Pediatric Perioperative Pain Management

Kaela H Frizzell1, Priscilla K Cavanaugh2, Martin J Herman2

  • 1Department of Orthopaedic Surgery, Philadelphia College of Osteopathic Medicine, 4170 City Avenue, Philadelphia, PA 19131, USA.

Insights

Effective pain management for pediatric orthopedic surgery requires a tailored approach. Multimodal strategies and regional anesthesia can decrease opioid use, improving patient outcomes.

Area of Science:

  • Anesthesiology
  • Pediatric Orthopedics
  • Pain Management

Background:

  • Perioperative pain control in pediatric orthopedic surgery presents significant challenges.
  • Effective pain management strategies are crucial for optimal patient recovery and surgical outcomes.
  • Current approaches emphasize individualized care and evolving treatment modalities.

Purpose of the Study:

  • To provide an evidence-based overview of pain control strategies for pediatric orthopedic patients.
  • To highlight the importance of preoperative assessment and patient/family expectations.
  • To discuss the benefits of multimodal analgesia and regional anesthesia.

Main Methods:

  • Review of current literature on pediatric orthopedic pain management.
  • Focus on preoperative, intraoperative, and postoperative pain control modalities.
  • Emphasis on evidence-based practices and customized regimen development.

Main Results:

  • Multimodal strategies and regional anesthesia are key to reducing opioid consumption.
  • Individualized pain management plans are essential, considering surgical type and patient factors.
  • Comprehensive assessment and communication are vital for setting expectations.

Conclusions:

  • Optimizing perioperative pain control in pediatric orthopedic patients requires a multimodal, individualized approach.
  • Regional anesthesia and multimodal strategies offer significant benefits, including reduced opioid dependence.
  • Evidence-based practices guide the development of effective pain management regimens from pre- to postoperative stages.

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