Pediatric anesthesia & critical care

The Analgesic Effects of the Addition of Intravenous Ibuprofen to a Multimodal Analgesia Regimen for Pain Management After Pediatric Cardiac Surgery: A Randomized Controlled Study

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

The addition of intravenous ibuprofen to a multimodal analgesia regimen for pain management after pediatric cardiac surgery improved postoperative analgesia in terms of reduction of opioid consumption and pain scores.

Study context

Population
Pediatric patients undergoing open cardiac surgery via midline sternotomy78 screened
Participants
68 patients
Comparison
IV ibuprofen added to multimodal analgesia vs placebo
  • Ibuprofenn = 34
  • Controln = 34reference
Primary endpoint
Postoperative fentanyl consumption
Follow-up
24 hours
Methodological detailsdouble-blinded, superiority, single-centre university hospital
  • Double-blinded
  • Superiority
  • Single-centre university hospital

Primary result

As reported in the abstract

Total fentanyl consumption, first 24 h after extubation

P < 0.001

Secondary outcomes

OutcomeP value
Postoperative modified objective pain score · 0, 2, 12, 16, 20 and 24 hoursMedian score significantly lower with ibuprofenP < 0.05

Safety

Bleeding, epigastric pain, vomiting

No significant increase with ibuprofen

Postoperative renal dysfunction

Not reported in any patient
0

Original publication

The Analgesic Effects of the Addition of Intravenous Ibuprofen to a Multimodal Analgesia Regimen for Pain Management After Pediatric Cardiac Surgery: A Randomized Controlled Study. J Cardiothorac Vasc Anesth. Published 22 November 2022. doi:10.1053/j.jvca.2022.11.016

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