Assessing postoperative pain in neonates: a multicenter observational study.

摘要: Objective A multicenter observational study was conducted to evaluate the practices of postoperative pain assessment and management in neonates identify specific targets for improvement clinical practice. Methods Ten participating NICUs collected data 72 hours after a surgical operation on 25 consecutive (N = 250), including demographics, principal diagnoses, operative procedure, other painful procedures, assessments, interventions (pharmacologic nonpharmacologic), adverse events who underwent minor major surgery. Descriptive logistic-regression analyses were performed by using SPSS Stata. Results The studied had birth weight 2.4 +/- 1.0 kg (mean SD) gestational age 36 4.3 weeks; 57% male, length hospital stay 23.5 30.0 days. Participating hospitals used 7 different numeric scales, with nursing assessments documented 88% (n 220) patients physician 9% 23) patients. Opioids (84% vs 60%) benzodiazepines (24% 11%) more commonly surgery than surgery, small proportion (7% 12% surgery) received no analgesia. Logistic-regression showed that only significant predictor postsurgical analgesic use, whereas postnatal days did not seem contribute. Physician 23 patients; 22 these Conclusions Documentation extremely variable among hospitals. Pain physicians must be emphasized, addition developing evidence-based guidelines care educating professional staff improve control neonates.