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ORIGINAL ARTICLE
Year : 2014  |  Volume : 11  |  Issue : 2  |  Page : 162-165

Post-operative pain management in paediatric surgery at Sylvanus Olympio University Teaching Hospital, Togo


1 Department of Anesthesiology and Intensive Care, Sylvanus Olympio University Teaching Hospital, Lomé, Togo
2 Department of Internal Medicine, Sylvanus Olympio University Teaching Hospital, Lomé, Togo
3 Department of Neurology, Sylvanus Olympio University Teaching Hospital, Lomé, Togo, Togo
4 Department of Anesthesiology and Intensive Care, Hubert K Maga University Teaching Hospital, Cotonou, Benin

Correspondence Address:
Dr. Hamza Doles Sama
Department of Anesthesiology and Intensive Care-Sylvanus Olympio University Teaching Hospital, 08 BP: 8146, Lomé Tokoin
Togo
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.132817

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Background: The aim of this study was to evaluate pain management in paediatric surgery at Sylvanus Olympio University Teaching Hospital, Lome. Patients and Methods: A prospective descriptive study was conducted in the Department of Anaesthesiology and Intensive Care at Sylvanus Olympio teaching hospital from 1 January to 30 June 2012. Data collected include: demography, type of surgery, American Society of Anaesthesiologists (ASA) classification, anaesthetic protocol, analgesia technique, post-operative complications and cost of analgesia. Results: The study includes 106 post-operative children. Abdominal surgery was performed in 41.5% and orthopaedic surgery in 31.1%. A total of 75% of patients were classified ASA 1. General anaesthesia (GA) was performed in 88%. Anaesthetists supervised post-operative care in 21.7% cases. Multimodal analgesia was used in every case and 12% of patients received a regional block. The most frequently unwanted effects of analgesics used were nausea and/or vomiting in 12.3%. At H24, child under 7 years have more pain assessment than those from 7 to 15 years (46% vs 24%) and this difference was statistically significant (chi-square = 4.7598; P = 0.0291 < 0.05). The average cost of peri-operative analgesia under loco regional analgesia (LRA) versus GA during the first 48 h post-operative was US $23 versus $46. Conclusion: Our study showed that post-operative pain management in paediatric surgery is often not well controlled and paediatric loco regional analgesia technique is under practiced in sub Saharan Africa.


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