Key result
In pediatric patients undergoing fast-track cardiac surgery, the analgesic regimen resulted in 90% of patients experiencing excellent to satisfactory analgesia, with vomiting occurring in 48% of cases.
Why the study?
Fast-track management has gained popularity in cardiac surgery, but the effect of analgesia in fast-track pediatric cardiac patients required evaluation.
Does a fast-track management protocol with multimodal analgesia provide adequate pain control in pediatric patients undergoing low-risk cardiac surgery?
Observational (n=100)
No
Does a fast-track management protocol with multimodal analgesia provide adequate pain control in pediatric patients undergoing low-risk cardiac surgery?
Fast-track management with multimodal analgesia provides excellent to satisfactory pain control in 90% of pediatric patients undergoing low-risk cardiac surgery, though postoperative vomiting remains a common adverse effect.
Answers are grounded in this paper and cite their sources.
May support fast-track multimodal analgesia in low-risk pediatric cardiac surgery; leaves open need for randomized confirmation.
Background: Rapid tracheal extubation after cardiac surgery is not novel. "Fast-track management" has gained popularity in recent years, and the provision of cost-effective treatment is now included in with other factors as a means of assessing the success of various surgical procedures. Objective: In this study our main goal is to evaluate the effect of Analgesia in fast track pediatric cardiac patient. Method: This retrospective study was done at Bangladesh Shishu Hospital and Institute, Bangladesh, from January 2021 to January 2022. A total of 100 patients considered suitable for fast-track care were selected prior to surgery. The criteria for the selection of fast-track patients included low- risk cardiac surgery and the absence of other associated complex defects, either a weight over 10 kg or at least 6 months of age, the absence of complex non-cardiac issues and no significant history of repeat chest infections or obstructive airway disease. Results: during the study, mean age group was 5.7 years, followed by 55 cases were male, mean weight was 15.5 kg. 50% had a trial septal defect followed by 15% Ventricular septal defect, 11% Partial anomalous pulmonary, 9% congenital sabaortic stenosis, 10% had Atrioventricular septal defect. While reviewing post-operative faces pain score in day-1, 15% had no hurts followed by 60% had hurts a little bit, 10% had hurts more, 5% had hurts even more, 5% had hurts whole lot, 5% had hurts worst In day-2 25% had no hurts, 50% had hurts a bit, 12% had hurts a little more, 6% had hurts even more. In day-3 40% had no hurts, 40% had hurts a little bit, 20% had hurts little more. However, in day-4 15% had hurts little bit and 10% had hurts little more. In addition, 90% of the patients had between excellent and satisfactory analgesia. Moreover, 48% had vomiting and 2% had itching. Conclusion: The treatment of congenital heart disease after surgery is projected to become more reliant on "fast-track" care as the healthcare system ....
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Hossain et al. (2022) conducted an observational in Congenital heart disease undergoing fast-track cardiac surgery (n=100). Fast-track analgesia regimen was evaluated on Quality of analgesia. In pediatric patients undergoing fast-track cardiac surgery, the analgesic regimen resulted in 90% of patients experiencing excellent to satisfactory analgesia, with vomiting occurring in 48% of cases.
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