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Till, H; Heinrich, M; Joppich, I.
Perioperative pain therapy. Deficiencies in children and adolescents
Chirurg. 2002; 73(11):1109-1112 Doi: 10.1007/s00104-002-0518-1
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Leading authors Med Uni Graz
Till Holger
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Abstract:
Present studies reveal that postoperative pain management for children is still insufficient in Germany. This situation is not only caused by a lack of knowledge, but, mainly, by a deficiency of standardized protocols in the hospitals and the lack of administrative responsibility. This article describes a specific concept for postoperative pain management in children. It basically focuses on three main topics: prevention of pain, the algorithm for analgesic treatment and the evaluation of the efficiency of the treatment. The surgeon plays a central role in pain prevention. By intraoperative blocking of the peripheral nerves, he can achieve effective analgesia. Postoperatively, he prescribes a basic medication according to the procedure used and the surgical trauma. Its effectiveness must be measured routinely thereafter and, depending on the score, an individual pain medication should be added. Pain measurement in children requires the application of specific scales for each age group. The evaluation of this concept has revealed therapeutic success, broad acceptance and efficiency in ward use. However a long-term benefit can only be achieved when postoperative pain management is one of the essential duties of the surgeon and it is constantly monitored within a department.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Algorithms -
Analgesics - adverse effects Analgesics - therapeutic use
Anesthesia, Local -
Child -
Child, Preschool -
Child, Preschool -
Humans -
Infant -
Needs Assessment -
Pain Measurement -
Pain, Postoperative - classification Pain, Postoperative - drug therapy Pain, Postoperative - prevention and control
Quality Assurance, Health Care -
Treatment Outcome -

Find related publications in this database (Keywords)
pain
management
children
postoperative
surgeon
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