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Pain Research and Management
Volume 17, Issue 5, Pages 328-334
http://dx.doi.org/10.1155/2012/541751
Original Article

An Audit of Pain Management Following Pediatric Day Surgery at British Columbia Children’s Hospital

Serena Shum,1 Joanne Lim,2,3 Trish Page,4 Elizabeth Lamb,5 Jennifer Gow,2,3 J Mark Ansermino,2,3 and Gillian Lauder3,6

1Queen’s University, Ontario, Canada
2Department of Anesthesia, British Columbia Children’s Hospital, Canada
3Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Canada
4Surgical Daycare Unit, British Columbia Children’s Hospital, Canada
5Post-Anesthetic Recovery Unit, British Columbia Children’s Hospital, Canada
6Acute Pain Service, British Columbia Children’s Hospital, Canada

Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A prospective audit of 225 children was conducted to evaluate current pain management strategies both in-hospital and at home following day surgery at British Columbia Children’s Hospital (Vancouver, British Columbia). Anesthetic, postanesthetic care unit and surgical day care unit records were collected to generate in-hospital data. A telephone questionnaire was administered 48 h postdischarge for at home data. Pain reports and scores were significantly higher (P<0.01) at home compared with in-hospital. Children undergoing certain procedures were more likely to experience significant pain. Although good pain control was commonly achieved after surgery, improvements may be possible by increasing the use of multimodal analgesia, providing standardized written discharge instructions and using surgery-specific pediatric analgesia guidelines.