Perioperative management in children with chronic pain

Meredith R Brooks1, Brenda Golianu2

  • 1Department of Anesthesiology, Cook Children's Hospital, Fort Worth, TX, USA.

Insights

Managing pain in children undergoing surgery is complex. Preoperative identification and planning for pediatric chronic pain patients improve perioperative care using multimodal analgesia and non-pharmacological therapies.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management

Background:

  • Children with chronic pain frequently require surgery.
  • Perioperative pain management in this population presents significant challenges.

Purpose of the Study:

  • To highlight the importance of preoperative identification of pediatric chronic pain patients.
  • To emphasize the development of tailored perioperative pain management plans.

Main Methods:

  • Utilizing a multimodal approach including various analgesics.
  • Employing regional anesthesia techniques.
  • Incorporating adjunctive non-pharmacological therapies.

Main Results:

  • Multimodal strategies enhance pain control.
  • Individualized plans are crucial for complex pain types like neuropathic and oncological pain.

Conclusions:

  • Proactive perioperative planning is essential for pediatric chronic pain patients.
  • A comprehensive, individualized approach ensures safer and more comfortable surgical experiences.

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