Evid Based Nurs doi:10.1136/eb-2013-101276
  • Child health
  • Observational study

In China the use of analgesics and sedation following paediatric cardiac surgery is variable; average pain scores are reported to be good but over-sedation is common

  1. Anne-Sylvie Ramelet1,2
  1. 1University of Lausanne, IUFRS, Lausanne, Switzerland
  2. 2HESAV, University of Applied Sciences, Western Switzerland
  1. Correspondence to: Professor Anne-Sylvie Ramelet
    University of Lausanne, IUFRS, Rte de la Corniche 10. Lausanne, 1011, Switzerland; Anne-Sylvie.Ramelet{at}

Commentary on:

Implications for practice and research

  • The trajectory of both pain intensity and sedation level is an important consideration when caring for children following cardiac surgery.

  • International standards recommend preventive analgesia should be incorporated into care pathways for children following cardiac surgery.

  • Neuromuscular blockage should be assessed using quantitative valid methods, such as the train-of-four.


The prevalence of pain following cardiac surgery in children remains excessively high worldwide.1 ,2 It is estimated that 70% of children experience moderate to severe pain postcardiac surgery in China. Effective pain management should be a priority in the child's care following surgery.


Bai and Hsu's study aimed to describe the trajectory of pain intensity and sedation level in Chinese children after …

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