Evaluation of the relationship between pain intensity and the need for opioids with obesity in children candidates for orthopedic surgeries

Abstract

Considering the side effects of opioid drugs, which include respiratory depression, nausea and vomiting, and aspiration after surgery, which are more severe in children than in adults, it is necessary to pay attention to pain management in these patients. Because the lack of proper pain control in obese children can be associated with unwanted side effects. Due to the lack of complete information on the relationship between pain intensity and high body mass index, the present study was conducted with the aim of investigating the relationship between pain intensity and the need for opioids with obesity in children who are candidates for orthopedic surgery. If this hypothesis is confirmed that the intensity of pain and the need for painkillers after surgery are related to obesity in children, it is possible to suggest preventive solutions for this group of patients. Methods: This cross-sectional descriptive (prospective) study was conducted during 1401 with the participation of obese children candidates for orthopedic surgeries. Anesthetic drugs were injected based on the weight of each person; Variables such as hemodynamic status (every 5 minutes), pain intensity (every 15 minutes) and the amount of injected opioid (total injected during recovery) were recorded for all patients in the recovery unit. After the patients were discharged from recovery, the severity of the patients was recorded based on the VAS criteria and the need for opioids every two hours until the 12th hour after surgery and then every six hours until the end of the 36th hour after the surgery. In addition to the opioid judgment, the NSAID medication required for each patient was recorded if administered. Results: Body mass index has a direct and strong relationship with the intensity of pain and injectable opioid in the recovery unit and up to 36 hours after discharge from recovery, so that with increasing levels of body mass index, the intensity of pain and the need for injectable opioid They increase significantly and strongly.