Key result
A variety of modalities, including nonopioid and opioid analgesia, local anesthetics, and regional analgesia, can be tailored to manage perioperative pain in pediatric orthopaedic surgery.
A review of perioperative pain management strategies for pediatric orthopaedic surgery highlights the importance of tailored, multimodal analgesia and preoperative planning.
May support tailored multimodal analgesia in pediatric orthopaedic surgery; leaves open optimal regimens pending prospective trials.
Management of perioperative pain is critical in the pediatric patient undergoing orthopaedic surgery. A variety of modalities can be used to manage pain and optimize recovery and patient satisfaction, including nonopioid and opioid analgesia; local anesthetic injection; and regional analgesia such as intrathecal morphine, epidural therapy, and peripheral nerve blocks. Acute pain management can be tailored based on the needs of the patient, the surgical site, and the anticipated level of postoperative pain. A preoperative discussion of the plan for perioperative pain control with the patient, his or her parents, and the anesthesiologist can help manage expectations and maximize patient satisfaction.
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Nowicki et al. (2012) conducted a review in Perioperative pain in pediatric orthopaedic surgery. Perioperative pain control modalities was evaluated. A variety of modalities, including nonopioid and opioid analgesia, local anesthetics, and regional analgesia, can be tailored to manage perioperative pain in pediatric orthopaedic surgery.
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