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Updated: Jun 28, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Updates From the Other Side of the Drape: Recent Advances in Multimodal Pain Management and Opioid Reduction Among
Andrew D Franklin1, KuoJen Tsao2, Rabab Barq3
1Division of Pediatric Anesthesia, Department of Anesthesia, Vanderbilt University Medical Center, Nashville, TN, USA.
Insights
Multimodal pain management and enhanced recovery pathways improve surgical outcomes for children. This approach reduces opioid exposure and enhances patient satisfaction through multidisciplinary care.
Area of Science:
- Pediatric Surgery
- Pain Management
- Anesthesiology
Background:
- Evolving strategies for pediatric acute pain management.
- Increased awareness of opioid risks (short and long-term).
- Need for improved perioperative outcomes and patient satisfaction.
Purpose of the Study:
- Discuss current enhanced recovery after surgery (ERAS) pathways.
- Explore alternative pain control methods.
- Highlight education and advocacy for opioid reduction.
Main Methods:
- Multidisciplinary discussion at a 2023 symposium.
- Focus on organized pathways for perioperative care.
- Review of enhanced recovery after surgery (ERAS) protocols.
Main Results:
- Multimodal and multidisciplinary approaches improve outcomes.
- Organized pathways lead to better patient satisfaction.
- Discussion emphasized opioid reduction strategies.
Conclusions:
- Enhanced recovery after surgery pathways are key to optimizing pediatric surgical care.
- Multimodal strategies effectively manage acute pain while minimizing opioid risks.
- Continued focus on education and advocacy is crucial for opioid reduction.
Abstract:
As the management of acute pain for children undergoing surgical procedures as well as recognition of the short and long term risks of exposure to opioids has evolved, multimodal and multidisciplinary approaches using organized pathways has resulted in improved perioperative outcomes and patient satisfaction. In this 2023 symposium held at the American Academy of Pediatrics on Surgery meeting, a multidisciplinary discussion on current enhanced recovery after surgery pathways, alternate methods of effective pain control and education and advocacy efforts for opioid reduction were discussed, and highlights are included in this article.
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Assessment:

