Document Detail

Measurement of post-operative pain and narcotic administration in infants using a new clinical scoring system.
MedLine Citation:
PMID:  2723246     Owner:  NLM     Status:  MEDLINE    
We developed a clinical neurologic and behavioral scoring system composed of 10 items to measure the post-operative pain levels in infants: (1) sleep during preceeding hour, (2) facial expression of pain, (3) quality of cry, (4) spontaneous motor activity, (5) Spontaneous excitability, (6) flexion of fingers and toes, (7) sucking, (8) global evaluation of tone, (9) consolability and (10) sociability. Using this system, a group of infants ranging from one to seven months in age and undergoing minor surgical procedures was studied. The infants were randomly assigned to two groups: Group I received Fentanyl intravenously (3 micrograms/kg) prior to surgery, and Group II received a placebo. The infants then were studied post-operatively in the recovery room at 30, 60, 90 and 120 min intervals. Over the entire post-operative observation period, 54% of the infants in Group I had satisfactory analgesia compared to 18% in Group II. There were no significant differences in Group I and Group II in oxygenation, carbon dioxide elimination, blood pressure, heart rate or temperature.
G Barrier; J Attia; M N Mayer; C Amiel-Tison; S M Shnider
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Intensive care medicine     Volume:  15 Suppl 1     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1989  
Date Detail:
Created Date:  1989-07-03     Completed Date:  1989-07-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S37-9     Citation Subset:  IM    
Département d'Anesthésiologie, Hôpital Necker, Paris, France.
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MeSH Terms
Fentanyl / therapeutic use*
Infant, Newborn
Pain / drug therapy*,  etiology
Pain Measurement / methods
Postoperative Complications / drug therapy*
Reg. No./Substance:

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