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What's new in pediatric acute pain therapy?

Schultz-Machata, Anette-Mariea; Weiss, Markusb; Becke, Karinc

Current Opinion in Anaesthesiology: June 2014 - Volume 27 - Issue 3 - p 316–322
doi: 10.1097/ACO.0000000000000074
PEDIATRIC ANESTHESIA: Edited by Karin Becke

Purpose of review: This review highlights the current trends of efficient and safe perioperative pediatric pain therapy in the context of a multimodal pain therapy concept.

Recent findings: A multimodal pain therapy concept should be easy to apply and safe regarding the occurrence of side-effects. The administration of nonopioid analgesics should be obligatory, regional anesthesia techniques – under ultrasound guidance – should be performed whenever possible, opioids should be given immediately and sufficiently whenever necessary, the administration of co-analgesics like lidocaine, dexamethasone or ketamine should be considered, and most importantly, each pain therapy should be performed according to pain assessment and long enough until adequate pain relief.

Summary: Safe and simple pediatric pain management in the perioperative period combines not only easy to apply and safe stepwise pain therapy itself, but also adequate pain assessment and the implementation of continuous hospital quality improvement strategies.

aDepartment of Anesthesia, General Intensive Care and Pain control at Vienna General Hospital, Medical University of Vienna, Vienna, Austria

bDepartment of Anesthesia, University Children's Hospital, Zurich, Switzerland

cDepartment of Anesthesiology and Intensive Care Medicine, Cnopf Children's Hospital, Hospital Hallerwiese, Nuernberg, Germany

Correspondence to Professor Anette-Marie Machata-Schultz, MD, Department of Anesthesia, General Intensive Care and Pain control at Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. Tel: +43 1 40 400 4107; e-mail: anette-marie.schultz@meduniwien.ac.at

© 2014 Lippincott Williams & Wilkins, Inc.