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Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients

We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique...

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Autores principales: Marchetti, Giuliano, Vittori, Alessandro, Ferrari, Fabio, Francia, Elisa, Mascilini, Ilaria, Petrucci, Emiliano, Piga, Simone, Pardi, Valerio, Cascella, Marco, Contini, Giorgia, Marinangeli, Franco, Inserra, Alessandro, Picardo, Sergio Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392193/
https://www.ncbi.nlm.nih.gov/pubmed/34438533
http://dx.doi.org/10.3390/children8080642
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author Marchetti, Giuliano
Vittori, Alessandro
Ferrari, Fabio
Francia, Elisa
Mascilini, Ilaria
Petrucci, Emiliano
Piga, Simone
Pardi, Valerio
Cascella, Marco
Contini, Giorgia
Marinangeli, Franco
Inserra, Alessandro
Picardo, Sergio Giuseppe
author_facet Marchetti, Giuliano
Vittori, Alessandro
Ferrari, Fabio
Francia, Elisa
Mascilini, Ilaria
Petrucci, Emiliano
Piga, Simone
Pardi, Valerio
Cascella, Marco
Contini, Giorgia
Marinangeli, Franco
Inserra, Alessandro
Picardo, Sergio Giuseppe
author_sort Marchetti, Giuliano
collection PubMed
description We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed different anesthetic strategies: Group A: general anesthesia (36 pts); Group B: general anesthesia and thoracic epidural (10 pts); Group C: general anesthesia and intercostal nerve block (10 pts). During the immediate postoperative period, 21 patients (37.5%) had at least one painful episode. At the time of interview, 3 children (5.3%) had moderate chronic neuropathic (burning) pain on surgical scar. There was no statistically significant difference between the type of anesthesia and the incidence and severity of acute post-operative pain. Despite its limitations, this study confirms the low incidence of chronic post-thoracotomy pain syndrome in children.
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spelling pubmed-83921932021-08-28 Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients Marchetti, Giuliano Vittori, Alessandro Ferrari, Fabio Francia, Elisa Mascilini, Ilaria Petrucci, Emiliano Piga, Simone Pardi, Valerio Cascella, Marco Contini, Giorgia Marinangeli, Franco Inserra, Alessandro Picardo, Sergio Giuseppe Children (Basel) Article We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed different anesthetic strategies: Group A: general anesthesia (36 pts); Group B: general anesthesia and thoracic epidural (10 pts); Group C: general anesthesia and intercostal nerve block (10 pts). During the immediate postoperative period, 21 patients (37.5%) had at least one painful episode. At the time of interview, 3 children (5.3%) had moderate chronic neuropathic (burning) pain on surgical scar. There was no statistically significant difference between the type of anesthesia and the incidence and severity of acute post-operative pain. Despite its limitations, this study confirms the low incidence of chronic post-thoracotomy pain syndrome in children. MDPI 2021-07-27 /pmc/articles/PMC8392193/ /pubmed/34438533 http://dx.doi.org/10.3390/children8080642 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Marchetti, Giuliano
Vittori, Alessandro
Ferrari, Fabio
Francia, Elisa
Mascilini, Ilaria
Petrucci, Emiliano
Piga, Simone
Pardi, Valerio
Cascella, Marco
Contini, Giorgia
Marinangeli, Franco
Inserra, Alessandro
Picardo, Sergio Giuseppe
Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients
title Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients
title_full Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients
title_fullStr Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients
title_full_unstemmed Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients
title_short Incidence of Acute and Chronic Post-Thoracotomy Pain in Pediatric Patients
title_sort incidence of acute and chronic post-thoracotomy pain in pediatric patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392193/
https://www.ncbi.nlm.nih.gov/pubmed/34438533
http://dx.doi.org/10.3390/children8080642
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