Cannula Type and Pain Response in Pediatric Rectal Suspension: A Prospective Study
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View abstract on PubMed
Summary
This summary is machine-generated.Rectal suspension for pediatric functional constipation causes pain. Using a catheter applicator, not a standard applicator, significantly reduces pain and is more clinically appropriate.
Area Of Science
- Pediatric Gastroenterology
- Pain Management in Children
- Clinical Procedure Efficacy
Background
- Functional constipation is common in children and often managed with rectal suppositories.
- The impact of different rectal suspension delivery devices on pediatric pain is not well understood.
Purpose Of The Study
- To compare pain perception in children aged 1-3 years undergoing rectal suspension for functional constipation.
- To evaluate the difference in pain based on the delivery device used: applicator vs. catheter.
Main Methods
- Prospective observational study of 156 children (1-3 years) with functional constipation in a Turkish pediatric emergency unit.
- Children received either sorbitol + glycerin (SG) or monobasic sodium phosphate dehydrate + dibasic sodium phosphate dodecahydrate (MD) rectal suspensions.
- Pain was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) behavioral scale.
Main Results
- Mean FLACC scores were significantly higher for applicator groups (SG: 8.09, MD: 8.72) compared to catheter groups (SG: 4.75, MD: 5.09) (P ≤ 0.001).
- Heart rate (HR) was higher and oxygen saturation (SpO₂) was lower during procedures with applicators versus catheters (P ≤ 0.001).
- 61.9% of children had experienced constipation 2-3 times previously.
Conclusions
- Rectal suspension administration induces pain in children with functional constipation.
- Catheter administration resulted in moderate pain, while applicator administration led to above-average pain.
- Utilizing a catheter for rectal suspension is a more clinically appropriate and less painful option for children.
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