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Acute Pain Management and Prevention

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Perioperative Medicine in Pediatric Anesthesia

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Abstract

Efficient pain relief is of paramount importance in the perioperative care of infants and children. Postoperative pain in children presents specific physiological, anatomical, psychological, and pharmacological challenges. The analgesic modalities and routes should be adapted to the age, unique anatomy, developmental status, and physiology. A dedicated acute pain service (APS) team best provides postoperative pain management, especially in the context of more complex techniques during admission. Multimodal perioperative pain management is a key concept for postoperative pain prevention and treatment. Opioids are the preferred medication for severe pain. They should be associated with non-opioids medications, regional anaesthesia/analgesia, and non-pharmacological strategies. Future research should focus on clinical outcomes other than pain when evaluating paediatric procedure-specific techniques.

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  1. Anaesthesia Department, The Montreal Children’s Hospital, Montreal, QC, Canada

    Sylvain Tosetti MD

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  1. Sylvain Tosetti MD
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Correspondence to Sylvain Tosetti MD .

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  1. UCO di Anestesia e Rianimazione, AO-U Policlinico di Catania, Catania, Italy

    Marinella Astuto

  2. MUHC Montreal Children’s Hosp, McGill Un, Department of Anesthesia, Montreal, Canada

    Pablo M Ingelmo

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Tosetti, S. (2016). Acute Pain Management and Prevention. In: Astuto, M., Ingelmo, P. (eds) Perioperative Medicine in Pediatric Anesthesia. Anesthesia, Intensive Care and Pain in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-319-21960-8_23

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