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  • 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

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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. 1 University of Lausanne, IUFRS, Lausanne, Switzerland
  2. 2 HESAV, 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}unil.ch
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http://dx.doi.org/10.1136/eb-2013-101276

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    Commentary on: Bai J, Hsu L. Pain status and sedation level in Chinese children after cardiac surgery: an observational study. J Clin Nurs 2013;22:137–47.OpenUrlCrossRefPubMed

    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.

    Context

    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.

    Methods

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

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