Analgesic management of postoperative pain in children: a retrospective study

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Title Analgesic management of postoperative pain in children: a retrospective study
Publication Type thesis
School or College College of Nursing
Department Nursing
Author Manning, Delores Faye
Date 1979-06
Description A retrospective descriptive chart study was conducted to assess the pharmacological management of postoperative pain in 120 children. Four equal groups of children were studied: 1. Children between the ages of 3 through 5 years of age who had surgical procedures to correct structural deformities of the lower limbs. 2. Children between the ages of 6 through 12 years of age who had surgical procedures to correct structural deformities of the lower limbs. 3. Children, ages 3 through 5 years, who had surgery for ureteral reimplantation. 4. Children, ages 6 through 12 years who had surgery for ureteral reimplantation. A 2 x 2 factorial design was analyzed for the study, utilizing mean percentage scores across groups. Each group was compared in terms of: (1) The percent of maximum dosages of narcotic analgesics recommended by Pediatric Dosage Handbook (Shirkey, 1973) and Physician' s Desk Reference (Hubb, 1979), and the maximum dosages prescribed by physicians, (2) percentage of maximum dosages prescribed by physicians and the dosages actually given to patients, (3) average intervals between administration of narcotics. There was a statistically significant difference between the recommended dosages and physicians' prescribed dosages (p ? .001). The mean percentage of prescribed narcotic dosages was 160.93% of recommended dosages. There was also a statistically significant difference between the dosages prescribed by physicians and that administered by nurses (R 1. -001). Nurses administered 52.23% of physician prescribed narcotics during the first 24 hours and 36.31% during the 24- to 48-hour period. The mean interval between narcotics during the 48-hour postoperative period was 9.05 hours. There were no significant differences between the percentages of prescribed narcotic analgesics administered to preschool and school-aged children or between children who had undergone ureteral reimplantation surgery and orthopedic surgery. The implications of these findings will assist health care professionals in their efforts to provide appropriate postoperative pain management for children.
Type Text
Publisher University of Utah
Subject Physiology; Psychological; Analgesic
Subject MESH Child; Postoperative Care; Pain, Postoperative; Surgery
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Analgesic management of postoperative pain in children: a retrospective study." Spencer S. Eccles Health Sciences Library. Print version of "Analgesic management of postoperative pain in children: a retrospective study." available at J. Willard Marriott Library Special Collection. RM 31.5 1979 M35.
Rights Management © Delores Faye Manning.
Format application/pdf
Format Medium application/pdf
Format Extent 1,183,307 bytes
Identifier undthes,4944
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
Master File Extent 1,183,363 bytes
ARK ark:/87278/s6sf2xv8
Setname ir_etd
ID 190445
Reference URL https://collections.lib.utah.edu/ark:/87278/s6sf2xv8
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