Enhanced Pain Education for Post-Surgery Pain in Children
Recruiting in Palo Alto (17 mi)
Age: < 18
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Columbia University
Disqualifiers: ASA III, ASA IV, inpatient, others
No Placebo Group
Approved in 1 Jurisdiction
Trial Summary
What is the purpose of this trial?This study aims to assess the differences in overall pain severity, pain management, and satisfaction during recovery period between two groups of children who either receive or do not receive additional education related to expectation and management of postoperative pain.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment Enhanced Pain Education for Post-Surgery Pain in Children?
Research indicates that effective pain management, including proactive strategies and parental involvement, can significantly reduce postoperative pain in children. Studies show that when children receive comprehensive pain management, they experience fewer negative effects and better recovery outcomes.
12345Is enhanced pain education for post-surgery pain in children safe?
Recent studies suggest that effective pain management strategies, including education, can be safely administered to children undergoing surgery, with minimal negative effects when properly managed.
12678How is the treatment for post-surgery pain in children different from other treatments?
The treatment focuses on a comprehensive approach called multimodal pain management, which combines different methods like medications and nerve blocks to prevent and manage pain effectively. This approach is unique because it emphasizes individualized care and involves parents in the process, ensuring that pain management is tailored to each child's needs and monitored closely for effectiveness.
126910Eligibility Criteria
This trial is for children aged 1-6 years who are undergoing day surgery and have a low risk of complications (ASA status I or II). It's not suitable for kids with more serious health issues (ASA III or IV), those staying in the hospital overnight, or those with conditions affecting pain sensation.Inclusion Criteria
I am in good or fair health and will spend less than a day in recovery after surgery before going home.
I am between 1 and 6 years old and scheduled for a minor surgery.
Exclusion Criteria
My health status is severely or critically impaired.
I am hospitalized or in intensive care, which might affect how I feel or show pain.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Phase I - Initial Assessment
Initial assessment of the institution's pain management in healthy pediatric patients undergoing ambulatory surgical procedures
2-4 weeks
Phase II - Randomized Trial
Randomized trial with intervention group receiving additional education on postoperative pain management
4 weeks
Follow-up
Participants are monitored for changes in pain management and behavior postoperatively
4 weeks
Participant Groups
The study compares standard post-surgery pain management to the same care plus extra education on what kind of pain to expect and how it will be managed. The goal is to see if additional information improves pain outcomes and satisfaction during recovery.
2Treatment groups
Experimental Treatment
Active Control
Group I: Additional educationExperimental Treatment2 Interventions
Subjects undergoing ambulatory surgery who receive standard of care management with additional face-to-face education in postoperative pain management.
Group II: No additional educationActive Control1 Intervention
Subjects undergoing ambulatory surgery who receive standard of care management with no additional education in postoperative pain management.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Columbia UniversityNew York, NY
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Who Is Running the Clinical Trial?
Columbia UniversityLead Sponsor
References
[Postoperative analgesia in 3 Dutch hospitals: a pilot study]. [2008]Postoperative pain management is an area where preventive measures must be possible. This management will be linked to the expected pain in the postoperative period. To get a better insight in the expectancies and given treatment an inquiry was held in three Dutch hospitals. Of 48 often performed operative procedures in children only in 9 cases agreement was achieved. As a consequence treatment options were divers. Undertreatment is not unlikely. Postoperative pain scores by nurses was in 15 of 48 operative procedures significant higher than those by doctors.
Current management of pediatric postoperative pain. [2005]Pain is a common complaint in children after surgery. Four out of five children require analgesia even after minor surgery, and after more extensive surgery, significant postoperative pain may last for weeks. Severe pain during, and after surgery may aggravate long-lasting negative effects to the body and mind. In order to prevent harmful effects, all children should be provided with effective analgesia. Pain management should be safe and easy to administer. Postoperative pain management in children has improved substantially during the last 5 years. Recent trials indicate that children may undergo major surgery with minimal untoward effects when effective proactive pain management is provided. This review will focus on new clinical strategies on pain management in children. Since most pediatric surgery is performed as a day-case or short-stay basic recommendations for parental guidance and pain management after discharge are also presented.
Assessment and management of postoperative pain in children. [2007]This paper focuses on the knowledge base about the assessment and management of postoperative pain in children. The first section deals with the nature and characteristics of postoperative pain. A description of current pain management practices with children, focusing on analgesic administration, is derived from available research literature. These reports suggest that postoperative pediatric pain relief may be inadequate. Recent advances in pain assessment and measurement in all age groups, particularly with verbal children and the new self-report measures, are discussed. The latest developments in pharmacological and nonpharmacological techniques for the relief of children's postoperative pain are also described. Finally, the paper concludes with a few suggestions for pediatricians relative to their role in assisting in the search for better assessment and management techniques in the care of postoperative children.
