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Postoperative pain management 

Postoperative pain management
Chapter:
Postoperative pain management
Author(s):

Richard F. Howard

DOI:
10.1093/med/9780199642656.003.0027
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date: 18 November 2018

Postoperative pain management begins prior to surgery and includes not only the prevention and pharmacological treatment of pain, but also a holistic and well-coordinated strategy that allays fears and anxieties, and allows children and their carers to participate in the selection and implementation of safe and suitable analgesia. Admission to hospital for surgery is a significant and potentially traumatic event. Coping with a strange and unknown environment, fear of separation, anticipation of painful procedures, and postoperative pain or adverse effects such as nausea are all prominent causes of anxiety and stress that can increase the perception of pain and impact on the quality of perioperative care. Therefore, a successful postoperative pain management programme will include: ongoing training of hospital staff, adequate preparation of children and families that provides timely verbal and written information, and the development and implementation of audited institutional analgesic protocols that ensure the safety and efficacy of pain management strategies in a child-friendly and secure environment.

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