Pain Experience of Children with Sickle Cell Disease Who Had Prolonged Hospitalizations for Acute Painful Episodes

摘要: Purpose. Vaso-occlusive episodes account for 79–91% of emergency room visits and 59–68% hospitalizations in patients with sickle cell disease (SCD). There is a growing recognition that acute painful experiences can lead to long-term consequences. The purpose this study was examine pain management children who had prolonged (>10 days) episodes. Methods. Medical records were reviewed examine: 1) intensity ratings; 2) patterns analgesic use patient controlled analgesia (PCA) regimen; 3) differences between short (≤10 episodes. Results. reported high ratings, which continued throughout hospitalization. most frequently used medications morphine delivered using PCA, long-acting morphine, ketorolac. total mean amount administered 1.16 ± 0.84 mg/kg/day. loading basal rates at doses within the lower range recommendation. significantly higher during hospital stays vs days). However, even though stays, maximum on average only 37% prescribed any given day. Conclusion. Pain ratings persistently moderate levels. Research needed investigate regimens would optimal relief minimize negative consequences associated SCD.