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Postoperative Schmerztherapie

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Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

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Obwohl adäquate Behandlungsoptionen zur Verfügung stehen, sind Kinder schmerztherapeutisch unterversorgt (Bremerich et. al. 2001; Schechter 1989; Howard 2003). Dies gilt insbesondere für den postoperativen Schmerz (Stamer et al. 2005).

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Literatur

  • American Academy of Pediatrics and Committee on Drugs (2001) Acetaminophen toxicity in children. Pediatrics, 108(4): 1020–1024

    Article  Google Scholar 

  • Anderson BJ, Holford NH, Woollard GA, Kanagasundaram S, Mahadevan M (1999) Perioperative pharmacodynamics of acetaminophen analgesia in children. Anesthesiology, 90(2): 411–421

    Article  PubMed  CAS  Google Scholar 

  • Anand KJ (1997) Long-term effects of pain in neonates and infants. In Jensen TS, Wilson PR, Rice ARC (Hrsg.), Progress in Pain Research and Management (S. 881–892) Seattle: IASP-Press

    Google Scholar 

  • Anand KJ (2000) Pain, plasticity, and premature birth: a prescription for permanent suffering? Nat Med, 6(9): 971–973

    Article  PubMed  CAS  Google Scholar 

  • Arana A, Morton NS, Hansen TG (2001) Treatment with paracetamol in infants. Acta Anaesthesiol Scand, 45: 20–29

    Article  PubMed  CAS  Google Scholar 

  • Arcioni R, della Rocca M, Romanò S, Romano R, Pietropaoli P, Gasparetto A (2002) Ondansetron inhibits the analgesic effects of tramadol: a possible 5-HT (3) spinal receptor involvement in acute pain in humans. Anesth Analg, 94: 1553–1557

    Article  PubMed  CAS  Google Scholar 

  • Becke K, Kranke P, Weiss M, Kretz FJ (2007) Handlungsempfehlung zur Risikoeinschätzung, Prophylaxe und Therapie von postoperativem Erbrechen im Kindesalter. Vom Wissenschaftlichen Arbeitskreis Kinderanästhesie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) Anästh Intensivmed 48: S95–S98

    Google Scholar 

  • Beyer JE. (1984) The Oucher: A user’s manual and technical report. Evanston, Illinois: Judson Press

    Google Scholar 

  • Beyer JE, McGrath PJ, Berde CB (1990) Discordance between self-report and behavioral pain measures in children aged 3-7 years after surgery. J Pain Symptom Manage, 5: 350–356

    Article  PubMed  CAS  Google Scholar 

  • Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB (1990) The faces pain scale for the self-assessment of the severity of pain experienced by children: Development, initial validation, and preliminary investigation for ratio scale properties. Pain, 41(2): 139–150

    Article  PubMed  CAS  Google Scholar 

  • Borucki D, Hünseler C, Müller C, Theisohn M, Hering F, Roth B (2004) Piritramid in der Analgesie von Neugeborenen, Säuglingen und Kleinkindern. Schmerz, 18 (Suppl 1): 108–S109

    Google Scholar 

  • Bouillon T, Kietzmann D, Port R, Meineke I, Hoeft A (1999) Population pharmacokinetics of piritramide in surgical patients. Anesthesiology, 90: 7–15

    Article  PubMed  CAS  Google Scholar 

  • Breitfeld C, Peters J, Vockel T, Lorenz C, Eikermann M (2003) Emetic effects of morphine and piritramide. Br J Anaesth, 91: 18–223

    Article  CAS  Google Scholar 

  • Bremerich DH, Neidhart C, Roth B, Kessler P, Behne M (2001) Postoperative Schmerztherapie im Kindesalter. Anaesthesist, 50: 102–112

    Article  PubMed  CAS  Google Scholar 

  • Büttner W, Finke W (2000) Analysis of behavioural and physiological parameters for the assessment of postoperative analgesic demand in newborns, infants and young children: a comprehensive report on seven consecutive studies. Paediatr Anaesth, 10: 303–318

    Article  PubMed  Google Scholar 

  • Cardwell M, Siviter G, Smith A (2005) Non-steroidal antiinflammatory drugs and perioperative bleeding in paediatric tonsillectomy (Review) Cochrane Database Syst Rev, 2005 (2): Art. No.: CD003591-DOI: 10.1002/14651858. CD003591.pub2

    Google Scholar 

  • Conroy S, Peden V (2001) Unlicensed and off label use in paediatric pain management. Paediatr Anaesth 11: 431–436

