Journal
CURRENT OPINION IN ANESTHESIOLOGY
Volume 26, Issue 4, Pages 420-427Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACO.0b013e3283625cc8
Keywords
adjuvants; local anesthetics; multimodal analgesia; nonopioids; pediatric surgery; postoperative analgesia
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Funding
- Princess Margaret Hospital Foundation, Perth, Australia
- Woolworths Australia
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Purpose of reviewPoor pain management has continued to be a problem after pediatric surgery. This review examines the current situation and recent advances in the area.Recent findingsNonopioids such as paracetamol and NSAIDs play an increasing role as components of multimodal analgesia in children. However, studies on the safety and efficacy of many adjuvants in pediatrics are still lacking. The use of opioids is influenced understandably by safety concerns about respiratory depression, but data on its incidence are poor. The role of regional techniques in the treatment of pain after pediatric surgery is growing in line with the developments in adults; the emphasis here is more on peripheral techniques too.SummaryThe concept of multimodal analgesia including the use of regional analgesic techniques is governing the current developments and discussions in the area of pediatric postoperative analgesia.
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