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Postoperative pain after spinal surgery in the paediatric population

Barbara Kościelniak-Merak1, Ilona Batko, Krzysztof Kobylarz

  • 1Department of Clinical Biochemistry, University Children's Hospital, Faculty of Medicine, Jagiellonian University, Cracow, Poland. b.k.koscielniak@gmail.com.

Anaesthesiology Intensive Therapy
|October 5, 2018
PubMed

Insights

Laboratory factors like hemoglobin drop and total protein levels can predict severe postoperative pain in children after extensive spine surgery. These findings aid in early identification and management of pain.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Clinical Laboratory Science

Background:

  • Postoperative pain is a significant complication, particularly after extensive spinal surgeries.
  • Identifying predictive factors for severe pain is crucial for effective patient management.

Purpose of the Study:

  • To investigate laboratory predictive factors for intensive postoperative pain in children undergoing extensive spine surgery.
  • To correlate specific laboratory values with pain intensity post-surgery.

Main Methods:

  • Recruited 41 children (median age 13 years) undergoing extensive spine surgery.
  • Classified patients into study (pain score ≥5) and control (pain score <5) groups based on pain scales (NRS, VAS, FPS-R).
  • Collected pre-, intra-, and post-operative clinical and laboratory data.

Main Results:

  • Intensive postoperative pain correlated with a significant drop in hemoglobin and hematocrit levels.
  • Higher fluctuations in mean arterial pressure during surgery were associated with increased pain.
  • Elevated total protein concentration post-surgery was observed in children with intensive pain.

Conclusions:

  • Drop in hemoglobin and hematocrit, mean arterial pressure fluctuations, and total protein levels are potential prognostic factors for early postoperative pain.
  • These laboratory markers can aid in predicting and managing severe pain after extensive spine surgery in pediatric patients.
Abstract

Keywords:
childrenintensitypainpostoperativespinesurgery

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