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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8392193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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