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Related Experiment Video

Updated: Apr 7, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
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Postoperative pain management in children.

Pierre Pardessus1,2,3, Yara Maroun1,2,3, Lynda Ferahtia4

  • 1Université de Paris-Cité, Paris, France.

Frontiers in Pediatrics
|April 6, 2026
PubMed
Summary

Optimizing pediatric postoperative pain management requires updated strategies. Enhanced Recovery After Surgery (ERAS) protocols and addressing chronic postsurgical pain (CPSP) are key developments for better outcomes.

Keywords:
painpediatricspersistent pain after surgerypostoperative painrehabilitation

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Area of Science:

  • Pediatric Anesthesiology
  • Surgical Pain Management
  • Evidence-Based Medicine

Background:

  • Pediatric postoperative pain management remains suboptimal despite extensive research and guidelines.
  • Significant advancements in the last decade necessitate updated recommendations.
  • Chronic postsurgical pain (CPSP) is an emerging concern in pediatric patients.

Purpose of the Study:

  • To review key developments in pediatric postoperative pain management over the past 10 years.
  • To provide updated, evidence-based recommendations for clinical practice.
  • To highlight the impact of Enhanced Recovery After Surgery (ERAS) and CPSP research.

Main Methods:

  • Comprehensive literature search across major scientific databases.
  • Detailed analysis of relevant studies and clinical practice guidelines.
  • Synthesis of findings related to ERAS protocols and CPSP.

Main Results:

  • Enhanced Recovery After Surgery (ERAS) protocols improve outcomes by reducing pain and opioid use through minimally invasive surgery and multimodal analgesia.
  • Chronic postsurgical pain (CPSP) affects up to 50% of pediatric surgical patients, with links to high pain intensity and opioid consumption.
  • Optimizing acute pain management within ERAS is a potential strategy to prevent CPSP.

Conclusions:

  • Effective pediatric postoperative pain management requires a multidisciplinary, evidence-based approach.
  • Minimizing opioid exposure and utilizing regional anesthesia are crucial components of ERAS.
  • Continued professional education and individualized patient follow-up are essential for optimal care and prevention of long-term complications like CPSP.