EN
TÜRKÇE
Poster - 8
An observational study comparing two analgesic regimes for children following outpatient surgery
N Mama*, Z Necib*, M Ben Mansour*, O Mandhouj**, S Ben Youssef***, S Laaribi***, R Haj Salem**, M Messaoud***, A Ksia***, S Chakroun*, L Sahnoun***
*Pediatric Anesthesia and intensive care, Monastir University Hospital, Tunisia
**Department of Paediatrics, Monastir University Hospital Tunisia
***Department of Pediatric Surgery, Monastir University Hospital, Tunisia
Introduction: In recent years, the number of outpatient surgical procedures in both adults and children has steadily increased worldwide. Studies show that 30% to 40% of patients experience moderate to severe pain during the first 48 hours.
The aim of this observational study is to compare the percentage of moderate to severe pain, side effects and use of rescue medication in the two analgesic protocols after ambulatory surgery in the pediatric population.
Methods: In our study,children who had ambulatory surgery during the period January 2024 to December 2024, were followed for 48 hours postoperatively by telephone. The Flacc score was assessed before the child was discharged from hospital (for 6 hours postoperatively), then the parents' satisfaction score was assessed by telephone, and the time of first paracetamol administration. The two analgesic protocols were: Sufentanil group (general anesthesia with Sufentanil at 0.2 µg/kg and Paracetamol at 15 mg/kg at the end of the procedure), ALR group (morphine-free general anesthesia with analgesic block with Ropivacaine 2% at 0. 3ml/kg and 15 mg Paracetamol/kg at the end of the procedure).
Results: A total of 575 patients took part in the study, including 220 in Grp 1 and 355 in Grp 2. The percentage of children with a Flacc score ≥ 3 was higher in the Sufentanil group than in the ALR group (23% / 41%). In both groups, an equal percentage of children experienced postoperative nausea and vomiting (PONV).Regarding the parent satisfaction score, it was noted that in the Sufentanil group, the score was low compared to the ALR group. However, the timing of the first administration of Paracetamol at home was comparable.
Conclusion: Postoperative pain management should be multimodal, with systemic analgesics combined, if possible, with locoregional anesthesia.