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Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
What's new in pediatric acute pain therapy?
Anette-Marie Schultz-Machata1, Markus Weiss, Karin Becke
1aDepartment of Anesthesia, General Intensive Care and Pain control at Vienna General Hospital, Medical University of Vienna, Vienna, Austria bDepartment of Anesthesia, University Children's Hospital, Zurich, Switzerland cDepartment of Anesthesiology and Intensive Care Medicine, Cnopf Children's Hospital, Hospital Hallerwiese, Nuernberg, Germany.
Insights
This review outlines current trends in pediatric perioperative pain management. A multimodal approach, including nonopioids, regional anesthesia, and judicious opioid use, ensures safe and effective pain relief.
Area of Science:
- Pediatric Anesthesiology
- Pain Management
- Surgical Care
Background:
- Perioperative pain management in children requires effective and safe strategies.
- Multimodal pain therapy is a cornerstone of modern pediatric surgical care.
Purpose of the Study:
- To review current trends in efficient and safe perioperative pediatric pain therapy.
- To emphasize the integration of multimodal pain management concepts.
Main Methods:
- Literature review of current trends in pediatric perioperative pain management.
- Analysis of multimodal pain therapy components and safety considerations.
Main Results:
- Multimodal pain therapy should be easy to apply and safe, prioritizing nonopioid analgesics.
- Regional anesthesia under ultrasound guidance and timely opioid administration are crucial.
- Co-analgesics and continuous pain assessment are recommended for adequate pain relief.
Conclusions:
- Safe and simple pediatric perioperative pain management involves stepwise therapy, accurate pain assessment, and quality improvement.
- Integrating these elements ensures optimal patient outcomes.
Purpose Of Review:
This review highlights the current trends of efficient and safe perioperative pediatric pain therapy in the context of a multimodal pain therapy concept.
Recent Findings:
A multimodal pain therapy concept should be easy to apply and safe regarding the occurrence of side-effects. The administration of nonopioid analgesics should be obligatory, regional anesthesia techniques - under ultrasound guidance - should be performed whenever possible, opioids should be given immediately and sufficiently whenever necessary, the administration of co-analgesics like lidocaine, dexamethasone or ketamine should be considered, and most importantly, each pain therapy should be performed according to pain assessment and long enough until adequate pain relief.
Summary:
Safe and simple pediatric pain management in the perioperative period combines not only easy to apply and safe stepwise pain therapy itself, but also adequate pain assessment and the implementation of continuous hospital quality improvement strategies.
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