European Journal of Pain (London, England)
|February 17, 2012
Summary
Assessing post-operative pain in infants is crucial. While the pain protocol in this intensive care unit (ICU) seems effective, staff compliance was low, potentially causing under-treatment of pain.
Area of Science:
- Pediatric critical care medicine
- Pain management in neonates and infants
Background:
- Ongoing pain assessment is vital for effective pain management in children.
- The COMFORT Behaviour Scale and Numeric Rating Scale are key components of post-operative pain protocols in intensive care units (ICUs).
Purpose of the Study:
- To evaluate staff adherence to a post-operative pain management protocol for pediatric patients.
- To identify deviations in pain assessment and medication administration within the protocol.
Main Methods:
- Retrospective chart review of 200 pediatric patients (<3 years) admitted to a level III ICU post-surgery.
- Analysis of pain assessment frequency and deviations from protocol-mandated drug treatment and reassessments.
Main Results:
- 200 pediatric patients' records were analyzed, with a median age of 98 days at surgery.
- 1675 out of 2103 (79.7%) pain assessments indicated comfort.
- Protocol compliance (reassessment and correct medication) was only 15.4% for assessments indicating pain or distress.
Conclusions:
- The established post-operative pain protocol in the ICU demonstrates effectiveness.
- Marginal staff compliance with the pain management protocol was observed.
- Low compliance may contribute to the under-treatment of post-operative pain in neonates and infants.
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