Related Experiment Video

Updated: May 10, 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 analgesia in pediatric surgery

Phil Russell1, Britta S von Ungern-Sternberg, Stephan A Schug

  • 1Department of Anesthesia and Pain Management, Princess Margaret Hospital for Children, Perth, Australia.

Current Opinion in Anaesthesiology
|June 13, 2013
PubMed

Insights

Effective pediatric pain management after surgery is improving with multimodal analgesia. This approach combines non-opioids, regional techniques, and careful opioid use, enhancing postoperative pain control in children.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Surgical Care

Background:

  • Postoperative pain remains a significant challenge in pediatric surgery.
  • Current pain management strategies require optimization for better patient outcomes.

Purpose of the Study:

  • To review the current landscape of pediatric postoperative pain management.
  • To highlight recent advancements in analgesia for children undergoing surgery.

Main Methods:

  • Literature review of current practices and research in pediatric analgesia.
  • Analysis of non-opioid, opioid, and regional anesthesia techniques.
  • Evaluation of adjuvant therapies and their safety profiles.

Main Results:

  • Non-opioids (paracetamol, NSAIDs) are increasingly used in multimodal pediatric analgesia.
  • Limited data exist on the safety and efficacy of many analgesic adjuvants in children.
  • Opioid use is cautious due to respiratory depression concerns, with sparse incidence data.
  • Regional anesthesia, particularly peripheral techniques, is gaining prominence.

Conclusions:

  • Multimodal analgesia is the guiding principle for pediatric postoperative pain management.
  • Integration of regional analgesic techniques is a key development in the field.
  • Further research is needed to support the safety and efficacy of various analgesic adjuvants.
Abstract

More Related Videos

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery09:47

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

Published on: June 2, 2022

Related Concept Videos

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.
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...
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...