Evaluation of dexmedetomidine and postoperative pain management in patients with adolescent idiopathic scoliosis: Conclusions based on a retrospective study at a tertiary pediatric hospital

Pediatric Critical Care Medicine

Volumn 15, Issue 6, 2014, Pages

  Jones, John S ^a   Cotugno, Richard E ^a   Singhal, Neil Raj ^a   Soares, Neha ^a   Semenova, Janet ^a   Nebar, Sean ^a   Parke, Emily J ^a   Shrader, M Wade ^a   Hotz, Jeffrey ^a  

^a PHOENIX CHILDREN'S HOSPITAL   (United States)

Author keywords

Dexmedetomidine; Pediatrics; Postoperative pain; Scoliosis; Spinal fusion

Indexed keywords

CODEINE; DEXMEDETOMIDINE; FENTANYL; HYDROCODONE; HYDROMORPHONE; MORPHINE; NALOXONE; OPIATE; OXYCODONE; ANALGESIC AGENT; BUPIVACAINE; ELASTOMERIC; LOCAL ANESTHETIC AGENT; NARCOTIC ANALGESIC AGENT; POLYMER;

ADOLESCENT; ADOLESCENT IDIOPATHIC SCOLIOSIS; ANESTHESIA COMPLICATION; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; CONTROLLED STUDY; DEMOGRAPHY; DRUG EFFICACY; DRUG USE; FEMALE; GENERAL HOSPITAL; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; NAUSEA AND VOMITING; OUTCOME ASSESSMENT; OXYGEN DESATURATION; PATIENT CONTROLLED ANALGESIA; PEDIATRIC HOSPITAL; PERIOPERATIVE PERIOD; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PREVALENCE; PRIORITY JOURNAL; RESPIRATION DEPRESSION; RETROSPECTIVE STUDY; SEDATION; SPINE FUSION; TERTIARY CARE CENTER; TREATMENT DURATION; URINE RETENTION; ADVERSE EFFECTS; ANALGESIA; CHILD; HOSPITAL; INFUSION PUMP; INTENSIVE CARE; INTRALESIONAL DRUG ADMINISTRATION; PAIN, POSTOPERATIVE; PROCEDURES; SCOLIOSIS;

ADOLESCENT; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, NON-NARCOTIC; ANALGESICS, OPIOID; ANESTHETICS, LOCAL; BUPIVACAINE; CHILD; DEXMEDETOMIDINE; FEMALE; HOSPITALS, PEDIATRIC; HUMANS; INFUSION PUMPS; INFUSIONS, INTRALESIONAL; INTENSIVE CARE; LENGTH OF STAY; MALE; MORPHINE; PAIN MANAGEMENT; PAIN, POSTOPERATIVE; POLYMERS; RETROSPECTIVE STUDIES; SCOLIOSIS; SPINAL FUSION; TERTIARY CARE CENTERS;

EID: 84904165906     PISSN: 15297535     EISSN: 19473893     Source Type: Journal    
DOI: 10.1097/PCC.0000000000000119     Document Type: Article

References (28)

