The Third Year Anesthesiology Residents’ Knowledge Regarding Pediatric Postoperative Pain Management

Somboon Thienthong, Jirawadee Seehanoo, Wimonrat Sriraj, Suwannee Suraseranivongse, Allen Finley

Department of Anesthesia, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Department of Anesthesia, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Department of Anesthesia, IWK Health Center, Dalhousie University, Halifax, Canada.

DOI: 10.4236/ojanes.2013.39082                

Abstract

Background: There are six Anesthesiology training centers in Thailand that are approved to operate the training program. An evidence of residents’ knowledge about pediatric postoperative pain management is needed for improving the program. Objective: To assess the third year anesthesiology residents’ knowledge about pediatric postoperative pain management. Materials and Methods: The questionnaire was adapted from previous studies. The questionnaire has 35 questions consisted of 17 multiple choice questions and 18 true or false questions to cover 2 domains: 1) use of age-appropriate pediatric pain assessment (10 questions) and 2) pediatric pain treatment (25 questions). Minimal passing level of the questionnaire rated by three young anesthesiology staffs was 76.2%. All 62 participants were the 3^rd year anesthesiology residents from 6 training centers. Data were analyzed by descriptive statistics. Results: The response rate was 95.2%. Seventy-one percent of participants reported that they had learned about pediatric pain treatment. Of those, 55.9% rated their remaining knowledge at median level. The proportion of the correct score was 67.7% (mean 23.7 ± 2.9 SD) which was lower than the minimal passing level. The highest score was 29 and the lowest score was 16. For pain assessment domain; the mean proportion of correct score was 65% (range 90%-40%). For pain treatment domain; the mean proportion of correct score was 68.8% (range 88%-44%). Conclusion: Anesthesiology residents’ knowledge about pediatric postoperative pain management needs to be improved.

Keywords

Anesthesiology Resident; Knowledge; Pediatric; Postoperative Pain Management

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	F. Bonnet and E. Marret, “Postoperative Pain Management and Outcome after Surgery,” Best Practice & Research Clinical Anaesthesiology, Vol. 21, No. 1, 2007, pp. 99-107. http://dx.doi.org/10.1016/j.bpa.2006.12.007
[2]	M. L. Peters, M. Sommer, M. van Kleef and M. A. Marcu, “Predictors of Physical and Emotional Recovery 6 and 12 Months after Surgery,” 2011. http://onlinelibrary.wiley.com
[3]	W. L. Chen, “Nurses’ and Parents’ Attitudes toward Pain Management & Parental Participation in Postoperative Care of Children,” 2011. http://eprints.qut.edu.au/16127/
[4]	N. Sikich, A. S. Carr and J. Lerman, “Parental Perceptions, Expectations and Preferences for the Post-Anaesthetic Recovery of Children,” Pediatric Anesthesia, Vol. 7, No. 2, 1997, pp. 139-142. http://dx.doi.org/10.1046/j.1460-9592.1997.d01-62.x
[5]	W. Krisanaprakornkit, W. Chaiwong, M. Thananan, R. Khamhom and D. Nonlaopol, “Parental Requirements for Peri-Operative Information in Srinagarind Hospital,” 64th Annual Meeting, Royal College of Anesthesiologists of Thailand, Bangkok, 20 August 2006, p. 19.
[6]	C. L. Monitto, R. S. Greenberg, S. Kost-Byerly, et al., “The Safety and Efficacy of Parent-/Nurse-Controlled Analgesia in Patients Less than Six Years of Age,” Anesthesia & Analgesia, Vol. 91, No. 3, 2000, pp. 573-579. http://dx.doi.org/10.1213/00000539-200009000-00014
[7]	A. Twycross and A. Williams, “Establishing the Validity and Reliability of a Pediatric Pain Knowledge and Attitudes Questionnaire,” Pain Management Nursing, Vol. 14, No. 3, 2011, pp. E47-E53. http://dx.doi.org/10.1016/j.pmn.2011.03.001
[8]	J. M. Saroyan, W. S. Schechter, M. E. Tresgallo, et al., “Assessing Resident Knowledge of Acute Pain Management in Hospitalized Children: A Pilot Study,” Journal of Pain and Symptom Management, Vol. 36, No. 6, 2008, pp. 628-638. http://dx.doi.org/10.1016/j.jpainsymman.2007.12.006
[9]	R. C. Manworren, “Development and Testing of the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain,” Pediatric Nursing, Vol. 27, No. 2, 2011, pp. 151-158.
[10]	P. A. Forgeron, D. Jongudomkarn, J. Evans, G. A. Finley, S. Thienthong, P. Siripul, et al., “Children’s Pain Assessment in Northeastern Thailand: Perspectives of Health Professionals,” Qualitative Health Research, Vol. 19, No. 1, 2009, pp. 71-81.
[11]	G. Porzio, M. Valenti, F. Aielli, L. Verna, F. Narducci, M. Valeriani, et al., “Pain Evaluation and Management: A Survey of Italian Radiotherapists,” Supportive Care in Cancer, Vol. 13, No. 4, 2005, pp. 215-218. http://dx.doi.org/10.1007/s00520-004-0687-1
[12]	N. N. Hameed and B. H. Sweedan, “Assessment of Knowledge of Pediatric Resident Doctors about Neonatal Pain,” The Iraqi Postgraduate Medical Journal, Vol. 11, No. 4, 2012, pp. 443-452.
[13]	P. Heaton, D. Herd, A. Fernando, D. Herd and A. Fernand, “Pain Relief for Simple Procedures in New Zealand Neonatal Units Practice Change over Six Years,” Journal of Paediatrics and Child Health, Vol. 43, No. 5, 2007, pp. 394-397. http://dx.doi.org/10.1111/j.1440-1754.2007.01086.x
[14]	P. H. Gray, J. A. Trotter, P. Langbridge and C. V. Doherty, “Pain Relief for Neonates in Australian Hospital: A Need to Improve Evidence-Based Practice,” Journal of Paediatrics and Child Health, Vol. 42, No. 1-2, 2006, pp. 10-13. http://dx.doi.org/10.1111/j.1440-1754.2006.00782.x
[15]	V. R. Breakey, J. Pirie and R. D. Goldman, “Pediatric and Emergency Medicine Residents’ Attitudes and Practices for Analgesia and Sedation during Lumbar Puncture in Pediatric Patients,” Pediatrics, Vol. 119, No. 3, 2007, pp. E631-E636. http://dx.doi.org/10.1542/peds.2006-0727