Post-operative pain and morbidity in children who have tooth extractions under general anaesthesia: a service evaluation
| Autor: | Chrysoula Tatsi, Nourah Al-Rubaian, Sanjeev Sood, Marie Therese Hosey, Areej Ali Alohali |
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| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Anesthesia Dental Analgesic Anesthesia General Logistic regression Fentanyl 03 medical and health sciences 0302 clinical medicine London medicine Humans General anaesthesia Prospective Studies 030212 general & internal medicine Child Prospective cohort study General Dentistry Pain Postoperative business.industry 030206 dentistry Checklist TOOTH EXTRACTIONS Tooth Extraction business Post operative pain medicine.drug |
| Zdroj: | Aliohali, A, Al-Rubaian, N, Tatsi, C, Sood, S & Hosey, M-T 2019, ' Post-operative pain and morbidity in children who have tooth extractions under general anaesthesia: a service evaluation ', British Dental Journal, vol. 227, no. 8, pp. 713–718 . https://doi.org/10.1038/s41415-019-0807-4 |
| ISSN: | 1476-5373 0007-0610 |
| DOI: | 10.1038/s41415-019-0807-4 |
| Popis: | Introduction Children find dental extractions under general anaesthesia (GA) painful despite national analgesic guidelines. Aims To report on children's post-operative pain, morbidity, families' satisfaction and analgesic regime during GA dental extractions. Design A prospective service evaluation. Setting King's College Hospital, London. Methods Children (n = 143) self-reported pain using the Faces Pain Scale-Revised (FPS-R) pre- and post-operatively and one week later by telephone as reported by the child's parent/carer. Morbidity was assessed using the Morbidity Checklist & Post Hospital Behaviour Questionnaire and each family's satisfaction using the Treatment Evaluation Inventory. Results Children were a mean age of six years and had seven primary teeth extracted. When given intravenous (IV) fentanyl (n = 69), either alone (n = 11) or in combination with paracetamol (n = 58) the children had 0.17 times odds of not having post-op pain compared to patients who received only paracetamol (logistic regression, p = 0.006). After one week 99% of families were satisfied with the service but 11% reported that their child still had post-operative morbidity. Conclusion Three quarters of children reported pain following extractions of primary teeth under GA. Use of IV paracetamol and fentanyl reduced the immediate post-operative self-reported pain. After a week most families (99%) were satisfied with the treatment their child had received and morbidity was reported by 11% of families. |
| Databáze: | OpenAIRE |
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