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Updated: Mar 18, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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.
Abstract:
Children with chronic pain often undergo surgery and effective perioperative management of their pain can be challenging. Identification of the pediatric chronic pain patient preoperatively and development of a perioperative pain plan may help ensure a safer and more comfortable perioperative course. Successful management usually requires multiple different classes of analgesics, regional anesthesia, and adjunctive nonpharmacological therapies. Neuropathic and oncological pain can be especially difficult to treat and usually requires an individualized approach.
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