Encyclopedia of Pain

2007 Edition

Acute Pain in Children, Post-Operative

  • Jolene D. Bean-Lijewski
Reference work entry
DOI: https://doi.org/10.1007/978-3-540-29805-2_69

Synonyms

Pediatric Post-Surgical Pain; Acute Post-Operative Pain in Children

Definition

Children who have surgery experience significant postoperative pain for several days. Appropriate pain management should be initiated in the immediate post-operative period and continue until the pain resolves, whether the child is at home or in the hospital. Surgical trauma results from tissue destruction and musculoskeletal strain that causes the release of vaso- and immuno-reactive substrates that promote inflammation, hyperpermeability and pain.

Ineffective pain management increases the incidence of postoperative behavioral disorders in children and the risk of developing persistent or neuropathic pain. In preterm infants and neonates, this effect may be compounded by the lack of descending inhibitory pathways and enhanced neuroplasticity resulting in more extensive, persistent effects (Tachibana et al. 2001). Despite advances in the management of post-operative pain, nearly 70% of patients...

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References

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Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Jolene D. Bean-Lijewski
    • 1
  1. 1.Department of AnesthesiologyScott and White Memorial HospitalTempleUSA