A new technique through which pain can be better managed among children who undergo high-risk urology surgeries has been identified by researchers at Children's Hospital of Orange County (CHOC Children's) and published in the Journal of Pediatric Urology.
"While pain management is a fundamental part of pediatric surgical recovery and care for pediatric patients, current options involve strong prescription painkillers that can put patients at risk for adverse side effects and possible complications," said study investigator Antoine "Tony" E. Khoury, M.D., chief of pediatric urology at CHOC Children's. "This study demonstrates a major advancement in pain management for pediatric urology patients, significantly reducing postoperative pain and the need for pain medicine."
The research team evaluated continuous infusion of local anesthesia using the ON-Q pain relief system to improve pain control in children undergoing urological procedures. While the ON-Q system is well-established as an effective pain management technique for adults, this is the first study that evaluates its pain management effectiveness in children.
The pump delivers the anesthetic in an automatic continuous drip, so patients and their caregivers don't have to worry about adjusting the dosage. It is also contained in a pouch, so kids are able to move freely as they recover. Researchers recommend conducting additional clinical studies to further validate this technique as a superior option for postoperative pain management in children undergoing surgery.
In addition to Dr. Khoury, authors for the research study, "Application of continuous incisional infusion of local anesthetic after major pediatric urological surgery," include Guy Hidas, Hak J. Lee, Blake Watts, Maryellen Pribish, Edwin T. Tan, and Zeev N. Kain all are affiliated with the departments of urology at both CHOC Children's and the University of California, Irvine.