    Article  PubMed  CAS  Google Scholar 

  • De Negri P, Ivani G (2002) Management of postoperative nausea and vomiting in children. Pediatr Drugs, 4: 717–728

    Google Scholar 

  • Derbyshire SWG (2008) Fetal Pain: Do We Know Enough to Do the Right Thing? Reprod Health Matters, 16(31S): 117–126

    Article  PubMed  Google Scholar 

  • Deutsche Interdisziplinäre Vereinigung für Schmerztherapie (DIVS) e.V. (Hrsg.) (2008) ai]Leitlinie Behandlung akuter perioperativer und posttraumatischer Schmerzen (S3) Köln: Deutscher Ärzte-Verlag

    Google Scholar 

  • Eberhart LH, Geldner G, Kranke P, Morin AM, Schäuffelen A, Treiber H, Wulf H (2004) The Development and Validation of a Risk Score to Predict the Probability of Postoperative Vomiting in Pediatric Patients. Anesth Analg, 99: 1630–1637

    Article  PubMed  CAS  Google Scholar 

  • Elhakim M, Ali NM, Rashed I, Riad MK, Refat M (2003) Dexamethasone reduces postoperative vomiting and pain after pediatric tonsillectomy. Can J Anaesth, 50: 392–397

    PubMed  Google Scholar 

  • Fanurik D, Koh JL, Harrison RD, Conrad TM, Tomerun C (1998) Pain Assessment in Children with Cognitive Impairment: An Exploration of Self-Report Skills. Clin Nurs Res, 7(2): 103–124

    Article  PubMed  CAS  Google Scholar 

  • Finke W, Büttner W, Reckert S, Vsianska L, Schröer C, Brambrink V (1999) Atem-und Kreislaufparameter als Indikatoren des postoperativen Analgetikabedarfs bei Neugeborenen und Säuglingen. Anästh Intensivmed Notfallmed Schmerzther, 34: 747–757

    Article  CAS  Google Scholar 

  • Ghai B, Makkar JK, Wig J (2008) Postoperative pain assessment in preverbal children and children with cognitive impairment. Paediatr Anaesth, 18: 462–477

    Article  PubMed  Google Scholar 

  • Graff J, Arabmotlagh M, Cheung R, Geisslinger G, Harder S (2007) Effects of parecoxib and dipyrone on platelet aggregation in patients undergoing meniscectomy: a double-blind, randomized, parallel-group study. Clin Ther 29: 438–447

    Article  PubMed  CAS  Google Scholar 

  • Griessinger N, Rösch W, Schott G, Sittl R (1997) Tramadol-Infusion zur Schmerztherapie nach großen Blaseneingriffen auf Kinderstationen. Urologe, 36: 552–556

    Article  PubMed  CAS  Google Scholar 

  • Hannallah RS, Broadman L, Belman AB, Abramowitz MD, Ebstein BS (1987) Comparison of caudal and ilionguinal/iliohypogastric nerve blocks for control of post-orchidopexy pain in pediatric ambulatory surgery. Anesthesiology, 66, 232–234

    Article  Google Scholar 

  • Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B (2001) The Faces Pain Scale — Revised: Toward a common metric in pediatric pain measurement. Pain, 93: 173–183

    Article  PubMed  CAS  Google Scholar 

  • Howard RF (2003) Current status of pain management in children. JAMA, 290(18): 2464–2469

    Article  PubMed  CAS  Google Scholar 

  • Howard R (2008a) Contributors. Paediatr Anaesth, 18(s1): 79

    Google Scholar 

  • Howard R (2008b) Subject index. Paediatr Anaesth, 18(s1): 80–81

    Article  Google Scholar 

  • Howard R, Carter B, Curry J, Morton N, Rivett K, Rose M, Tyrrell J, Walker S, Williams G (2008a) Analgesia Review. Paediatr Anaesth, 18(s1): 64–78

    Article  PubMed  Google Scholar 

  • Howard R, Carter B, Curry J, Morton N, Rivett K, Rose M, Tyrrell J, Walker S, Williams G (2008b) Background. Paediatr Anaesth, 18(s1): 1–3

    Article  PubMed  Google Scholar 

  • Howard R, Carter B, Curry J, Morton N, Rivett K, Rose M, Tyrrell J, Walker S, Williams G (2008c) Medical Procedures. Paediatr Anaesth, 18(s1): 19–35

    Article  PubMed  Google Scholar 

  • Howard R, Carter B, Curry J, Morton N, Rivett K, Rose M, Tyrrell J, Walker S, Williams G (2008d) Pain Assessment. Paediatr Anaesth, 18(s1): 14–18

