Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients

Children

卷:8

Alessandro Vittori¹  Fabio Ferrari¹  Sergio Giuseppe Picardo¹  Ilaria Mascilini¹  Giuliano Marchetti¹  Elisa Francia¹  Marco Cascella²  Emiliano Petrucci³  Franco Marinangeli⁴  Alessandro Inserra⁵  Giorgia Contini⁵  Valerio Pardi⁵  Simone Piga⁶ 

[1] Department of Anesthesia and Critical Care, ARCO Roma, Ospedale Pediatrico Bambino Gesù, IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy;

[2] Department of Anesthesia and Critical Care, Istituto Nazionale Tumori-IRCCS, Fondazione Pascale, Via Mariano Semmola, 53, 80131 Naples, Italy;

[3] Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L’Aquila, Via Vetoio, 48, 67100 L’Aquila, Italy;

[4] Department of Anesthesiology, Intensive Care and Pain Treatment, University of L’Aquila, Piazzale Salvatore Tommasi, 1, 67100 Coppito, Italy;

[5] Surgical Department, General and Thoracic Unit, Ospedale Pediatrico Bambino Gesù, IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy;

[6] Unit of Clinical Epidemiology, Ospedale Pediatrico Bambino Gesù, IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy;

关键词: pain;    thoracic surgery;    anesthesia;    children;    pediatric anesthesia;    chronic pain;   

DOI  :  10.3390/children8080642

来源: DOAJ

【 摘 要 】

We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed different anesthetic strategies: Group A: general anesthesia (36 pts); Group B: general anesthesia and thoracic epidural (10 pts); Group C: general anesthesia and intercostal nerve block (10 pts). During the immediate postoperative period, 21 patients (37.5%) had at least one painful episode. At the time of interview, 3 children (5.3%) had moderate chronic neuropathic (burning) pain on surgical scar. There was no statistically significant difference between the type of anesthesia and the incidence and severity of acute post-operative pain. Despite its limitations, this study confirms the low incidence of chronic post-thoracotomy pain syndrome in children.

【 授权许可】

Unknown