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Perioperative Analgesia in Pediatric Patients Undergoing Otolaryngologic Surgery

Andrew J Maroda1, Kimberly K Coca2, Jennifer D McLevy-Bazzanella2

  • 1Department of Pediatric Otolaryngology, Le Bonheur Children's Hospital, Memphis, TN, USA; Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.

Otolaryngologic Clinics of North America
|July 6, 2020
PubMed

Insights

This review examines pediatric otolaryngologic surgery pain management. Evidence is lacking for many procedures, impacting safe and effective postoperative care for children unable to fully communicate pain.

Area of Science:

  • Pediatric surgery
  • Pain management
  • Otolaryngology

Background:

  • Perioperative pain management in pediatric otolaryngologic surgery is complex due to diverse procedures and children's communication limitations.
  • Effective pain control is crucial for patient safety and successful recovery.
  • Existing literature disproportionately covers certain procedures, leaving gaps in evidence-based guidelines for others.

Purpose of the Study:

  • To review current evidence on perioperative pain management strategies for pediatric otolaryngologic surgery.
  • To identify areas with sufficient evidence and highlight procedural gaps.

Main Methods:

  • Literature review of studies on pediatric otolaryngologic surgery pain management.
  • Analysis of the distribution of research focus across different otolaryngologic procedures.

Main Results:

  • A significant disparity exists in the evidence base for pain management across various pediatric otolaryngologic procedures.
  • Certain common procedures have extensive research, while many others lack sufficient evidence-based guidance.

Conclusions:

  • There is a critical need for more research to develop evidence-based pain management protocols for a wider range of pediatric otolaryngologic surgeries.
  • Addressing these evidence gaps is essential for optimizing pain control, patient safety, and postoperative outcomes in pediatric otolaryngology.

Keywords:
Acute painAmbulatory careAnalgesiaChildrenDay surgeryNonopioidOtolaryngologyOutpatient

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