Postoperaive pain treatment investigation on pediatric patients and discussion on postoperative pain treatment efficiency

Aim: Comparison of pediatric patients' analgesic needs and effects of performed methods and administered drugs by anesthesiologist or relevant departments for postoperative pain on pediatric patients. Material and methods: Age, gender, height, weight, co-morbidities, type of surgery, contents of postoperative analgesic, dose of analgesic and duration of the operation of each case were recorded on the follow-up form by the anesthetist who was present in the operation room. Used CHEOPS values according to the patients' age, VAS and verbal pain scale, dosage and duration of additional analgesic, if any needed, were recorded for each case by the nurse in the recovery room and the service nurse after the patients' were discharged to the service department. Patients with all the relevant information available were included in the investigation where patients with missing data and over 14 years old are excluded from the investigation. Findings: 56 patients were administered parenteral analgesic who went under surgery with general anesthesia where 109 patients went under surgery with regional anaesthesia. We determined the pain scores, KAH and SpO₂ values of all patients did not change and are similar to each other by looking at the recovery room data for first 15 minutes. As regional anesthesia patients had postoperative data available, the postoperative analgesic activities of these patients are compared according to the drug contents. We determined that during the postoperative period the additional analgesic necessity is lower and analgesic effects are longer in groups where morphine and neostigmine were added to the local anesthetic as adjuvant on intraoperative regional anesthesia applications. Results: Despite the type and dose of the parenteral analgesic we administered as postoperative analgesic was sufficient, due to the lack of long term follow-up data the analgesic activities could not be determined and we believe further studies shall be carried out regarding this subject. Addition of adjuvant to the local anesthetic according to the type of operation in paediatric urology and abdominal surgeries both increases the effective period of analgesic and also reduces the need of an additional analgesic. Keywords: adjuvant, analgesia, child, postoperative pain, regional