Related Experiment Video

Updated: Aug 30, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

[Perioperative pain therapy. Deficiencies in children and adolescents]

H Till1, M Heinrich, I Joppich

  • 1Kinderchirurgische Klinik im Dr. v. Haunerschen Kinderspital der LMU, München, Germany. holger.till@kk-i.med.uni-muenchen.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|November 14, 2002
PubMed

Insights

Postoperative pain management for children in Germany is insufficient due to lack of protocols and responsibility. A new concept focusing on prevention, standardized treatment algorithms, and regular evaluation shows therapeutic success and efficiency.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Surgical Care

Background:

  • Postoperative pain management for children in Germany is currently insufficient.
  • This deficiency stems from a lack of standardized hospital protocols and administrative responsibility, not just knowledge gaps.

Purpose of the Study:

  • To describe a specific, structured concept for improving postoperative pain management in pediatric patients.
  • To outline a comprehensive approach encompassing pain prevention, analgesic treatment algorithms, and outcome evaluation.

Main Methods:

  • Surgeon's role in pain prevention through intraoperative peripheral nerve blocks.
  • Standardized prescription of basic postoperative analgesia based on surgical procedure and trauma.
  • Routine effectiveness measurement using age-specific pain scales to guide individual analgesic adjustments.

Main Results:

  • The implemented concept demonstrated therapeutic success, broad acceptance among staff, and efficiency in clinical ward use.
  • Effective pain prevention via intraoperative nerve blocks was highlighted.
  • Individualized pain medication based on regular assessments improved patient outcomes.

Conclusions:

  • A structured concept for pediatric postoperative pain management can achieve therapeutic success and efficiency.
  • Long-term benefits require integrating pain management as a core surgical duty with continuous departmental monitoring.
  • Standardized protocols and surgeon accountability are crucial for optimal pediatric pain control.

More Related Videos

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

A Preterm Rat Model for Pain Studies01:37

A Preterm Rat Model for Pain Studies

Published on: February 9, 2024

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...