Current Trends and New Strategies in Acute Postoperative Pain Management in Children
Main Article Content
Abstract
Acute postoperative pain in children is common. Nearly 40 percent of pediatric patients suffer from moderate to severe pain after surgery. Inadequate pain prevention and treatment has been associated with short and long-term consequences. Different treatment modalities have evolved lately, and multimodal analgesia has become the treatment of choice not only involving a pharmacological approach but also non-pharmacological approaches (eg, regional analgesia, rehabilitation, cognitive behavioral therapy, virtual reality). The aim of this article is to show current trends and strategies in the management of acute postoperative pain in children and how an inadequate treatment of it can lead to the development of chronic postsurgical pain.
Keywords:
Acute postoperative pain, children, pharmacological analgesia, regional anesthesia, chronic postsurgical pain, multimodal pain management
Article Details
How to Cite
PÉREZ, Eduardo Vega; LIZAMA, Gonzalo Rivera; CÁRDENAS, Victor Gonzalez.
Current Trends and New Strategies in Acute Postoperative Pain Management in Children.
Medical Research Archives, [S.l.], v. 9, n. 9, sep. 2021.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2539>. Date accessed: 27 apr. 2024.
doi: https://doi.org/10.18103/mra.v9i9.2539.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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3. Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth Analg. Jul 2007;105(1):205-21. doi:10.1213/01.ane.0000268145.52345.55
4. Vittinghoff M, Lonnqvist PA, Mossetti V, et al. Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative). Paediatr Anaesth. Jun 2018;28(6):493-506. doi:10.1111/pan.13373
5. Verriotis M, Chang P, Fitzgerald M, Fabrizi L. The development of the nociceptive brain. Neuroscience. Dec 3 2016;338:207-219. doi:10.1016/j.neuroscience.2016.07.026
6. Mekonnen ZA, Melesse DY, Kassahun HG, Flatie TD, Workie MM, Chekol WB. Prevalence and Contributing Factors Associated With Postoperative Pain in Pediatric Patients: A Cross-Sectional Follow-up Study. Perioperative Care and Operating Room Management. 2021;23doi:10.1016/j.pcorm.2021.100159
7. Williams G, Howard RF, Liossi C. Persistent postsurgical pain in children and young people: prediction, prevention, and management. Pain Rep. Sep 2017;2(5):e616. doi:10.1097/PR9.0000000000000616
8. Chowdhury T, Garg R, Sheshadri V, et al. Perioperative Factors Contributing the Post-Craniotomy Pain: A Synthesis of Concepts. Front Med (Lausanne). 2017;4:23. doi:10.3389/fmed.2017.00023
9. Sieberg CB, Simons LE, Edelstein MR, et al. Pain prevalence and trajectories following pediatric spinal fusion surgery. J Pain. Dec 2013;14(12):1694-702. doi:10.1016/j.jpain.2013.09.005
10. Admassu WS, Hailekiros AG, Abdissa ZD. Severity and Risk Factors of Post-Operative Pain in University of Gondar Hospital, Northeast Ethiopa. Journal of Anesthesia & Clinical Research. 2016;7(10)doi:10.4172/2155-6148.1000675
11. Guay J, Suresh S, Kopp S. The Use of Ultrasound Guidance for Perioperative Neuraxial and Peripheral Nerve Blocks in Children: A Cochrane Review. Anesth Analg. Mar 2017;124(3):948-958. doi:10.1213/ANE.0000000000001363
12. Walker BJ, Long JB, Sathyamoorthy M, et al. Complications in Pediatric Regional Anesthesia: An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network. Anesthesiology. Oct 2018;129(4):721-732. doi:10.1097/ALN.0000000000002372
13. Ecoffey C, Lacroix F, Giaufre E, Orliaguet G, Courreges P, Association des Anesthesistes Reanimateurs Pediatriques d'Expression F. Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF). Paediatr Anaesth. Dec 2010;20(12):1061-9. doi:10.1111/j.1460-9592.2010.03448.x
14. Dadure C, Veyckemans F, Bringuier S, Habre W. Epidemiology of regional anesthesia in children: Lessons learned from the European Multi-Institutional Study APRICOT. Paediatr Anaesth. Nov 2019;29(11):1128-1135. doi:10.1111/pan.13741
15. Vargas A, Sawardekar A, Suresh S. Updates on pediatric regional anesthesia safety data. Curr Opin Anaesthesiol. Oct 2019;32(5):649-652. doi:10.1097/ACO.0000000000000768
16. Lonnqvist PA, Ecoffey C, Bosenberg A, Suresh S, Ivani G. The European society of regional anesthesia and pain therapy and the American society of regional anesthesia and pain medicine joint committee practice advisory on controversial topics in pediatric regional anesthesia I and II: what do they tell us? Curr Opin Anaesthesiol. Oct 2017;30(5):613-620. doi:10.1097/ACO.0000000000000508
17. Tsui BC, Pillay JJ. Evidence-based medicine: Assessment of ultrasound imaging for regional anesthesia in infants, children, and adolescents. Reg Anesth Pain Med. Mar-Apr 2010;35(2 Suppl):S47-54. doi:10.1097/AAP.0b013e3181d32770
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