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Postoperative pain management in children and infants: an update

Christopher Brasher1, Benjamin Gafsous, Sophie Dugue

  • 1Department of Anesthesiology, Intensive Care, Robert Debré Hospital, 48 Bd Sérurier, 75019, Paris, France.

Paediatric Drugs
|January 11, 2014
PubMed

Insights

Effective pain management in children is crucial, as severe pain can have lasting effects. This review offers guidelines for optimal postoperative pain control in pediatric patients, addressing various treatment options and strategies.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Child Health

Background:

  • Suboptimal pain management in children is a significant issue with potential long-lasting effects.
  • Children may experience more severe long-term consequences from pain than adults.
  • Optimal postoperative pain management, particularly after ambulatory surgery, remains a challenge.

Purpose of the Study:

  • To provide simple guidelines for managing postoperative pain in children.
  • To discuss the long-term effects of severe pain and pain evaluation in diverse pediatric populations.
  • To review current analgesic treatment options and non-pharmacological interventions.

Main Methods:

  • Literature review of current evidence on pediatric pain management.
  • Discussion of opioid, non-opioid, and regional analgesic techniques.
  • Exploration of preoperative anxiety and non-pharmacological pain management strategies.

Main Results:

  • Severe pain in children can have profound and enduring negative impacts.
  • A range of pharmacological and non-pharmacological interventions are available for pediatric pain.
  • Organizational strategies can enhance the safety and efficiency of pediatric pain management.

Conclusions:

  • Implementing evidence-based guidelines is essential for improving pediatric postoperative pain management.
  • Comprehensive assessment and tailored treatment strategies are necessary for effective pain control.
  • Addressing factors like preoperative anxiety and utilizing multimodal approaches can optimize outcomes.

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