Updates From the Other Side of the Drape: Recent Advances in Multimodal Pain Management and Opioid Reduction Among Pediatric Surgical Patients

J Pediatr Surg. 2024 Jul;59(7):1297-1303. doi: 10.1016/j.jpedsurg.2024.03.027. Epub 2024 Mar 16.

Abstract

As the management of acute pain for children undergoing surgical procedures as well as recognition of the short and long term risks of exposure to opioids has evolved, multimodal and multidisciplinary approaches using organized pathways has resulted in improved perioperative outcomes and patient satisfaction. In this 2023 symposium held at the American Academy of Pediatrics on Surgery meeting, a multidisciplinary discussion on current enhanced recovery after surgery pathways, alternate methods of effective pain control and education and advocacy efforts for opioid reduction were discussed, and highlights are included in this article.

Keywords: Enhanced recovery after surgery; Opioid; Regional anesthesia.

Publication types

  • Review

MeSH terms

  • Acute Pain / drug therapy
  • Acute Pain / etiology
  • Analgesics, Opioid* / therapeutic use
  • Child
  • Combined Modality Therapy
  • Enhanced Recovery After Surgery
  • Humans
  • Opioid-Related Disorders / etiology
  • Opioid-Related Disorders / prevention & control
  • Pain Management* / methods
  • Pain, Postoperative* / drug therapy

Substances

  • Analgesics, Opioid