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Optimizing postoperative pain management in children: evidence, pitfalls, and practical recommendations

Rachele Simonte1, Alinde W Hindriks-Keegstra2,3, Elena Attanasi1

  • 1Department of Medicine and Surgery, University of Perugia, Perugia, Italy.

Minerva Anestesiologica
|April 10, 2026
PubMed

Insights

Effective pediatric postoperative pain management requires a multimodal approach. Key strategies include regional anesthesia, non-opioid analgesics, non-pharmacological methods, and regular pain assessment for improved outcomes.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Anesthesiology

Background:

  • A significant number of children suffer moderate to severe pain after surgery.
  • Pediatric postoperative pain is often underestimated and undertreated, despite growing awareness.

Purpose of the Study:

  • To review current evidence and expert opinions on pediatric postoperative pain management.
  • To provide practical recommendations for improving pain control in children undergoing surgery.

Main Methods:

  • Integration of current scientific evidence.
  • Incorporation of expert clinical opinions.
  • Identification of common pitfalls in pediatric pain management.

Main Results:

  • Key strategies include regional anesthesia, scheduled non-opioid analgesics, and non-pharmacological interventions.
  • Regular pain assessment is crucial for guiding treatment adjustments.
  • Pediatric pain registries and transitional pain services are vital for quality improvement and long-term outcomes.

Conclusions:

  • A comprehensive, multimodal strategy is essential for optimal pediatric postoperative pain management.
  • Implementing structured pain management protocols can significantly improve patient care.
  • Transitional pain services offer a framework for enhanced patient support and improved long-term surgical outcomes.

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