Pediatric anesthesia & critical care
Multisite prospective study of perioperative pain management practices for anterior cruciate ligament reconstruction in adolescents: Society for Pediatric Anesthesia Improvement Network (SPAIN) Project Report
Authors' conclusion
We found substantial variability in the use of blocks to manage post-ACLR pain in children, with a small percentage experiencing long-term pain and neurological symptoms.
Study context
- Population
- Adolescents (12–17.5 years) undergoing anterior cruciate ligament reconstruction (ACLR)
- Participants
- 519 adolescents · 15 sites
- Outcome
- Pain practices, pain (score >3/10), opioid use and functional recovery after pediatric ACLR
- Follow-up
- POD1, POD3, week 6, month 6
Methodological detailsmulticentre, 15 sites over 2 years
- Multicentre
- 15 sites over 2 years
Main finding
As reported in the abstract
Perioperative pain practices, pain and opioid use
- Regional analgesia performed
- 447/519 (86%)
- Adductor canal single shot (of regional analgesia)
- 54%
- Nerve catheters placed
- 24%
- Perineural adjuvants used
- 43%
- Pain score >3/10, POD1
- 64% (95% CI: 59% to 69%)
- Pain score >3/10, POD3
- 46% (95% CI: 41% to 52%)
- Pain score >3/10, week 6
- 5% (95% CI: 3% to 8%)
- Pain score >3/10, month 6
- 3% (95% CI: 1% to 6%)
- Daily oxycodone doses, POD1
- 2.8 (SD 0.19)
- Daily oxycodone doses, POD3
- 1.8 (SD 0.13)
- Daily oxycodone doses, week 6
- 0
- Daily oxycodone doses, month 6
- 0
Observational data: associations, not effects.
Safety
- Numbness, week 6 (n=315)
- 11%
- Weakness, week 6 (n=315)
- 4%
- Numbness, month 6 (n=233)
- 16%
- Weakness, month 6 (n=233)
- 2%
Original publication
Multisite prospective study of perioperative pain management practices for anterior cruciate ligament reconstruction in adolescents: Society for Pediatric Anesthesia Improvement Network (SPAIN) Project Report. Reg Anesth Pain Med. Published 18 April 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →