Pediatric anesthesia & critical care
Acute and Chronic Postsurgical Pain in Children Following Cardiac Surgery: A Cohort Study of Sternotomy and Thoracotomy Surgical Approaches
Authors' conclusion
The validated surveys showed a high prevalence of CPSP, including a sizeable proportion of neuropathic pain. The prevalence of CPSP is within the reported prevalence in adults despite a mean study population age of 10 years.
Study context
- Population
- Patients aged 6 to 18 years at cardiac surgery ≥6 months before the study period, quaternary academic pediatric hospitalresponse rate 10%
- Exposure
- Sternotomy vs thoracotomy surgical approach
- Outcome
- Pain at survey completion or in the preceding week
Methodological detailssingle-centre, survey
- Single-centre
- Survey
Main finding
As reported in the abstract
Reported pain, with none to mild interference in quality of life (QoL)
34%
Observational data: associations, not effects.
Further findings
Neuropathic pain symptoms
- Symptoms consistent with neuropathic pain
- 20%
- No difference between sternotomy and thoracotomy
Pain scores by intraoperative opioid (remifentanil vs sufentanil)
- Higher pain scores with intraoperative remifentanil
Postoperative acute pain scores by fascial plane block
- Single-shot fascial plane blocks reduced postoperative acute pain scores
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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