1. Management of Severe Pain. Canberra, National Health and Medical Research Council (Australia), 1998
2. Reamy BV, Slakey JB: Adolescent idiopathic scoliosis: Review and current concepts. Am Fam Physician 2001; 64: 111-116
3. Blanco JS, Perlman SL, Cha HS, et al: Multimodal pain management after spinal surgery for adolescent idiopathic scoliosis. Orthopedics 2013; 36: 33-35
4. Rose PS, Lenke LG: Classification of operative adolescent idiopathic scoliosis: Treatment guidelines. Orthop Clin North Am 2007; 38: 521-529, vi
5. Practice guidelines for acute pain management in the preoperative setting. Am Soc Anesth 1995; 18: 197-211
6. Carpenter RL, Abram SE, Bromage PR, et al: Consensus statement on acute pain management. Reg Anesth 1996; 21: 152-156
7. Hanna MN, González-Fernández M, Barrett AD, et al: Does patient perception of pain control affect patient satisfaction across surgical units in a tertiary teaching hospital? Am J Med Qual 2012; 27: 411-416
8. Duedahl TH, Hansen EH: A qualitative systematic review of morphine treatment in children with postoperative pain. Paediatr Anaesth 2007; 17: 756-774
9. Feldman D, Reich N, Foster JM: Pediatric anesthesia and postoperative analgesia. Pediatr Clin North Am 1998; 45: 1525-1537
10. Ivani G, Tonetti F: Postoperative analgesia in infants and children: New developments. Minerva Anestesiol 2004; 70: 399-403
11. Chiaretti A, Langer A: Prevention and treatment of postoperative pain with particular reference to children. Adv Tech Stand Neurosurg 2005; 30: 225-271
12. Chia YY, Liu K, Liu YC, et al: Adding ketamine in a multimodal patient- controlled epidural regimen reduces postoperative pain and analgesic consumption. Anesth Analg 1998; 86: 1245-1249
13. Cho CH, Song KS, Min BW, et al: Multimodal approach to postoperative pain control in patients undergoing rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 2011; 19: 1744-1748
14. Bush JP, Holmbeck GN, Cockrell JL: Patterns of PRN analgesic drug administration in children following elective surgery. J Pediatr Psychol 1989; 14: 433-448
15. Maunuksela E: Nonsteroidal anti-inflammatory drugs in pediatric pain management In: Pain in Infants and Children. Schechter NL, Berde CB, Yaster M (Eds). Baltimore, MD, Williams and Wilkins, 1993, pp 135-143
16. Lawrie SC, Forbes DW, Akhtar TM, et al: Patient-controlled analgesia in children. Anaesthesia 1990; 45: 1074-1076
17. Saudan S, Habre W, Ceroni D, et al: Safety and efficacy of patient controlled epidural analgesia following pediatric spinal surgery. Paediatr Anaesth 2008; 18: 132-139
18. Forrest JB, Heitlinger EL, Revell S: Ketorolac for postoperative pain management in children. Drug Saf 1997; 16: 309-329
19. Tobias JD, Goble TJ, Bates G, et al: Effects of dexmedetomidine on intraoperative motor and somatosensory evoked potential monitoring during spinal surgery in adolescents. Paediatr Anaesth 2008; 18: 1082-1088
20. Kokki H: Current management of pediatric postoperative pain. Expert Rev Neurother 2004; 4: 295-306
21. Buck ML: Dexmedetomidine for sedation in the pediatric intensive care setting. Pedatr Pharm 2006; 12
22. Tirotta CF, Munro HM, Salvaggio J, et al: Continuous incisional infusion of local anesthetic in pediatric patients following open heart surgery. Paediatr Anaesth 2009; 19: 571-576
23. Elder JB, Hoh DJ, Liu CY, et al: Postoperative continuous paravertebral anesthetic infusion for pain control in posterior cervical spine surgery: A case-control study. Neurosurgery 2010; 66: 99-106
24. Young PM, Berquist TH, Bancroft LW, et al: Complications of spinal instrumentation. Radiographics 2007; 27: 775-789
25. Lee JS, Hobden E, Stiell IG, et al: Clinically important change in the visual analog scale after adequate pain control. Acad Emerg Med 2003; 10: 1128-1130
26. Sadhasivam S, Boat A, Mahmoud M: Comparison of patient- controlled analgesia with and without dexmedetomidine following spine surgery in children. J Clin Anesth 2009; 21: 493-501
27. Chalom R, Raphaely RC, Costarino AT Jr: Hospital costs of pediatric intensive care. Crit Care Med 1999; 27: 2079-2085
28. Shan LQ, Skaggs DL, Lee C, et al: Intensive care unit versus hospital floor: A comparative study of postoperative management of patients with adolescent idiopathic scoliosis. J Bone Joint Surg Am 2013; 95: e40