Paediatric anaesthesia & critical care
Assessment of postoperative pain in children following sclerotherapy of vascular malformations: a retrospective single centre cohort study
Authors' conclusion
Despite aiming to achieve best practice, the 34.8% incidence of unsatisfactory postoperative pain management in the children studied confirms that postprocedural pain after sclerotherapy is a common problem
Study context
- Population
- Children with 'simple' subtypes of congenital vascular malformation who underwent sclerotherapy, tertiary centre in the Netherlands
- Participants
- 209 children · 679 procedures
- Outcome
- Inadequately controlled postprocedural pain
Methodological detailssingle-centre, tertiary centre
- Single-centre
- Tertiary centre
Main finding
As reported in the abstract
Inadequately controlled postprocedural pain (incidence per procedure)
Inadequately controlled postprocedural pain, % of 679 procedures
34.8%
Observational data: associations, not effects.
Secondary outcomes
Factors associated with inadequately controlled postprocedural pain (multivariable mixed effect logistic regression)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Chronic use of analgesics | 2.74 (1.40–5.34) | P = 0.003 | |
| Treatment with ethanol | 2.39 (1.01–5.65) | P = 0.05 | |
| Esketamine | 7.43 (1.32–41.81) | P = 0.02 | |
| Lauromacrogol | 0.42 (0.22–0.82) | P = 0.01 | |
| Intra-operative NSAIDs | 0.32 (0.12–0.85) | P = 0.02 | |
| 0.050.21520Odds ratio (log scale) |
Original publication
Assessment of postoperative pain in children following sclerotherapy of vascular malformations: a retrospective single centre cohort study. Eur J Anaesthesiol Intensive Care. Published 23 May 2024. doi:10.
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