期刊
CURRENT OPINION IN ANESTHESIOLOGY
卷 31, 期 3, 页码 327-332出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACO.0000000000000579
关键词
children; chronic postsurgical pain; nonopioid analgesics; opioids; postoperative pain
资金
- Montreal Children Foundation for the Chronic Pain Service of the Montreal Children's Hospital
Purpose of reviewThe evidence regarding the efficacy of analgesics available to guide postoperative pain treatment in pediatric patients is limited. Opioid medications are very often an important component of pediatric postoperative pain treatment but have been associated with perioperative complications. We will focus on initiatives aiming to provide effective treatment minimizing the use of opioids and preventing the long-term consequences of pain.Recent findingsInterpatient variability in postoperative pain is currently managed by applying protocols or by trial and error, thus often leading to patients being either undertreated or overtreated. Few evidence-based reports are available to guide the use of opioid medications in children, including the prescription of opioids after hospital discharge. Using combinations of nonopioid analgesics in a multimodal approach may limit the need for opioids, thus decreasing the risk of toxicity and dose-related side effects. There is a lack of adequate research in this field, and more specifically on identifying which patient is at higher risk of poor postoperative pain management.SummaryTreatment options have evolved in recent years, including the combinations of multimodal regimens and regional anesthetic techniques. Using combinations of nonopioid analgesics in a multimodal approach may limit the need for opioids.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据