Perioperative analgesia in pediatric surgery
Poor pain management has continued to be a problem after pediatric surgery. This review examines the current situation and recent advances in the area. Nonopioids such as paracetamol and NSAIDs play an increasing role as components of multimodal analgesia in children. However, studies on the safety...
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| Veröffentlicht in: | Current opinion in anaesthesiology 2013-08, Vol.26 (4), p.420-427 |
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| container_title | Current opinion in anaesthesiology |
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| creator | Russell, Phil von Ungern-Sternberg, Britta S Schug, Stephan A |
| description | Poor pain management has continued to be a problem after pediatric surgery. This review examines the current situation and recent advances in the area.
Nonopioids such as paracetamol and NSAIDs play an increasing role as components of multimodal analgesia in children. However, studies on the safety and efficacy of many adjuvants in pediatrics are still lacking. The use of opioids is influenced understandably by safety concerns about respiratory depression, but data on its incidence are poor. The role of regional techniques in the treatment of pain after pediatric surgery is growing in line with the developments in adults; the emphasis here is more on peripheral techniques too.
The concept of multimodal analgesia including the use of regional analgesic techniques is governing the current developments and discussions in the area of pediatric postoperative analgesia. |
| doi_str_mv | 10.1097/ACO.0b013e3283625cc8 |
| format | Article |
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Nonopioids such as paracetamol and NSAIDs play an increasing role as components of multimodal analgesia in children. However, studies on the safety and efficacy of many adjuvants in pediatrics are still lacking. The use of opioids is influenced understandably by safety concerns about respiratory depression, but data on its incidence are poor. The role of regional techniques in the treatment of pain after pediatric surgery is growing in line with the developments in adults; the emphasis here is more on peripheral techniques too.
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Nonopioids such as paracetamol and NSAIDs play an increasing role as components of multimodal analgesia in children. However, studies on the safety and efficacy of many adjuvants in pediatrics are still lacking. The use of opioids is influenced understandably by safety concerns about respiratory depression, but data on its incidence are poor. The role of regional techniques in the treatment of pain after pediatric surgery is growing in line with the developments in adults; the emphasis here is more on peripheral techniques too.
The concept of multimodal analgesia including the use of regional analgesic techniques is governing the current developments and discussions in the area of pediatric postoperative analgesia.</description><subject>Acetaminophen - therapeutic use</subject><subject>Adjuvants, Anesthesia - therapeutic use</subject><subject>Analgesia</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Anesthesia, Conduction</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Child</subject><subject>Humans</subject><subject>Pain Management</subject><subject>Pain, Postoperative - drug therapy</subject><issn>0952-7907</issn><issn>1473-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkD1PwzAURS0EoqXwDxDKyECK_V7i2GNV8SVVKgPMlmu_VEZpE-wEqf-eohYGpruce690GLsWfCq4ru5n8-WUr7hAQlAooXROnbCxKCrMZcn5KRtzXUJeaV6N2EVKH5xz0IqfsxFgVUotxJjdvVIMbUfR9uGLMru1zZpSsFnYZh35YPsYXJaGuKa4u2RntW0SXR1zwt4fH97mz_li-fQyny1yh4h9Lj1Yj-gBfC2Fp6LWwEkqIUA4jxZqXGmlNBKgLSUUSlrlJLqispKjxAm7Pex2sf0cKPVmE5KjprFbaodkBGpUAEKWe7Q4oC62KUWqTRfDxsadEdz8eDJ7T-a_p33t5vgwrDbk_0q_YvAbCOZjEg</recordid><startdate>20130801</startdate><enddate>20130801</enddate><creator>Russell, Phil</creator><creator>von Ungern-Sternberg, Britta S</creator><creator>Schug, Stephan A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130801</creationdate><title>Perioperative analgesia in pediatric surgery</title><author>Russell, Phil ; von Ungern-Sternberg, Britta S ; Schug, Stephan A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-6d2ad33d22df61de4f920e681121cd3a2f3b98893e23a562486a8c63c47a60363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acetaminophen - therapeutic use</topic><topic>Adjuvants, Anesthesia - therapeutic use</topic><topic>Analgesia</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Anesthesia, Conduction</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Child</topic><topic>Humans</topic><topic>Pain Management</topic><topic>Pain, Postoperative - drug therapy</topic><toplevel>online_resources</toplevel><creatorcontrib>Russell, Phil</creatorcontrib><creatorcontrib>von Ungern-Sternberg, Britta S</creatorcontrib><creatorcontrib>Schug, Stephan A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Current opinion in anaesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Russell, Phil</au><au>von Ungern-Sternberg, Britta S</au><au>Schug, Stephan A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative analgesia in pediatric surgery</atitle><jtitle>Current opinion in anaesthesiology</jtitle><addtitle>Curr Opin Anaesthesiol</addtitle><date>2013-08-01</date><risdate>2013</risdate><volume>26</volume><issue>4</issue><spage>420</spage><epage>427</epage><pages>420-427</pages><issn>0952-7907</issn><eissn>1473-6500</eissn><abstract>Poor pain management has continued to be a problem after pediatric surgery. This review examines the current situation and recent advances in the area.
Nonopioids such as paracetamol and NSAIDs play an increasing role as components of multimodal analgesia in children. However, studies on the safety and efficacy of many adjuvants in pediatrics are still lacking. The use of opioids is influenced understandably by safety concerns about respiratory depression, but data on its incidence are poor. The role of regional techniques in the treatment of pain after pediatric surgery is growing in line with the developments in adults; the emphasis here is more on peripheral techniques too.
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| ispartof | Current opinion in anaesthesiology, 2013-08, Vol.26 (4), p.420-427 |
| issn | 0952-7907 1473-6500 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acetaminophen - therapeutic use Adjuvants, Anesthesia - therapeutic use Analgesia Analgesics, Opioid - therapeutic use Anesthesia, Conduction Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Child Humans Pain Management Pain, Postoperative - drug therapy |
| title | Perioperative analgesia in pediatric surgery |
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