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Updated: Aug 14, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Multimodal strategies for alleviating postoperative pain in children: a narrative review on research progress and
Liang Du1, Xiaoqian Ma1, Hangyan Zhao1
1Department of Anesthesia Surgery Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Children and Adolescents' Health and Diseases, Hangzhou, China.
Insights
Effective pediatric postoperative pain management uses multimodal strategies, combining non-opioid analgesics, regional techniques, and family-centered care. This approach enhances recovery and reduces opioid use in children undergoing surgery.
Area of Science:
- Pediatric Surgery
- Pain Management
- Anesthesiology
Background:
- Postoperative pain is a significant challenge in pediatric surgery, impacting recovery and outcomes.
- Children require tailored pain management strategies due to unique developmental, physiological, and behavioral differences.
- Effective pain control is crucial for preventing short- and long-term negative consequences.
Purpose of the Study:
- To review recent evidence on multimodal pain management strategies for pediatric surgical patients.
- To synthesize updated information on analgesic approaches for children undergoing surgery.
- To highlight current trends and future directions in pediatric postoperative pain control.
Main Methods:
- A narrative review of literature published between 2010 and 2025.
- Searches conducted on PubMed using keywords related to pediatric postoperative pain and multimodal analgesia.
- Adherence to the Narrative Review reporting checklist for study preparation.
Main Results:
- Evidence supports non-opioid analgesics, regional anesthesia, and standardized perioperative pathways for improved pain control and reduced opioid consumption.
- Non-pharmacological interventions like distraction, virtual reality, and family engagement enhance pain relief and recovery.
- Future strategies emphasize integrated models with standardized assessment, individualized therapy, family involvement, and digital follow-up.
Conclusions:
- Multidisciplinary cooperation is vital for effective pediatric postoperative pain management.
- Family-centered multimodal strategies and continuous pain monitoring are essential for minimizing opioid side effects.
- Holistic recovery in children is facilitated by comprehensive and individualized pain management approaches.
Background And Objective:
Postoperative pain is a prevalent and clinically important issue in pediatric surgery. Poor pain control can hinder recovery, increase distress, and lead to negative short- and long-term outcomes. Due to developmental, physiological and behavioral differences between children and adults, pediatric pain management needs tailored strategies. This review aims to summarize recent evidence on multimodal pediatric postoperative pain management.
Methods:
A narrative review was conducted to synthesize updated evidence on multimodal analgesic approaches for children undergoing surgery. Literature from 2010 to 2025 was retrieved from PubMed using keywords: pediatric postoperative pain, multimodal analgesia, opioid-sparing care, non-pharmacologic intervention, family-centered care, evidence-based practice and digital health. The review was prepared in accordance with the Narrative Review reporting checklist.
Key Content And Findings:
Evidence supports non-opioid basic analgesics, regional techniques and standardized perioperative pathways for better pain control and less opioid use. Non-pharmacological and theory-guided interventions [distraction, virtual reality (VR), family engagement, caring nursing] further enhance pain relief and recovery. Future trends focus on implementable models integrating standardized assessment, individualized multimodal therapy, family participation and digital follow-up.
Conclusions:
Effective pediatric postoperative pain management relies on multidisciplinary cooperation throughout the perioperative period. Family‑centered multimodal strategies with ongoing pain monitoring are essential to reduce opioid‑related side‑effects and facilitate children's holistic recovery.
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