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J Am Acad Orthop Sur · Dec 2012
ReviewPerioperative pain control in pediatric patients undergoing orthopaedic surgery.
- Philip D Nowicki, Kelly L Vanderhave, Kathleen Gibbons, Bishr Haydar, Mark Seeley, Kenneth Kozlow, Kiran Bhoopal, and Virginia T Gauger.
- Department of Orthopaedic Surgery, Western Michigan University School of Medicine, Kalamazoo, MI, USA.
- J Am Acad Orthop Sur. 2012 Dec 1;20(12):755-65.
AbstractManagement 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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