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[Opiates in pediatric anesthesia].

K A Lehmann1

  • 1Institut für Anaesthesiologie, Universität zu Köln.

Der Anaesthesist
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

Narcotic analgesics, or opiates, are underutilized in pediatric anesthesia, often withheld when most needed for pain management. This review explores their appropriate use in children for anesthesia and pain relief.

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Area of Science:

  • Anesthesiology
  • Pediatric Pharmacology

Context:

  • Narcotic analgesics (opiates) are widely used in adults but less so in pediatric anesthesia.
  • Current pediatric anesthesia practices often underutilize opiates for pain management and anesthesia.
  • Opiates are not typically the first choice for preoperative sedation or amnesia in children.

Purpose:

  • To review the indications, applications, and side effects of opiates in pediatric anesthesia.
  • To evaluate the role of opiates in pre-medication, induction, maintenance of anesthesia, and postoperative pain control in infants and children.
  • To identify optimal timing and necessity for opiate administration in pediatric surgical patients.

Summary:

  • Opiates are generally not preferred for preoperative anxiolysis or amnesia in pediatric patients.

Related Experiment Videos

  • Inhalational anesthetics are commonly used, except in specific conditions like cardiac risk or elevated intracranial pressure where intravenous anesthesia with opiates is indicated.
  • Opiate-supplemented general anesthesia is effective and safe for pediatric surgery.
  • There is a critical need for increased opiate use in managing early postoperative pain when other analgesics are insufficient.

    • Impact:

    • Highlights the underuse and mistiming of opiate administration in pediatric anesthesia.
    • Suggests that opiates are withheld when most beneficial for postoperative pain relief in children.
    • Emphasizes the potential for safer and more effective pain management through appropriate opiate use in pediatric surgical care.