Efficacy of the Game Ready

Adolescent Analgesia / methods Analgesics, Opioid / administration & dosage Braces Child Drug Administration Schedule Female Humans Hypothermia, Induced / methods Length of Stay / statistics & numerical data Male Morphine / administration & dosage Pain Measurement / methods Pain, Postoperative / therapy Postoperative Care / methods Postoperative Period Prospective Studies Scoliosis / surgery
Cooling brace Paediatric Pain Scoliosis

Journal

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980

Informations de publication

Date de publication:
06 2019
Historique:
received: 22 08 2018
accepted: 13 01 2019
pubmed: 9 3 2019
medline: 1 7 2020
entrez: 9 3 2019
Statut: ppublish

Résumé

The aim of this study was to investigate the opioid-sparing effect of a cooling brace after surgical correction of idiopathic surgery in children. We compared two consecutive cohorts of patients before and after introducing this technique in our institution. Management of patients was standardized. The primary objective of the study was to investigate the morphine consumption during the first postoperative day. Secondary outcomes were opioid consumption at day 3, pain intensity (at days 1 and 3), the mobilization in the standing position and duration of hospitalization. This study included 23 and 22 patients in the control and the cooling cohorts. Cooling brace was associated with a significant decrease in morphine consumption at day 1 (1.7 [0.9, 3.3] versus 1.2 [0.5, 3.2] mg kg The use of this cooling brace allows decreasing the opioid use after surgical correction of idiopathic surgery in children. The current results strongly suggest an interest of this technique in the postoperative management of patients. These slides can be retrieved under Electronic Supplementary Material.

Identifiants

DOI: 10.1007/s00586-019-05886-6 PMID: 30847706
pubmed: 30847706
doi: 10.1007/s00586-019-05886-6
pii: 10.1007/s00586-019-05886-6
doi:

Substances chimiques

Analgesics, Opioid 0
Morphine 76I7G6D29C

Types de publication

Controlled Clinical Trial Journal Article Research Support, Non-U.S. Gov't Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

1257-1264

Commentaires et corrections

Type : ErratumIn

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Auteurs

Myriam Bellon (M)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Daphné Michelet (D)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Nils Carrara (N)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Thomas Vacher (T)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Benjamin Gafsou (B)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.
Clinique des mousseaux, 2-4 avenue du Mousseau, 91000, Evry, France.

Brice Ilhareborde (B)

Department of Orthpaedic Surgery, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Keyvan Mazda (K)

Department of Orthpaedic Surgery, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Emmanuelle Ferrero (E)

Department of Orthpaedic Surgery, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Anne-Laure Simon (AL)

Department of Orthpaedic Surgery, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Florence Julien-Marsollier (F)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France.
Paris Diderot University, Paris, France.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France.

Souhayl Dahmani (S)

Department of Anaesthesia, Intensive Care and Pain Management, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, 48 Bd Sérurier, 75019, Paris, France. souhayl.dahmani@aphp.fr.
Paris Diderot University, Paris, France. souhayl.dahmani@aphp.fr.
DHU Protect, Robert Debré University Hospital, Paris Diderot University, Paris Sorbonne Cité, Paris, France. souhayl.dahmani@aphp.fr.
ORCID: 0000-0002-1577-1030

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Efficacy of the Game Ready
questionsmedicales.fr › Anesthésie et analgésie › Analgésie › Efficacy of the Game Ready
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Stupéfiants › Analgésiques morphiniques › Efficacy of the Game Ready
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Équipement orthopédique › Orthèses › Orthèses de maintien › Efficacy of the Game Ready
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Efficacy of the Game Ready
questionsmedicales.fr › Thérapeutique › Traitement médicamenteux › Calendrier d'administration des médicaments › Efficacy of the Game Ready
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Efficacy of the Game Ready
questionsmedicales.fr › Thérapeutique › Cryothérapie › Hypothermie provoquée › Efficacy of the Game Ready
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Hospitalisation › Durée du séjour › Efficacy of the Game Ready
questionsmedicales.fr › Composés polycycliques › Hydrocarbures aromatiques polycycliques › Phénanthrènes › Morphinanes › Dérivés de la morphine › Morphine › Efficacy of the Game Ready
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Examen physique › Examen neurologique › Mesure de la douleur › Efficacy of the Game Ready
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur postopératoire › Efficacy of the Game Ready
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périopératoires › Soins postopératoires › Efficacy of the Game Ready
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Période périopératoire › Période postopératoire › Efficacy of the Game Ready
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Efficacy of the Game Ready
questionsmedicales.fr › Maladies ostéomusculaires › Maladies osseuses › Maladies du rachis › Déviations du rachis › Scoliose › Efficacy of the Game Ready