Analgesia following paediatric day-surgical orchidopexy and herniotomy
We surveyed 90 boys, aged 1-13 years, who had undergone either orchidopexy or herniotomy, in a cohort study. Their pain and vomiting were assessed using a simple 4-point score in the Recovery Unit by the nursing staff, and at home by the parents. There were no significant differences in pain or vomi...
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Veröffentlicht in: | Paediatric anaesthesia (Paris) 2000, Vol.10 (6), p.627-631 |
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description | We surveyed 90 boys, aged 1-13 years, who had undergone either orchidopexy or herniotomy, in a cohort study. Their pain and vomiting were assessed using a simple 4-point score in the Recovery Unit by the nursing staff, and at home by the parents. There were no significant differences in pain or vomiting scores between the two groups in the immediate postoperative period. However, children having orchidopexy experienced more pain at home during the first night and the following day than those having herniotomy. Nearly one-third of the former group had moderate to severe pain at home, in contrast to less than one-tenth of children having herniotomy, who are also more likely to be painfree on the next day. We concluded that children having herniotomy can be treated adequately at home with paracetamol alone, whereas children having orchidopexy may require supplementation with stronger analgesics. |
doi_str_mv | 10.1046/j.1460-9592.2000.0531a.x |
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Their pain and vomiting were assessed using a simple 4-point score in the Recovery Unit by the nursing staff, and at home by the parents. There were no significant differences in pain or vomiting scores between the two groups in the immediate postoperative period. However, children having orchidopexy experienced more pain at home during the first night and the following day than those having herniotomy. Nearly one-third of the former group had moderate to severe pain at home, in contrast to less than one-tenth of children having herniotomy, who are also more likely to be painfree on the next day. We concluded that children having herniotomy can be treated adequately at home with paracetamol alone, whereas children having orchidopexy may require supplementation with stronger analgesics.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1046/j.1460-9592.2000.0531a.x</identifier><identifier>PMID: 11119195</identifier><language>eng</language><publisher>London: Blackwell</publisher><subject>Abdominal surgery. Urology. Gynecology. Obstetrics ; Acetaminophen - therapeutic use ; Adolescent ; Ambulatory Surgical Procedures ; Analgesics - therapeutic use ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia, General ; Anesthesia. Intensive care medicine. Transfusions. 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Their pain and vomiting were assessed using a simple 4-point score in the Recovery Unit by the nursing staff, and at home by the parents. There were no significant differences in pain or vomiting scores between the two groups in the immediate postoperative period. However, children having orchidopexy experienced more pain at home during the first night and the following day than those having herniotomy. Nearly one-third of the former group had moderate to severe pain at home, in contrast to less than one-tenth of children having herniotomy, who are also more likely to be painfree on the next day. We concluded that children having herniotomy can be treated adequately at home with paracetamol alone, whereas children having orchidopexy may require supplementation with stronger analgesics.</description><subject>Abdominal surgery. Urology. Gynecology. Obstetrics</subject><subject>Acetaminophen - therapeutic use</subject><subject>Adolescent</subject><subject>Ambulatory Surgical Procedures</subject><subject>Analgesics - therapeutic use</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia, General</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cryptorchidism - surgery</subject><subject>Hernia, Inguinal - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Postoperative Nausea and Vomiting</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkN9LwzAQgIMoTqf_ghQE31qT5kebxzGcCgNf9DmkabJltE1NWlz_e1tX5sFxB_ddcnwARAgmCBL2fEgQYTDmlKdJCiFMIMVIJscLcHMeXI49ojSmjNAFuA3hACHCKUuvwQKNwRGnN2CzamS108HKyLiqcj-22UWt1KWVnbcqKuUQh97vrJJV5Lza29K1-jhEsimjvfaNdZ2rhztwZWQV9P1cl-Br8_K5fou3H6_v69U2ViklXVyWjCnOMWXYGFWQjJgyw4UZjy441DJXhkEkOclyDFHOVGb4mIRkGTNGcrwET6d3W---ex06UdugdFXJRrs-iCwlOSEpHcH8BCrvQvDaiNbbWvpBICgmh-IgJlViUiUmh-LPoTiOqw_zH31R6_J_cZY2Ao8zIMOoxXjZKBvOXA4pRxj_AmVKe0w</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>HO, David</creator><creator>KENEALLY, John P</creator><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2000</creationdate><title>Analgesia following paediatric day-surgical orchidopexy and herniotomy</title><author>HO, David ; KENEALLY, John P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c254t-dd66c993563ffcb474fd73bf146b90ea8cf601a947830186c7f9c7f44776ffa93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Abdominal surgery. Urology. Gynecology. Obstetrics</topic><topic>Acetaminophen - therapeutic use</topic><topic>Adolescent</topic><topic>Ambulatory Surgical Procedures</topic><topic>Analgesics - therapeutic use</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia, General</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cryptorchidism - surgery</topic><topic>Hernia, Inguinal - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Postoperative Nausea and Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HO, David</creatorcontrib><creatorcontrib>KENEALLY, John P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Paediatric anaesthesia (Paris)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HO, David</au><au>KENEALLY, John P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analgesia following paediatric day-surgical orchidopexy and herniotomy</atitle><jtitle>Paediatric anaesthesia (Paris)</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2000</date><risdate>2000</risdate><volume>10</volume><issue>6</issue><spage>627</spage><epage>631</epage><pages>627-631</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>We surveyed 90 boys, aged 1-13 years, who had undergone either orchidopexy or herniotomy, in a cohort study. Their pain and vomiting were assessed using a simple 4-point score in the Recovery Unit by the nursing staff, and at home by the parents. There were no significant differences in pain or vomiting scores between the two groups in the immediate postoperative period. However, children having orchidopexy experienced more pain at home during the first night and the following day than those having herniotomy. Nearly one-third of the former group had moderate to severe pain at home, in contrast to less than one-tenth of children having herniotomy, who are also more likely to be painfree on the next day. We concluded that children having herniotomy can be treated adequately at home with paracetamol alone, whereas children having orchidopexy may require supplementation with stronger analgesics.</abstract><cop>London</cop><pub>Blackwell</pub><pmid>11119195</pmid><doi>10.1046/j.1460-9592.2000.0531a.x</doi><tpages>5</tpages></addata></record> |
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subjects | Abdominal surgery. Urology. Gynecology. Obstetrics Acetaminophen - therapeutic use Adolescent Ambulatory Surgical Procedures Analgesics - therapeutic use Anesthesia Anesthesia depending on type of surgery Anesthesia, General Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Child, Preschool Cryptorchidism - surgery Hernia, Inguinal - surgery Humans Infant Male Medical sciences Pain, Postoperative - drug therapy Postoperative Nausea and Vomiting |
title | Analgesia following paediatric day-surgical orchidopexy and herniotomy |
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