Postoperative pain in children: a survey of parents' expectations and perceptions of their children's experiences. [2019]Parental expectation and participation in postoperative analgesia is very important in paediatric practice. In order to improve postoperative pain management in children, the parents of 31 elective surgical children, three months to 15 years of age, were asked preoperatively about their expectations regarding their children's postoperative pain and pain relief. At 24 h after surgery, the parents were asked about their perceptions of their children's pain and pain control. The survey indicates that the parents had high expectations of good pain relief. They wanted effective analgesia administered promptly when the children had some pain. However, current practice in controlling pain after surgery is still not optimal. Nine (29%) of the children experienced severe or unbearable pain or experienced pain for the whole of the 24 h after surgery. An approach to improve pain management in children could be for the hospital staff to reorganize and to develop an 'acute pain service'. A pain service may not require new technology, but instead be based on more effective communication and skill in utilizing the traditional systems.
Outcome domains and pain outcome measures in randomized controlled trials of interventions for postoperative pain in children and adolescents. [2019]We analysed outcome domains and pain outcome measures in randomized controlled trials of interventions for postoperative pain management in children and adolescents and compared them to the core outcome set recommended by the Pediatric Initiative on Methods, Measurement and Pain Assessment in Clinical Trials (PedIMMPACT).
[Postoperative pain relief in children]. [2006]Postoperative pain management in children has been subject to increasing interest during the last decade, but is still insufficient. A survey is presented concerning postoperative pain management in children. The value of monitoring the pain as well as the opioid side effects in children is stressed, and such methods are presented. Acute Pain Service is mentioned and the most important pharmacological aspects regarding non-steroidal anti-inflammatory drugs, paracetamol, opioids and local anaesthetics are discussed. The management of postoperative pain in neonates is reviewed separately. It is concluded that the present insufficient management of postoperative pain in children is not due to the lack of methods and techniques, but rather to lack of sufficient utilization and comprehension of the possibilities. Moreover, pain management in children should be individualised. It is also necessary to be more aware of side effects of the pharmacological treatment.
Perioperative analgesia in pediatric surgery. [2022]Poor pain management has continued to be a problem after pediatric surgery. This review examines the current situation and recent advances in the area.
[Postoperative pain therapy in pediatrics. Results of a representative survey in Germany]. [2019]The last survey addressing postoperative pain management in Germany was published in 1987, special data concerning postoperative pain management in pediatric patients had not been presented previously. The goal of this survey is to present the standard of postoperative pain management in pediatric patients in Germany. A detailed questionnaire was mailed to all German anaesthesia departments and interdisciplinary intensive care units (n = 1,500) to determine the current management of postoperative pain management in pediatric patients. After eight weeks, 42.6% of the survey had been returned. Rectally administered acetaminophen is the standard drug regimen for postoperative analgesia in children. Compared to previous surveys, the use of opioids has increased in popularity. The routine use of non-steroid antiinflammatory drugs (NSAIDs) and spasmolytics as well as the application of regional anaesthesia techniques is uncommon in pediatric postoperative pain management. Compared to other European countries, patient- or parent-controlled analgesia is more popular in Germany. Despite modern concepts of organization and a great variety of drugs available today, 71.1% of the responding anesthesiologists in this survey still believe that pediatric postoperative pain management needs to be improved.
[Perioperative pain therapy. Deficiencies in children and adolescents]. [2019]Present studies reveal that postoperative pain management for children is still insufficient in Germany. This situation is not only caused by a lack of knowledge, but, mainly, by a deficiency of standardized protocols in the hospitals and the lack of administrative responsibility. This article describes a specific concept for postoperative pain management in children. It basically focuses on three main topics: prevention of pain, the algorithm for analgesic treatment and the evaluation of the efficiency of the treatment. The surgeon plays a central role in pain prevention. By intraoperative blocking of the peripheral nerves, he can achieve effective analgesia. Postoperatively, he prescribes a basic medication according to the procedure used and the surgical trauma. Its effectiveness must be measured routinely thereafter and, depending on the score, an individual pain medication should be added. Pain measurement in children requires the application of specific scales for each age group. The evaluation of this concept has revealed therapeutic success, broad acceptance and efficiency in ward use. However a long-term benefit can only be achieved when postoperative pain management is one of the essential duties of the surgeon and it is constantly monitored within a department.
Parental Postoperative Pain Management Perceptions, Attitudes, and Practices in Pediatric Limb Fractures. [2023]Post-surgical pain in children is common, severe, and inadequately controlled. An effective model should involve the participation of parents.