Good Practice in Postoperative and Procedural Pain Management ...

More documents

Recommendations

Info

increased success rate (i.e., less red cell contamination).Analgesia Table 4.2.3 Lumbar puncture in the neonateDirectevidenceIndirectevidenceLocal anesthesia Topical 1+Infiltration a 1+Sucrose 1++Non-nutritive sucking 1+Nonpharmacological 1+Procedure Modification 2+Analgesia Table 4.2.4 Urine sampling in the neonateDirectevidenceIndirectevidence1+Local anesthesia Topicallubricant gel aSucrose 1) 1++Non-nutritive sucking 1+Nonpharmacological 1+Procedure modification a 1+a Urethral catheterization.a Older children and adults.4.2.4 Urine sampling in the neonateUrine sampling can be important to detect urinarytract infection in neonates and must be collectedavoiding sample contamination. Direct catheterizationof the urethra or catheterization of the bladderby the percutaneous suprapubic route is often preferredbecause some types of urine collection bagshave a high rate of contamination, and ‘clean catch’specimens can be difficult or time-consuming to collect.RecommendationsTransurethral catheterization with local anesthetic gel ispreferred as it is less painful than suprapubic catheterizationwith topical local anesthesia: Grade B (72,73).Sucrose reduces the pain response to urethral catheterization:Grade C (74).EvidencePain responses were observed in neonates and infantshaving either urethral or suprapubic catheterizationwith local anesthesia (72). Transurethral catheterizationappeared to be less painful (72). Sucrose analgesiaimmediately before bladder catheterization in neonatesand infants up to 3 months old was not effective atabolishing pain responses; however, a reduction inresponse was observed in the subgroup of those
Analgesia Table 4.2.6 Nasogastric tube insertionDirect evidenceSucrose 1+ 1++Non-nutritive sucking 1+Nonpharmacological 1+Indirect evidence4.2.7 Immunization and intramuscular injectionThe management of this procedure is also discussedwith that of older children in section 4.3.6. There aretwo indications for IM injections: routine immunizationand administration of vitamin K. In any other situation,an alternative route of administration shouldbe used. The UK routine immunization scheduleadvises that vaccinations are given at 2, 3, and4 months of age. A premature neonate born at
Page 1 and 2: PediatricAnesthesiaVolume 22 Supple
Page 3 and 4: doi: 10.1111/j.1460-9592.2012.3838.
Page 5 and 6: 1.6 Contact informationCorresponden
Page 7 and 8: RecommendationsChildren’s self-re
Page 9 and 10: Topical anesthetic preparations, fo
Page 11 and 12: 2.7.6 Laparoscopic surgeryGood prac
Page 13 and 14: In order to assess pain, effective
Page 16 and 17: Postoperative painl NCCPC-PV (Non-C
Page 18 and 19: 68 Broome ME, Richtsmeier A, Maikle
Page 20 and 21: however, reductions in the response
Page 24 and 25: Newer preparations such as liposoma
Page 26 and 27: Good practice pointLubricant contai
Page 28 and 29: most effective. There are a number
Page 30 and 31: 12 Bellieni C, Bagnoli F, Perrone S
Page 32 and 33: venipuncture pain in a pediatric em
Page 34 and 35: 172 van Twillert B, Bremer M, Faber
Page 36 and 37: necessary to ensure that the patien
Page 38 and 39: when compared with LA alone and sal
Page 40 and 41: Peribulbar block improves early ana
Page 42 and 43: Analgesia Table 5.5.1 Sub-umbilical
Page 44 and 45: was more effective with less motor
Page 46 and 47: with using landmark techniques (205
Page 48 and 49: Good practice pointWound infiltrati
Page 50 and 51: Analgesia Table 5.6.4 Urological Su
Page 52 and 53: (298). Ketorolac did not influence
Page 54 and 55: well as the epidural technique for
Page 56 and 57: Good practice pointA multi-modal an
Page 58 and 59: 14 Grainger J, Saravanappa N. Local
Page 60 and 61: day-stay unit. Int J Paediatr Dent
Page 62 and 63: tinuous epidural infusion in childr
Page 64 and 65: 245 Morton NS, O’Brien K. Analges
Page 66 and 67: 321 Taenzer AH, Clark C, Taenzer AH
Page 68 and 69: Section 6.0AnalgesiaContents6.1 Ana
Page 70 and 71: enhance systemic absorption. Lidoca
Page 73 and 74:
undergoes hepatic biotransformation
Page 75 and 76:
tein binding are reduced and the ha
Page 77 and 78:
a low-dose infusion but the child m
Page 79 and 80:
Table 6.6.1 Paracetamol dosing guid
Page 81:
steps that health care professional
show all

Good Practice in Postoperative and Procedural Pain Management ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?