    Article  PubMed  Google Scholar 

  • Howard R, Carter B, Curry J, Morton N, Rivett K, Rose M, Tyrrell J, Walker S, Williams G (2008e) Postoperative pain. Paediatr Anaesth, 18(s1): 36–63

    Article  PubMed  Google Scholar 

  • Hünseler C, Roth B, Pothmann R, Reinhold P (2005) Intramuskuläre Injektionen im Kindesalter. Notwendiges Übel oder vermeidbare Körperverletzung? Schmerz, 19(2), 140–143, 2005

    Article  PubMed  Google Scholar 

  • Jeyakumar A, Brickman TM, Williamson ME, Hirose K, Krakovitz P, Whittemore K, Discolo C (2008) Nonsteroidal anti-inflammatory drugs abd postoperative bleeding following adenosillectomy in pediatric patients. Arch Otolaryngol Head Neck Surg, 134(1): 24–27

    Article  PubMed  Google Scholar 

  • Kaan MN, Odabasi O, Gezer E, Daldal A (2006) The effect of preoperative dexamethasone on early oral intake, vomiting and pain after tonsillectomy. Int J Pediatr Otorhinolaryngol, 70: 73–79

    Article  PubMed  Google Scholar 

  • Kranke P, Eberhart LH, Roewer N, Tramèr MR (2004) Singledose parenteral pharmacological interventions for the prevention of postoperative shivering: a quantitative systematic review of randomized controlled trials. Anesth Analg, 99: 718–727

    Article  PubMed  CAS  Google Scholar 

  • Kretz F-J (2007) Praxis der Kinderanästhesie. In: Kretz, F-J, Becke K (Hrsg.): Anästhesie und Intensivmedizin bei Kindern. 2. Aufl., Stuttgart: Georg Thieme Verlag

    Google Scholar 

  • Kussmann BD, Sethna NF (1998) Pethidine-associated seizure in a healthy adolescent receiving pethidine for postoperative pain control. Paediatr Anaesth, 8(4): 349–352

    Article  Google Scholar 

  • Kyllonen MI, Olkalla KT, Sepolla TO, Ryhanen PI (2005) Perioperative pharmacokinetics of ibuprofen enantiomers after rectal administration. Paediatric Anaesth, 15: 566–573

    Article  Google Scholar 

  • Lee SJ, Ralston HJP, Drey EA, Partridge JC, Reosen MA (2005) Fetal pain — a systematic multidisciplinary review of the evidence. JAMA, 294: 947–954

    Article  PubMed  CAS  Google Scholar 

  • Lehmann K, Reinhold P (2004) Metamizol — moderne Schmerztherapie mit bewährter Substanz. Med Report, 50: 12

    Google Scholar 

  • Lönnqvist PA, Morton NS (2005) Postoperative analgesia in infants and children. Br J Anaesth, 95(1): 59–68

    Article  PubMed  CAS  Google Scholar 

  • Lussi C, Lauven PM, Dierke-Dzierzon C (1991) Pharmakokinetik von Piritramid nach i.v. und i.m. Applikation. Anaesthesist 40 (Suppl 1): 108

    Google Scholar 

  • Machotta A, Risse A, Bercker S, Streich R, Pappert D (2003) Comparison between instillation of bupivacaine versus caudal analgesia for postoperative analgesia following inguinal herniotomy in children. Paediatr Anaesth, 13: 397–402

    Article  PubMed  Google Scholar 

  • Mantzke US, Brambrink AM (2002) Paracetamol im Kindesalter: Aktueller Wissensstand und Hinweise für einen rationalen Einsatz zur postoperativen Analgesie. Anaesthesist, 51(9): 735–746

    Article  PubMed  CAS  Google Scholar 

  • Maxwell LG, Kaufmann SC, Bitzer S, Jackson EVJr, McGready J, Kost-Byerly S, Kozlowski L, Rothman SK, Yasui Y (2005) The effects of a small-dose naloxone infusion on opioid-induced side effects and analgesia in children and adolescents treated with intravenous patient-controlled analgesia: a double-blind, prospective, randomized, controlled study. Anesth Analg, 100: 953–958

    Article  PubMed  CAS  Google Scholar 

  • McGrath PJ, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman JA (1985) CHEOPS: A behavioral scale for rating postoperative pain in children. In H. L. Fields, R. Dubner, F. Cervero (Hrsg.), Advances in pain research and therapy, vol 9. Proceedings of the 4th World Congress on Pain (S. 395–402) New York: Raven Press

