Izvorni znanstveni članak

https://doi.org/10.20471/acc.2019.58.02.10

Postoperative Pain and Stress Response: Does Child’s Gender Have an Influence?

Marijana Karišik orcid.org/0000-0002-1783-7486 ; Department of Anesthesiology, Institute for Children’s Diseases, Clinical Centre of Montenegro, Podgorica, Montenegro
Najdana Gligorović Barhanović ; Centre for Clinical Laboratory Diagnostics, Clinical Centre of Montenegro, Podgorica, Montenegro
Tatjana Vulović ; School of Medicine, University of Kragujevac, Kragujevac, Serbia; Centre for Anesthesiology and Resuscitation, Clinical Centre Kragujevac, Kragujevac, Serbia
Dušica Simić ; School of Medicine, University of Belgrade, Belgrade, Serbia; University Children’s Hospital, Belgrade, Serbia

Sažetak

Surgical procedure causes multisystem stress response reactions. The aim of this study was to assess whether gender has an impact on the level of neuroendocrine response to surgical stress and intensity of postoperative pain in children undergoing inguinal hernia repair surgery, as well as satisfaction of their parents with preoperative and postoperative care. The study included 60 children aged 3-6 years, all of them the only child in the family. All children included in the study were
categorized as American Society of Anesthesiologists PS Class I, and divided into two groups: group 1 composed of 30 boys and group 2 composed of 30 girls. After oral premedication with midazolam, general anesthesia with endotracheal intubation was performed in all patients. Ketorolac, 1 mg.kg-1, was administered for postoperative analgesia. Serum cortisol was measured in all children preoperatively and postoperatively. The quality of postoperative analgesia was evaluated by Wong-Baker (FACES) scale, along with parental satisfaction. Male children who were the only child in the family had stronger neuroendocrine response to surgical stress and stronger intensity of postoperative pain. The parents of the girls expressed greater satisfaction with preoperative and postoperative care.

Ključne riječi

Child; General surgery; Anesthesia and analgesia; Pain, postoperative

Hrčak ID:

224447

URI

https://hrcak.srce.hr/224447

Datum izdavanja:

1.6.2019.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.549 *