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Pain Management for General Pediatric Surgery 

Pain Management for General Pediatric Surgery
Chapter:
Pain Management for General Pediatric Surgery
Author(s):

Jodi-Ann Oliver

, Lori-Ann Oliver

, Michael Casimir

, and Caroline Walker

DOI:
10.1093/med/9780190457006.003.0013
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date: 09 December 2019

As the misconception that children and infants do not experience pain in the same way as adults has been vastly discredited, the management of perioperative pain in the pediatric population has become a rapidly developing field. Inadequate treatment of perioperative pain in this population can lead to serious long-term or permanent sequela for not only the patients but also their families. Postoperative pain management in children is best accomplished using a multimodal approach in which different classes of drugs such as opioids (short or long acting), non-opioid adjuncts (nonsteroidal anti-inflammatory drugs, acetaminophen), and antineuroleptics (gabapentin) are used alone or in combination with regional anesthesia techniques (peripheral nerve blocks, caudals, epidurals, or spinals). When placed prior to surgical incision, the use of peripheral and central blocks is beneficial not only in decreasing the total opioid consumption in the perioperative period but also in preventing activation of pain pathways that are ultimately responsible for the development of chronic pain.

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