Abstract
Aim: The aim of this study was to assess the feasibility of parent-assisted or nurse-assisted epidural analgesia (PNEA) for control of postoperative pain in a pediatric surgical population. Methods: After the institutional review board (IRB) approval was obtained, an analysis of our pain treatment services database of pediatric surgical patients with epidural catheters in whom the parent and/or nurse were empowered to activate the epidural demand-dose button was evaluated. Results: Over a 10 -year period between 1999 and 2008, 128 procedures in 126 patients were provided parent or nurse assistance of the epidural demand dose. Satisfactory analgesia was obtained in 86% of patients with no or minor adjustments in PNEA parameters. Fourteen percent of patients were converted to intravenous patient-controlled analgesia (PCA) for inadequate analgesia (7%) or side effects (7%). None of the patients in this cohort required treatment for respiratory depression or excessive sedation. Conclusions: Parent-assisted or nurse-assisted epidural analgesia can be safely administered to children undergoing surgery who are physically or cognitively unable or unwilling to self-activate a demand dose. Additional studies are needed to compare the efficacy of PNEA with other modalities for postoperative pain control in children.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1084-1089 |
| Number of pages | 6 |
| Journal | Paediatric Anaesthesia |
| Volume | 19 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 5 2009 |
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Keywords
- Analgesia
- Epidural
- Nurse-assisted
- Parent-assisted
- Pediatric
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Anesthesiology and Pain Medicine
Cite this
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Parent-assisted or nurse-assisted epidural analgesia : Is this feasible in pediatric patients? / Birmingham, Patrick K; Suresh, Santhanam; Ambrosy, Andrew; Porfyris, Suzanne.
In: Paediatric Anaesthesia, Vol. 19, No. 11, 05.11.2009, p. 1084-1089.Research output: Contribution to journal › Article
TY - JOUR
T1 - Parent-assisted or nurse-assisted epidural analgesia
T2 - Is this feasible in pediatric patients?
AU - Birmingham, Patrick K
AU - Suresh, Santhanam
AU - Ambrosy, Andrew
AU - Porfyris, Suzanne
PY - 2009/11/5
Y1 - 2009/11/5
N2 - Aim: The aim of this study was to assess the feasibility of parent-assisted or nurse-assisted epidural analgesia (PNEA) for control of postoperative pain in a pediatric surgical population. Methods: After the institutional review board (IRB) approval was obtained, an analysis of our pain treatment services database of pediatric surgical patients with epidural catheters in whom the parent and/or nurse were empowered to activate the epidural demand-dose button was evaluated. Results: Over a 10 -year period between 1999 and 2008, 128 procedures in 126 patients were provided parent or nurse assistance of the epidural demand dose. Satisfactory analgesia was obtained in 86% of patients with no or minor adjustments in PNEA parameters. Fourteen percent of patients were converted to intravenous patient-controlled analgesia (PCA) for inadequate analgesia (7%) or side effects (7%). None of the patients in this cohort required treatment for respiratory depression or excessive sedation. Conclusions: Parent-assisted or nurse-assisted epidural analgesia can be safely administered to children undergoing surgery who are physically or cognitively unable or unwilling to self-activate a demand dose. Additional studies are needed to compare the efficacy of PNEA with other modalities for postoperative pain control in children.
AB - Aim: The aim of this study was to assess the feasibility of parent-assisted or nurse-assisted epidural analgesia (PNEA) for control of postoperative pain in a pediatric surgical population. Methods: After the institutional review board (IRB) approval was obtained, an analysis of our pain treatment services database of pediatric surgical patients with epidural catheters in whom the parent and/or nurse were empowered to activate the epidural demand-dose button was evaluated. Results: Over a 10 -year period between 1999 and 2008, 128 procedures in 126 patients were provided parent or nurse assistance of the epidural demand dose. Satisfactory analgesia was obtained in 86% of patients with no or minor adjustments in PNEA parameters. Fourteen percent of patients were converted to intravenous patient-controlled analgesia (PCA) for inadequate analgesia (7%) or side effects (7%). None of the patients in this cohort required treatment for respiratory depression or excessive sedation. Conclusions: Parent-assisted or nurse-assisted epidural analgesia can be safely administered to children undergoing surgery who are physically or cognitively unable or unwilling to self-activate a demand dose. Additional studies are needed to compare the efficacy of PNEA with other modalities for postoperative pain control in children.
KW - Analgesia
KW - Epidural
KW - Nurse-assisted
KW - Parent-assisted
KW - Pediatric
UR - http://www.scopus.com/inward/record.url?scp=70350552003&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=70350552003&partnerID=8YFLogxK
U2 - 10.1111/j.1460-9592.2009.03151.x
DO - 10.1111/j.1460-9592.2009.03151.x
M3 - Article
VL - 19
SP - 1084
EP - 1089
JO - Paediatric Anaesthesia
JF - Paediatric Anaesthesia
SN - 1155-5645
IS - 11
ER -