Pediatric Surgery International

, Volume 26, Issue 9, pp 879–889 | Cite as

Implementation of a standardized pain management in a pediatric surgery unit

  • B. MessererEmail author
  • A. Gutmann
  • A. Weinberg
  • A. Sandner-Kiesling
Review Article


Postoperative pain is still a major complication causing discomfort and significant suffering, especially for children. Therefore, every effort should be made to prevent pain and treat it effectively once it arises. Under-treatment of pediatric pain is often due to a lack of both knowledge about age-specific aspects of physiology and pharmacology and routine pain assessment. Factors for long term success require regularly assessing pain, as routinely as the other vital signs together with documentation of side effects. The fear of side effects mostly prevents the adequate usage of analgesics. Essential is selecting and establishing a simple concept for clinical routine involving a combination of non-pharmacological treatment strategies, non-opioid drugs, opioids and regional anesthesia.


Pain Pain, postoperative Analgesia Pain, assessment Pain, management Pain, children Faces pain scale NSAIDs Acetaminophen Dipyrone Piritramide Patient-controlled analgesia, children Regional analgesia, children 


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • B. Messerer
    • 1
    Email author
  • A. Gutmann
    • 1
  • A. Weinberg
    • 2
  • A. Sandner-Kiesling
    • 1
  1. 1.Department of Anesthesiology and Intensive Care MedicineMedical University of GrazGrazAustria
  2. 2.Department of Pediatric and Adolescent SurgeryMedical University of GrazGrazAustria

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