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

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

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

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.

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