Perioperative management in children with chronic pain

Paediatr Anaesth. 2016 Aug;26(8):794-806. doi: 10.1111/pan.12948.

Abstract

Children with chronic pain often undergo surgery and effective perioperative management of their pain can be challenging. Identification of the pediatric chronic pain patient preoperatively and development of a perioperative pain plan may help ensure a safer and more comfortable perioperative course. Successful management usually requires multiple different classes of analgesics, regional anesthesia, and adjunctive nonpharmacological therapies. Neuropathic and oncological pain can be especially difficult to treat and usually requires an individualized approach.

Keywords: children; chronic pain; opioid-tolerant; pediatric; perioperative management; surgical.

Publication types

  • Review

MeSH terms

  • Child
  • Chronic Pain / therapy*
  • Humans
  • Pain Management / methods*
  • Perioperative Care / methods*
  • Surgical Procedures, Operative