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[Pain therapy in children following ophthalmic surgery]
Natascha Engelen1,2, Ludwig M Heindl3, Francesca Oppitz4
1Praxis für Kinderanästhesie, Nürnberg, Deutschland.
Insights
Effective pain management after eye surgery is crucial, especially for children, requiring tailored strategies to minimize discomfort and ensure a low-stress perioperative experience for pediatric patients.
Area of Science:
- Ophthalmology
- Pediatric Anesthesiology
- Pain Management
Context:
- Post-operative pain following ophthalmic surgery can range from moderate to severe.
- Pediatric patients frequently receive insufficient pain therapy due to knowledge gaps and fear of complications.
- Individual and institutional deficits contribute to avoidable suffering for children and their families.
Purpose:
- To highlight the necessity of comprehensive pain management strategies in pediatric ophthalmology.
- To advocate for the implementation of age-appropriate pain protocols in surgical institutions.
- To emphasize the right of children to a low-stress and low-pain perioperative journey.
Summary:
- Ophthalmic surgery pain management requires specialized approaches, particularly for pediatric cases where current practices are often inadequate.
- Institutions must develop age-specific pain management plans, including child-centered environments, clear communication, systematic pain assessment, and established protocols.
- Pain management should be proactive, planned pre-operatively, and dynamically adjusted throughout the perioperative period.
Impact:
- Improved pain control in pediatric ophthalmic surgery patients.
- Reduced patient and parent distress, leading to better surgical outcomes.
- Establishment of institutional standards for pediatric pain management, enhancing patient care quality.
Abstract:
Pain following eye surgery is often described as being relatively moderate; however, there are also procedures that lead to a pronounced pain experience. Particularly in pediatric patients, pain therapy is often insufficient due to a lack of knowledge and fear of complications. These individual and organizational deficits lead to unnecessary discomfort for children and parents. Each institution providing surgical treatment must have pain management concepts in its portfolio for the appropriate age groups. This includes a child-oriented setting, age-appropriate information, systematic pain assessment, and pain protocols. Pain management should be planned prior to surgery and individually adapted as it progresses. Children have a right to a perioperative course with low stress and pain.
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