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- W2002118052 abstract "Pediatric pain remains sub-optimally controlled. Use of standardized protocol is one key for better analgesia. We have been using an algorithm in our center for over 10 years for the 5 to 18 YO hospitalized children. Nurses asked for such an algorithm for the 1 to 7 YO children. To do so, we had to first implement a hetero-evaluation scale (EVENDOL). Thirty minute training sessions were provided to nurses about EVENDOL’s applicability. Subsequently, all children 1 to 7 YO admitted for painful medical or surgical conditions were evaluated using EVENDOL. Pain values and analgesia were noted for each patient by electronic and paper charting. Satisfaction and practice changes within the nursing staff were evaluated. Forty children were included. 24 children were under surgical care and 16 under medical care. A total of 260 pain measurements were documented. Overall 95% of this cohort received multimodal analgesia which is two or more types of pain medication. More than 50% of prescribed PRN medications were given on a regular basis. Only 12 of 260 pain assessments were in the severe pain category and they received an appropriate and timely analgesia. 85% of pain scores on day 2 were in the mild pain category. These scores were comparable to those obtained with the 5-18 year old cohort (96%) post implementation of the pain algorithm. Ease of EVENDOL use was rated at 9.3 of 10. Global satisfaction score about the scale was 6.7/10. We stopped the recruitment for the control group prior to implementation of the algorithm because nurses spontaneously transposed the pre-existing 5 to 18 year old standardised analgesia protocol, and used it in the 1-7 year old group. This may explain the excellent pain control despite the absence of a standardised analgesic pain protocol in this age group. Supported by Foundation of Stars." @default.
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- W2002118052 date "2014-04-01" @default.
- W2002118052 modified "2023-09-27" @default.
- W2002118052 title "(101) Standardized analgesia protocol led by nurses: efficacy maintained when based on hetero-evaluation" @default.
- W2002118052 doi "https://doi.org/10.1016/j.jpain.2014.01.007" @default.
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