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Pain management practice patterns for common pediatric urology procedures.

Kasey Morrison1, Katherine Herbst2, Sean Corbett1

  • 1University of Virginia, Charlottesville, VA.

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Pediatric urologists show varied approaches to pain management, with no clear consensus on intraoperative or postoperative strategies. Further research is needed to address these practice disparities in pediatric pain control.

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Area of Science:

  • Pediatric Urology
  • Pain Management
  • Surgical Anesthesia

Background:

  • Pain management in pediatric urology is critical for patient recovery and outcomes.
  • Current practices among pediatric urologists regarding pain control are not well-defined.

Purpose of the Study:

  • To characterize current practice patterns in pain management among members of the Society for Pediatric Urology.
  • To identify variations in anesthetic and analgesic strategies for common pediatric urologic procedures.

Main Methods:

  • A survey on pain management strategies was distributed to Society for Pediatric Urology members.
  • 134 surveys were analyzed, assessing responses to 7 case scenarios.
  • The survey utilized the Question Pro survey engine for data collection.

Main Results:

  • Local/regional blocks were frequently used intraoperatively (54%-90%), while epidural/caudal use varied (19%-42%).
  • Postoperative opioid management showed a split regarding age restrictions (none vs. 6 months).
  • Ketorolac prescription varied based on renal function, and most urologists performed local blocks themselves but did not bill for them.

Conclusions:

  • Significant disparities exist in pain management practices for common pediatric urologic procedures.
  • There is a lack of consensus on anesthetic and analgesic choices.
  • Future studies should aim to address these identified practice variations.