Ambulatory Pain Management in the Pediatric Patient Population

Purpose of Review Outpatient surgery in the pediatric population has become increasingly common. However, many patients still experience moderate to severe postoperative pain. A poor understanding of the extent of pain after pediatric ambulatory surgery and the lack of randomized control studies of...

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Bibliographic Details
Published in:Current pain and headache reports 2022, Vol.26 (1), p.15-23
Main Authors: Oliver, Jodi-Ann, Oliver, Lori-Ann, Aggarwal, Nitish, Baldev, Khushboo, Wood, Melanie, Makusha, Lovemore, Vadivelu, Nalini, Lichtor, Lance
Format: Article
Language:English
Subjects:
Acute Pain Medicine (R Urman
Ambulatory Surgical Procedures
Analgesia
Analgesics, Opioid
Anesthesia, Conduction
Anesthesiology
Caregivers
Child
Drug dosages
Families & family life
Hospital costs
Humans
Internal Medicine
Medicine
Medicine & Public Health
Narcotics
Outpatient care facilities
Pain Management
Pain Medicine
Pain, Postoperative - therapy
Patient satisfaction
Pediatrics
Section Editor
Strabismus
Surgeons
Surgery
Topical Collection on Acute Pain Medicine
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Summary:Purpose of Review Outpatient surgery in the pediatric population has become increasingly common. However, many patients still experience moderate to severe postoperative pain. A poor understanding of the extent of pain after pediatric ambulatory surgery and the lack of randomized control studies of pain management of the outpatient necessitate this review of scientific evidence and multimodal analgesia. Recent Findings A multimodal approach to pain management should be applied to the ambulatory setting to decrease postoperative pain. These include non-pharmacological techniques, multimodal pharmacologics, and neuraxial and peripheral nerve blocks. Summary Postoperative pain management in pediatric ambulatory surgical patients remains suboptimal at most centers due to limited evidence-based approach to postoperative pain control. Pediatric ambulatory pain management requires a multipronged approach to address this inadequacy.
ISSN:1531-3433
1534-3081
DOI:10.1007/s11916-022-00999-y