Related Experiment Video

Updated: Apr 30, 2026

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
12:20

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior

Published on: June 10, 2013

24.2K

Implementing Evidence-based Opioid Prescribing in Pediatric Orthopaedics

Monica Kogan1, Kyleen Jan, Amelia Hummel

  • 1From the Rush University Medical Center, Chicago, IL.

The Journal of the American Academy of Orthopaedic Surgeons
|April 28, 2026
PubMed

Insights

Effective pain management in pediatric orthopaedics is crucial. This review examines the Pediatric Orthopaedic Society of North America guidelines to optimize pain control and address opioid misuse concerns.

Area of Science:

  • Pediatric Orthopaedics
  • Pain Management
  • Public Health

Background:

  • Effective pain management is vital for pediatric orthopaedic procedures.
  • Opioid misuse is a significant public health issue, with pediatric patients often first exposed post-orthopaedically.
  • The Pediatric Orthopaedic Society of North America (POSNA) offers guidelines for pain management tailored to procedure intensity.

Purpose of the Study:

  • To review the POSNA guidelines for pediatric orthopaedic pain management.
  • To identify barriers to the implementation of these guidelines.
  • To explore opportunities for optimizing postoperative pain management and mitigating opioid risks.

Main Methods:

  • Literature review focusing on POSNA guidelines.
  • Analysis of implementation challenges and variability.
  • Examination of strategies for risk mitigation in pediatric pain management.

Main Results:

  • POSNA guidelines provide a framework but face implementation challenges.
  • Variability in guideline adoption exists.
  • Opportunities to enhance pain management while reducing opioid risks are identified.

Conclusions:

  • Optimizing postoperative pain management in pediatric orthopaedics requires addressing guideline implementation barriers.
  • Future research and guideline evolution are essential to ensure patient safety and combat the opioid crisis.

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K
Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling07:11

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Published on: February 5, 2019

8.9K

Related Concept Videos

Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.5K
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
1.7K
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
3.3K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
405
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
1.0K
Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
1.5K