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Correlation between FLACC scale score and analgesic requirement in children undergoing Minimally Invasive Surgery

Assunta Turco1, Mariapina Cerulo2, Fulvia Del Conte2

  • 1Pediatric Surgery Unit, Department of Translation Medical Science, University of Naples Federico II, Naples. susy.turco@libero.it.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|May 23, 2023
PubMed

Insights

The Faces, Legs, Activity, Cry, and Consolability (FLACC) scale effectively assesses postoperative pain in young children undergoing minimally invasive surgery. This scale accurately predicts analgesic needs, aiding in better pain management for pediatric patients.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Minimally Invasive Surgery

Background:

  • Postoperative pain management in pediatric minimally invasive surgery (MIS) presents unique challenges.
  • The Faces, Legs, Activity, Cry, and Consolability (FLACC) scale is recognized for its validity in assessing pediatric postoperative pain.

Purpose of the Study:

  • To evaluate postoperative pain using the FLACC scale in children undergoing MIS.
  • To analyze the correlation between FLACC scale scores and analgesic requirements in this pediatric population.

Main Methods:

  • Retrospective analysis of 153 children (2 months-3 years) who underwent MIS between January and December 2019.
  • Postoperative pain assessed using the FLACC scale immediately after surgery and at 15 and 60 minutes.
  • Correlation between FLACC scores and analgesic needs was examined for each patient.

Main Results:

  • 36.6% of patients were asleep and pain-free.
  • 21.6% had FLACC scores >7, requiring analgesics, with significantly reduced pain scores at 15 and 60 minutes post-intervention.
  • 41.8% had FLACC scores <3 and did not require analgesics.

Conclusions:

  • The FLACC scale is recommended for postoperative pain assessment in children aged 2 months-3 years undergoing MIS.
  • The FLACC scale demonstrates effectiveness and precision in identifying the need for analgesics in pediatric patients.
  • Further research could explore extending the use of the FLACC scale to different pediatric age groups.

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