Risk factors of postoperative pain after pediatric obstructive sleep apnea syndrome surgery in postanesthesia care unit

doi:10.19438/j.cjoms.2023.02.013

Abstract

Abstract: PURPOSE: To investigate the risk factors of postoperative pain in children after obstructive sleep apnea syndrome(OSAS) surgery. METHODS: A total of 531 children aged 3-12 years who underwent OSAS surgery were included. Children's preoperative anxiety state, parents' anxiety state, information related to anesthesia and surgery, postoperative agitation, postoperative pain during postanethesia care unit (PACU) were recorded. Multivariate logistic regression analysis was used to assess the risk factors of postoperative pain intensity. SAS 9.4 software was used for data analysis. RESULTS: The incidence of moderate to severe pain was 16.6% in PACU. Age(OR=0.85, 95%CI: 0.76-0.95), tonsillectomy with or without adenoidectomy (OR=1.5, 95%CI: 1.12-1.99), preoperative anxiety(OR=1.01, 95%CI: 1.00-1.02), emergence agitation (OR=1.22, 95%CI: 1.17-1.26) and ketamine use were independently associated with higher pain in PACU. CONCLUSIONS: Age,tonsillectomy with or without adenoidectomy, preoperative anxiety, emergence agitation and ketamine use are independent risk factors for postoperative pain in PACU.

Key words: Children, OSAS, Adenotonsillectomy, Postoperative pain in PACU

CLC Number:

R782.05.4

FENG Wan-qing, LI Jing-jie, LIU Jin-xing, LAO Wei. Risk factors of postoperative pain after pediatric obstructive sleep apnea syndrome surgery in postanesthesia care unit[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(2): 175-179.

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