Efficacy of a Nurse-based, Anesthesiologist-supervised Acute Pain Service for Pediatric Patients

Study Overview
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Brief Summary
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Can a nurse-based, anesthesiologist-supervised model reduce prevalence of postoperative pain in pediatric patients?

Detailed Description
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Comparison of 2 treatment model in reducing prevalence of postoperative pain in pediatric patients: Conventional model(C): Nurses give fixed-dose analgesic according to surgeons' prescription Study model(S): Nurses give initial-dose analgesic according to surgeons' prescription. In case of inadequate pain relief, another half of initial dose will be given twice at 15-min interval and acute pain service will be consulted if there is still pain.

Official Title
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Efficacy of a Nurse-based, Anesthesiologist-supervised Acute Pain Service for Pediatric Patients

Conditions
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Postoperative Pain, Satisfaction

Intervention / Treatment
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* Other: model of health care service


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age up to15 years old Underwent surgery with moderate to severe pain Exclusion Criteria: ENT, Eye, ambulatory surgery Cardiac, Neurosurgery Severe neurocognitive impairment Continuous epidural analgesia which anesthesiologists take care by themselves

Ages Eligible for Study
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Minimum Age: 31 Days
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Conventional model, Study model<br>Conventional model(C): Nurses give fixed-dose analgesic according to surgeons' prescription Study model(S): Nurses give initial-dose analgesic according to surgeons' prescription. In case of inadequate pain relief, another half of initial dose will be given twice at 15-min interval and acute pain service will be consulted if there is still pain. | Other: model of health care service<br>* Conventional model(C): Nurses give fixed-dose analgesic according to surgeons' prescription Study model(S): Nurses give initial-dose analgesic according to surgeons' prescription. In case of inadequate pain relief, another half of initial dose will be given twice at 15-min interval and acute pain service will be consulted if there is still pain.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| prevalence of patients with moderate to severe pain more than once in first postoperative day | moderate to severe pain = Neonatal Infant Pain Scale =,>4 or CHEOPS =,>8 or Verbal numerating scale =,>4 | 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nurse-based, acute pain service, pediatric, postoperative,, pain