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Published on: July 4, 2018
Ambulatory Pain Management in the Pediatric Patient Population
Jodi-Ann Oliver1, Lori-Ann Oliver1, Nitish Aggarwal2
1Department of Anesthesiology, Yale University, New Haven, CT, 06520, USA.
Insights
Pediatric ambulatory surgery patients often have significant postoperative pain. A multimodal pain management strategy, including non-pharmacological methods and nerve blocks, is essential for effective pain control in pediatric outpatient surgery.
Area of Science:
- Pediatric Anesthesiology
- Pain Management
- Ambulatory Surgery
Background:
- Pediatric outpatient surgery is increasingly common.
- Moderate to severe postoperative pain affects many pediatric patients.
- Current understanding of pain extent and management strategies is limited.
Purpose of the Study:
- To review scientific evidence on pain management after pediatric ambulatory surgery.
- To highlight the need for multimodal analgesia in this population.
- To address the inadequacy in current pediatric ambulatory pain management.
Main Methods:
- Review of scientific evidence on pain management.
- Analysis of multimodal analgesia approaches.
- Focus on non-pharmacological techniques, pharmacologics, and nerve blocks.
Main Results:
- A multimodal approach is recommended for ambulatory settings.
- Effective strategies include non-pharmacological methods, pharmacologics, and nerve blocks.
- Pain management remains suboptimal due to limited evidence-based practices.
Conclusions:
- Pediatric ambulatory pain management requires a multipronged approach.
- Multimodal analgesia is crucial to decrease postoperative pain.
- Improving evidence-based pain control is necessary for pediatric surgical patients.
Purpose Of Review:
Outpatient surgery in the pediatric population has become increasingly common. However, many patients still experience moderate to severe postoperative pain. A poor understanding of the extent of pain after pediatric ambulatory surgery and the lack of randomized control studies of pain management of the outpatient necessitate this review of scientific evidence and multimodal analgesia.
Recent Findings:
A multimodal approach to pain management should be applied to the ambulatory setting to decrease postoperative pain. These include non-pharmacological techniques, multimodal pharmacologics, and neuraxial and peripheral nerve blocks. Postoperative pain management in pediatric ambulatory surgical patients remains suboptimal at most centers due to limited evidence-based approach to postoperative pain control. Pediatric ambulatory pain management requires a multipronged approach to address this inadequacy.
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