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. 2001 Jul;11(4):453-8.
doi: 10.1046/j.1460-9592.2001.00686.x.

Pain management in children with and without cognitive impairment following spine fusion surgery

S Malviya  1 , T Voepel-Lewis, A R Tait, S Merkel, A Lauer, H Munro, F Farley
Affiliations

Pain management in children with and without cognitive impairment following spine fusion surgery

S Malviya et al. Paediatr Anaesth. 2001 Jul.

Abstract

Background: We compared pain assessment and management practices in children with and without cognitive impairment (CI) undergoing spine fusion surgery.

Methods: The medical records of 42 children (19 with CI and 23 without) were reviewed and data related to demographics, surgery, pain assessment and management, and side-effects were recorded.

Results: Fewer children with CI were assessed for pain on postoperative days (POD) 0-4 compared to those without CI (P < 0.002). Self-report was used for 81% of pain assessments in children without CI, while a behavioural tool was used for 75% of assessments in cognitively impaired children. Children with CI received smaller total opioid doses on POD 1-3 compared to those without CI (P < or = 0.02). Furthermore, children without CI received patient/nurse-controlled analgesia for more postoperative days than children with CI (P=0.02).

Conclusion: Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.

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