Division of Pediatric Anesthesia, Department of Anesthesia, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston, TX, USA.
J Pediatr Surg. 2024 Jul;59(7):1297-1303. doi: 10.1016/j.jpedsurg.2024.03.027. Epub 2024 Mar 16.
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.
随着对接受手术治疗的儿童急性疼痛管理以及对接触阿片类药物的短期和长期风险的认识不断发展，采用多模式和多学科方法并通过有组织的途径，已改善了围手术期的结果和患者满意度。在本次于美国儿科学会外科会议上举行的 2023 年专题研讨会上，就当前手术后加速康复途径、有效疼痛控制的替代方法以及减少阿片类药物的教育和宣传工作进行了多学科讨论，本文中包含了相关要点。
