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Nurse Practitioner-Administered Chloroprocaine in Children with Postoperative Pain

Erin Sweet1, Christine S Shusterman1, Marina S Nedeljkovic1

  • 1Pain Treatment Service, Boston Children's Hospital, Boston, Massachusetts.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|March 6, 2018
PubMed

Insights

Chloroprocaine injections effectively test peripheral nerve and epidural catheters in pediatric patients, ensuring proper regional analgesia and guiding pain management with no significant adverse events.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Pain Management

Background:

  • Acute pain assessment involves self-report, behavioral observation, and vital sign monitoring.
  • Peripheral nerve and epidural catheters are common for postoperative analgesia in children.
  • Chloroprocaine, a short-acting local anesthetic, can be used to test catheter function.

Purpose of the Study:

  • To describe chloroprocaine injections for testing catheter function.
  • To evaluate patient responses to chloroprocaine injections.
  • To determine how patient responses guide pain management adjustments.

Main Methods:

  • A study involving 128 pediatric surgical patients (0-25 years old).
  • Administration of chloroprocaine injections to test peripheral nerve or epidural catheters.
  • Monitoring of patient outcomes including blood pressure, respiratory rate, heart rate, and pain intensity.

Main Results:

  • Chloroprocaine injections successfully guided interventions in 98.5% of patients.
  • The injections determined the function of regional analgesia.
  • No significant adverse events were reported during the study.

Conclusions:

  • Chloroprocaine injections are a valuable tool for assessing the functionality of peripheral nerve and epidural catheters in pediatric surgical patients.
  • This method aids in ensuring effective postoperative pain management.
Abstract

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