    Google Scholar 

  • McQuay H, Moore A, Justins D (1997) Treating acute pain in hospital. Br Med J, 314(7093): 1531–1535

    CAS  Google Scholar 

  • Mehler J (2006) Schmerztherapie bei ambulanten Operationen im Kindesalter. Schmerz 20: 10–16

    Article  PubMed  CAS  Google Scholar 

  • Moiniche S, Romsing J, Dahl JB, Tramer MR (2003) Nonsteroidal antiinflammatory drugs and the risk of operative site bleeding after tonsillectomy: a quantitative systematic review. Anesth Analg, 96(1): 68–77

    Article  PubMed  CAS  Google Scholar 

  • Muller C, Kremer W, Harlfinger S, Doroshyenko O, Jetter A, Hering F, Hunseler C, Roth B, Theisohn M (2006) Pharmacokinetics of piritramide in newborns, infants and young children in intensive care units. Eur J Pediatr, 165: 229–239

    Article  PubMed  CAS  Google Scholar 

  • Pang W-W, Mok MS, Lin C-H, Yang T-F, Huang M-H (1999) Comparison of patient-controlled analgesia (PCA) with tramadol or morphine. Can J Anesth 46: 1030–1035

    PubMed  CAS  Google Scholar 

  • Pecar A, Dirks B (1995) Mischbarkeit von Infusionslösungen und Arzneimitteln. Kompatibilität und Inkompatibilität. Anaesthesist, 44: 793–803

    PubMed  CAS  Google Scholar 

  • Pedraz JL, Calvo MB, Lanao JM, Muriel C, Santos Lamas J, Dominguez-Gil A (1989) Pharmacokinetics of rectal Ketamine in children. Br J Anaesth, 63: 671–674

    Article  PubMed  CAS  Google Scholar 

  • Pickering G, Loriot MA, Libert F, Eschalier A, Beaune P, Dubray C (2006) Analgesic effect of acetaminophen in humans: first evidence of a central serotonergic mechanism. Clin Pharmacol Ther, 79: 371–378

    Article  PubMed  CAS  Google Scholar 

  • Pickering E, Bridge HS, Nolan J, Stoddart PA (2002) Doubleblind, placebo-controlled analgesic study of ibuprofen or rofecoxib in combination with paracetamol for tonsillectomy in children. Br J Anaesth, 88: 72–77

    Article  PubMed  CAS  Google Scholar 

  • Piper SN, Maleck WH, Boldt J, Suttner SW, Schmidt CC, Reich DG (2000) A comparison of urapidil, clonidine, meperidine and placebo in preventing postanesthetic shivering. Anesth Analg, 90: 954–957

    Article  PubMed  CAS  Google Scholar 

  • Piwko CS, Lasry AE, Alanezy KD, Coyte PC, Ungar WJ (2005) Economic evaluation of ondansetron vs dimenhydrinate for prevention of postoperative vomiting in children undergoing strabismus surgery. Pediatric Anesth, 15: 755–761

    Article  Google Scholar 

  • Rakow H, Finke W, Mutze K, Reich A, Reinhold P, Strauß JM (2007) Handlungsempfehlung zur perioperativen Schmerztherapie bei Kindern. Vom Wissenschaftlichen Arbeitskreis Kinderanästhesie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) Anästh Intensivmed, 48: 99–103

    Google Scholar 

  • Reimann B, Kretz F-J (2001) Ontogenese anästhesierelevanter Rezeptoren. Anästh Intensivmed Notfallmed Schmerzther, 36: 664–682

    Article  CAS  Google Scholar 

  • Romsing J, Ostergaard D, Senderovitz T, Drozdziewicz D, Sonne J, Ravn G (2001) Pharmacokinetics of oral diclofenac and acetaminophen in children after surgery. Paediatr Anaesth, 11(2): 205–213

    Article  PubMed  CAS  Google Scholar 

  • Schechter NL (1989) The undertreatment of pain in children: an overview. Pediatr Clin North Am, 36: 781–794

    PubMed  CAS  Google Scholar 

  • Schell W (2005) Grundsätze für die Delegation von Injektionen, Infusionen und Blutentnahmen auf das Pflegepersonal (bzw. sonstiges nichtärztliche Personal) Kinderkrankenschwester, 24: 384–385

    Google Scholar 

  • Schiessl C, Geiss C, Maerkert D (2007) Monitoring of patients on patient-controlled analgesia (PCA) in different ages. Anaesth Intensiv Med, 48: 176–180

