Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-745bb68f8f-d8cs5 Total loading time: 0 Render date: 2025-02-06T14:48:01.805Z Has data issue: false hasContentIssue false

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×