Show Summary Details
Page of

Pediatric Orthopedic Surgery 

Pediatric Orthopedic Surgery
Chapter:
Pediatric Orthopedic Surgery
Author(s):

Karen Boretskty

DOI:
10.1093/med/9780190856649.003.0023
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 20 September 2019

This chapter discusses the importance of using a comprehensive multimodal approach to analgesia following pediatric orthopedic surgery. Prior to opioid use, nonopioid adjuncts such as acetaminophen and short-course nonsteroidal anti-inflammatory use is preferred. Because breakthrough pain is common, targeted opioid therapy is often appropriate, and dosing guidelines are described in the chapter. Codeine is not recommended in the pediatric population. Following surgery, the use of peripheral regional anesthesia and perineural infusions has been shown to provide superior analgesia and opioid-sparing characteristics. While compartment syndrome is a concern in the pediatric population, few data exist to suggest peripheral regional anesthesia delays diagnosis. Pediatric patients with the appropriate amount of support may be discharged home with a perineural catheter. Additional postdischarge nonopioid analgesics should be encouraged, and a short course of opioid therapy may be provided if needed.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.