    Google Scholar 

  • Schwarzer A, Zenz M (2006) Fetaler Schmerz — ein systematischer multidisziplinärer Überblick. Schmerz, 20: 536–540

    Article  PubMed  CAS  Google Scholar 

  • Stamer UM, Mpasios N, Maier C, Stuber F (2005) Postoperative analgesia in children — current practice in Germany. Eur J Pain, 9(5): 555–560

    Article  PubMed  Google Scholar 

  • Taddio A, Goldbach M, Ipp M, Stevens B, Koren G (1995) Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet, 345: 291–292

    Article  PubMed  CAS  Google Scholar 

  • Taddio A, Shah V, Gilbert-MacLeod C, Katz J (2002) Conditioning and hyperalgesia in newborns exposed to repeated heel lances. JAMA, 288(7): 857–861

    Article  PubMed  Google Scholar 

  • Van der Marel CD, Anderson BJ, Rømsing J, Jacqz-Aigrain E, Tibboel D (2004) Diclofenac and metabolite pharmacokinetics in children. Paediatr Anaesth, 14: 443–451

    Article  PubMed  Google Scholar 

  • Viitanen H, Tuominen N, Vaaraniemi H, Nikanne E, Annila P (2003) Analgesic efficacy of rectal acetaminophen and ibuprofen alone or in combination for paediatric daycase adenoidectomy. Br J Anaesth, 91(3): 363–367

    Article  PubMed  CAS  Google Scholar 

  • Voepel-Lewis T, Malviya S, Tait AR, Merkel S, Foster R, Krane EJ, Davis PJ (2008) A Comparison of the Clinical Utility of Pain Assessment Tools for Children with Cognitive Impairment. Anesth Analg, 106(1): 72–78

    Article  PubMed  Google Scholar 

  • Weißauer W (1993) Anmerkung zur Vereinbarung über die Organisation der postoperativen Schmerztherapie des Berufsverbandes Deutscher Anästhesisten und des Berufsverbandes der Deutschen Chirurgen. Anästh Intensivmed, 34: 30–32

    Google Scholar 

  • Wiesner G, Gruber M, Wild K, Hoerauf K, Taeger K (1999) Proteinbinding of piritramide: influence of various protein concentrations and postoperative acute phase response. Eur J Clin Pharmacol, 54: 843–845

    Article  PubMed  CAS  Google Scholar 

  • Willis MH, Merkel SI, Voepel-Lewis T, Malviya S (2003) FLACC Behavioral Pain Assessment Scale: a comparison with the child’s self-report. Pediatr Nurs, 29(3): 195–198

    PubMed  Google Scholar 

  • Wissenschaftlicher Beirat der Bundesärztekammer (1991) Pränatale und perinatale Schmerzempfindung. Stellungnahme. Dtsch Arztebl, 88: 2301–2307

    Google Scholar 

  • Wolf AR (1999) Tears at bedtime: a pitfall of extending paediatric day-case surgery without extending analgesia. Br J Anaesth, 82: 319–320

    PubMed  CAS  Google Scholar 

  • Wolf AR, Lawson RA, Fisher S (1995) Ventilatory arrest after a fluid challenge in a neonate receiving s.c. morphine. Br J Anaesth, 75: 787–789

    PubMed  CAS  Google Scholar 

  • Zinganell K, Hempel K (1993) Vereinbarung zur Organisation der postoperativen Schmerztherapie des Berufsverbandes Deutscher Anästhesisten und des Berufsverbandes der Deutschen Chirurgen. Anästh Intensivmed, 34: 28–30

    Google Scholar 

  • Zhou H, Roberts P, Horgan L (2008) Association between selfreport pain ratings of child and parent, child and nurse and parent and nurse dyads: meta-analysis. J Adv Nurs, 63: 334–342

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Marienhospital, Klinik für Anästhesiologie, Hölkeskampring 40, 44625, Herne

    W. Finke

  2. Vodafone Stiftungsinstitut für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Vestische Kinderund Jugendklinik — Universität Witten/Herdecke, Dr. Friedrich-Steiner-Str. 5, 45711, Datteln

    G. Dubbel

  3. Universität Erlangen-Nürnberg, Klinik für Anästhesiologie Schmerzambulanz, Krankenhausstr. 12, 91054, Erlangen

    R. Sittl

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  1. Vodafone Stiftungsinstitut und Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Straße 5, 45711, Datteln

    Boris Zernikow

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Finke, W., Dubbel, G., Sittl, R. (2009). Postoperative Schmerztherapie. In: Zernikow, B. (eds) Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74065-0_14

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