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What's New in Pain Management for Pediatric Orthopaedic Surgery

Mitchell A Johnson1,2, Lindsay M Andras3, Lydia E Andras4

  • 1Division of Orthopedic Surgery, Children's Hospital of Philadelphia.

Journal of Pediatric Orthopedics
|September 1, 2021
PubMed

Insights

Advances in pediatric orthopaedic pain management focus on reducing opioid use. New strategies include non-pharmacologic interventions and optimized surgical pathways for better pain control and shorter hospital stays.

Area of Science:

  • Orthopaedic Surgery
  • Pain Management
  • Pediatric Care

Background:

  • Global emphasis on improving pain control and reducing opioid prescription and usage in pediatric and adult populations.
  • Need for comprehensive assessment of recent literature on pediatric orthopaedic pain management.

Purpose of the Study:

  • To provide a comprehensive assessment of recent literature on pain control in pediatric orthopaedic surgery.
  • To highlight new advancements in pediatric orthopaedic pain management.

Main Methods:

  • PubMed database search for perioperative pain management in pediatric orthopaedic surgery.
  • Filtered articles published between January 1, 2015, and December 1, 2020.
  • Literature review (Level IV).

Main Results:

  • 32 papers selected, focusing on risk factors for opioid use, overprescribing, non-pharmacologic interventions, NSAIDs, nerve blocks, spine surgery considerations, and surgical pathway modifications.
  • Rapid recovery surgical care pathways show promise.
  • Opioid overprescribing remains prevalent.

Conclusions:

  • Significant advancements in pain management for pediatric orthopaedic surgery patients.
  • Rapid recovery pathways improve outcomes in pediatric spine surgery.
  • Routine provision of safe opioid disposal information is crucial.
Abstract

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