Ürolojik cerrahi geçiren çocuklarda postoperatif ağrı ve analjezik ihtiyacının flacc skoruna göre değerlendirilmesi : retrospektif gözlemsel çalışma.

Objective: We aimed to evaluate postoperative analgesia of intravenous paracetamol or caudal block at pediatric patients with using FLACC scale who underwent urologic intervention retrospectively. Material and Methods: The files of 55 patients aged between 0 and 12 who underwent urological surgery between April 2019 and July 2019 were evaluated retrospectively. Pediatric patients undergoing caudal epidural analgesia were referred to as Group 1, while Group 2 was given iv paracetamol. FLACC scores were administered for 50 minutes, once every 10 minutes. Scores at 10, 20, 30, 40 and 50 min were calculated. Patients who underwent additional analgesics based on the score were noted. Results: The mean age of the patients was 5.5 ± 3.4 years in Group 1 and 6.2 ± 3.6 years in Group 2. Mean duration of surgery was 36.9 ± 25.5 minutes in Group 1 and 23.5 ± 17.2 minutes in Group 2. Postoperative FLACC scores were significantly higher in group 2 at 10, 20, 30, 40 minutes compared to Group 1, and again significantly higher at 50 minutes. No additional postoperative analgesic requirement was required in Group 1 (0%), while 14 patients (50%) in group 2 received iv paracetamol 15 mg / kg as an additional analgesic. Conclusion: We found that the application of caudal epidural analgesia to prevent postoperative pain was effective. Caudal analgesia should be preferred in pediatric patients when it is considered to reduce requirement of additional analgesics in postoperative period, avoiding the side effects and reducing costs. [ABSTRACT FROM AUTHOR]