Pediatric Drugs

, Volume 16, Issue 2, pp 129–140

Postoperative Pain Management in Children and Infants: An Update

Authors

  • Christopher Brasher
    • Department of Anesthesiology, Intensive CareRobert Debré Hospital
    • University Paris Diderot
  • Benjamin Gafsous
    • Department of Anesthesiology, Intensive CareRobert Debré Hospital
    • University Paris Diderot
  • Sophie Dugue
    • Department of Pain ManagementRobert Debré University Hospital
    • University Paris Diderot
  • Anne Thiollier
    • Department of Pain ManagementRobert Debré University Hospital
  • Joelle Kinderf
    • Department of Pain ManagementRobert Debré University Hospital
  • Yves Nivoche
    • Department of Anesthesiology, Intensive CareRobert Debré Hospital
    • University Paris Diderot
    • INSERM UMR U 676Robert Debré University Hospital
  • Robert Grace
    • Department of Anaesthesia, Intensive Care and Peri-operative MedicineCairns Hospital
    • Department of Pain ManagementRobert Debré University Hospital
    • Department of Anesthesiology, Intensive CareRobert Debré Hospital
    • University Paris Diderot
    • INSERM UMR U 676Robert Debré University Hospital
Therapy in Practice

DOI: 10.1007/s40272-013-0062-0

Cite this article as:
Brasher, C., Gafsous, B., Dugue, S. et al. Pediatr Drugs (2014) 16: 129. doi:10.1007/s40272-013-0062-0

Abstract

Many factors contribute to suboptimal pain management in children. Current evidence suggests that severe pain in children has significant long-lasting effects, even more so than in adults. In particular, recent evidence suggests a lack of optimal postoperative pain management in children, especially following ambulatory surgery. This review provides simple guidelines for the management of postoperative pain in children. It discusses the long-term effects of severe pain and how to evaluate pain in both healthy and neurologically impaired children, including neonates. Currently available treatment options are discussed with reference to the efficacy and side effects of opioid and non-opioid and regional analgesic techniques. The impact of preoperative anxiety on postoperative pain, and the efficacy of some nonpharmacological techniques such as hypnosis or distraction, are also discussed. Finally, basic organizational strategies are described, aiming to promote safer and more efficient postoperative pain management in children.

Copyright information

© Springer International Publishing Switzerland 2014