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

Andrew D Franklin; KuoJen Tsao; Rabab Barq; Lorraine I Kelley-Quon; Giorgio Veneziano; Jennifer H Aldrink

doi:10.1016/j.jpedsurg.2024.03.027

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 Mar 16:S0022-3468(24)00179-9. doi: 10.1016/j.jpedsurg.2024.03.027. Online ahead of print.

Authors

Andrew D Franklin¹, KuoJen Tsao², Rabab Barq³, Lorraine I Kelley-Quon⁴, Giorgio Veneziano⁵, Jennifer H Aldrink⁶

Affiliations

¹ Division of Pediatric Anesthesia, Department of Anesthesia, Vanderbilt University Medical Center, Nashville, TN, USA.
² Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston, TX, USA.
³ Division of Pediatric Surgery, Children's Hospital Los Angeles, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
⁴ Division of Pediatric Surgery, Children's Hospital Los Angeles, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
⁵ Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
⁶ Division of Pediatric Surgery, Department of Surgery, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA. Electronic address: Jennifer.aldrink@nationwidechildrens.org.

PMID: 38614947
DOI: 10.1016/j.jpedsurg.2024.03.027

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.