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Practice of Postoperative Pain Management in Under-Five Children in A Tertiary Hospital: A Prospective Crossectional

Belachew Dejene Wondemagegnehu1, Mekdelawit Mesfin Tadess1

  • 1Addis Ababa University, College of Health Sciences, Department of Surgery, Division of Paediatric Surgery, Ethiopia, Addis Ababa.

Ethiopian Journal of Health Sciences
|December 7, 2022
PubMed

Insights

Postoperative pain management in children under five is inadequate due to poor pain assessment and limited analgesic use. This study highlights critical gaps in pediatric pain care in developing regions.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Children are frequently undertreated for postoperative pain despite medical advancements.
  • Data on pediatric postoperative pain management practices are scarce in developing countries.
  • This study addresses the need for evaluating pain management in young children.

Purpose of the Study:

  • To evaluate the current practices of postoperative pain management in children under five years old.
  • To identify deficiencies in pain assessment and analgesic administration in pediatric surgical patients.

Main Methods:

  • A prospective, cross-sectional study was conducted over one year.
  • The study included pediatric patients undergoing major surgical procedures at a tertiary hospital in Addis Ababa, Ethiopia.
  • Data were collected from patient charts and clinical observations.

Main Results:

  • Monotherapy with a single analgesic was used in 67.1% of patients.
  • Analgesics were administered on a standing order basis in 64.4% of cases.
  • Pain assessment documentation was notably absent in neonatal intensive care units and wards, with 32.89% of assessed patients experiencing moderate to severe pain.

Conclusions:

  • A significant number of pediatric patients experience postoperative pain.
  • Inadequate pain assessment and insufficient administration of analgesics contribute to undertreatment.
  • Improvements in pain management protocols and consistent assessment are crucial for pediatric surgical care.
Abstract

Keywords:
Painpain assessment toolpostoperative painunder-five children

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