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Chapter 17 - Perioperative Analgesia in Children

Published online by Cambridge University Press:  06 February 2025

By
Glyn Williams  and
Helen Laycock
Edited by
James Ip ,
Grant Stuart ,
Isabeau Walker  and
Ian James
James Ip
Affiliation:
Great Ormond Street Hospital for Children, London
Grant Stuart
Affiliation:
Great Ormond Street Hospital for Children, London
Isabeau Walker
Affiliation:
Great Ormond Street Hospital for Children, London
Ian James
Affiliation:
Great Ormond Street Hospital for Children, London
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Summary

Pain following surgery continues to be a common experience in children, despite advances in acute pain management. The effective and safe management of pain in children of all ages requires significant knowledge of the biopsychosocial experience of pain and strategies available for its management. Numerous factors can influence the success of analgesic treatment: Developmental age has a profound effect on both the processing of nociceptive information and the response to analgesia; the pharmacology of all drugs is age and size dependent, requiring appropriate dosage adjustments; and communication with the very young or those with developmental delay can influence the ability to assess pain and monitor the response to treatment.

Keywords

Painmultimodal analgesiapain assessment
Type
Chapter
Information
Core Topics in Paediatric Anaesthesia , pp. 197 - 206
Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Association of Paediatric Anaesthetists of Great Britain and Ireland. Good practice in postoperative and procedural pain management, 2nd edition. Paediatric Anaesthesia. 2012 July; 22 (Suppl 1):1–79.CrossRefGoogle Scholar
Howard, RF. Complex pain management. In: Bingham, R, Lloyd-Thomas, A, Sury, M, eds. Hatch and Sumner’s Textbook of Paediatric Anaesthesia, 3rd ed. Hodder Arnold. 2008; 407–23.Google Scholar
Lonnqvist, P-A, Morton, NS. Postoperative analgesia in infants and children. British Journal of Anaesthesia. 2005; 95:59–68.CrossRefGoogle ScholarPubMed
Schug, SA, Scott, DA, Mott, JF, Halliwell, R, Palmer, GM, Alcock, M, APM:SE Working Group of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine. Acute Pain Management: Scientific Evidence, 5th ed., Section 10. ANZCA ans FPM. 2020.Google Scholar

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