Postoperative Pain Management in children: guidance from the Pain Committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative) Part II - 08/11/24

Doi : 10.1016/j.accpm.2024.101427

Maria Vittinghoff ^a,⁎ , Per Arne Lönnqvist ^b, Valeria Mossetti ^c, Stefan Heschl ^a, Dusica Simic ^d, Vesna Colovic ^e, Martin Hözle ^f, Marzena Zielinska ^g, Belen De Josè Maria ^h, Francesca Oppitz ⁱ, Diana Butkovic ^j, Neil S. Morton ^k
^a Department of Anesthesiology and Intensive Care Medicine, Medical University of Graz, Austria
^b Paediatric Anaesthesia and Intensive Care, Section of Anaesthesiology and Intensive Care, Dept of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
^c Department of Anesthesia and Intensive Care, Regina Margherita Children's Hospital, Città Della Salute e Della Scienza, Torino, Italy
^d University Children's Hospital, Medical Faculty University of Belgrade, Serbia
^e Royal Manchester Children’s Hospital, Central Manchester University Hospitals, Manchester, United Kingdom
^f Section of Paediatric Anaesthesia, Department of Anaesthesia, Luzerner Kantonsspital, Luzern, Switzerland
^g Department of Paediatric Anaesthesiology and Intensive Care, Wroclaw Medical University, Poland
^h Department of Pediatric Anesthesia, Hospital Sant Joan de Deu, University of Barcelona, Spain
ⁱ Department of Pediatric Anesthesia, Wilhelmina Children’s Hospital, University of Utrecht, The Netherlands
^j Department of Pediatric Anesthesiology, Reanimatology and Intensive Medicine, Children's Hospital Zagreb, Croatia
^k Retired Reader in Paediatric Anaesthesia and Pain Management, University of Glasgow, Glasgow, Scotland

^⁎Corresponding author.

Abstract

The ESPA Pain Management Ladder Initiative is a clinical practice advisory based upon expert consensus supported by the current literature to help ensure a basic standard of perioperative pain management for all children. In 2018 the perioperative pain management of six common pediatric surgical procedures was summarised. The current Pain Management Ladder recommendations focus on five more complex pediatric surgical procedures and suggest basic, intermediate, and advanced pain management methods. The aim of this paper is to encourage best possible pain management practice and to support institutions to create their own pain management concepts according to their financial and human resources due to the diversity of clinical settings in Europe. Furthermore, the authors underline that these recommendations are intended for inpatients only.

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Keywords : Analgesics, Nonopioid drugs, Opioids, Pediatrics, Perioperative pain, Regional anesthesia

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Non-opioid and co-analgesic drugs

Intra- and postoperative use of opioids

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Vol 43 - N° 6

Article 101427- décembre 2024 Retour au numéro

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Postoperative Pain Management in children: guidance from the Pain Committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative) Part II - 08/11/24

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