Analgesia in pediatric abdominal surgery
Adequate analgesia is a key component of pediatric abdominal surgery. Multimodal analgesia, using different pharmacological products and locoregional techniques, is increasingly used in clinical practice.This study aims to provide a clear overview of the different modalities used in abdominal surger...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Pediatric Surgery Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949711625000085 |
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| author | Jan Geudens An Teunkens |
| author_facet | Jan Geudens An Teunkens |
| author_sort | Jan Geudens |
| collection | DOAJ |
| description | Adequate analgesia is a key component of pediatric abdominal surgery. Multimodal analgesia, using different pharmacological products and locoregional techniques, is increasingly used in clinical practice.This study aims to provide a clear overview of the different modalities used in abdominal surgery in the pediatric population. We conducted a literature review in which relevant articles, which focused on the efficacy, side effects, and locoregional techniques of pharmacological products, were included and analyzed.The combined use of classic analgesics (such as paracetamol and nonsteroidal anti-inflammatory drugs) or alpha-2 agonists together with opioids can ensure lower opioid use, which in turn reduces the risk of adverse effects. Various locoregional techniques, particularly the transversus abdominis plane block and quadratus lumborum block, have also been shown to be effective in abdominal surgery in the pediatric population. Age-specific differences in analgesic use were investigated, with the importance of correct weight-based dosing and proper monitoring of vital parameters being particularly crucial. Further research focusing on specific surgical procedures could identify the most indicated technique.In conclusion, sufficient evidence supports the use of multimodal analgesia as the standard approach in pediatric abdominal surgery. |
| format | Article |
| id | doaj-art-11dfd53940564a9e91bbc13ab7be1bc3 |
| institution | Kabale University |
| issn | 2949-7116 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Open |
| spelling | doaj-art-11dfd53940564a9e91bbc13ab7be1bc32025-01-31T05:12:50ZengElsevierJournal of Pediatric Surgery Open2949-71162025-04-0110100199Analgesia in pediatric abdominal surgeryJan Geudens0An Teunkens1KU Leuven Faculty of Medicine, Herestraat 49, 3000 Leuven, Belgium; Corresponding author.University Hospitals Leuven, Department of Anesthesiology, Herestraat 49, 3000 Leuven, BelgiumAdequate analgesia is a key component of pediatric abdominal surgery. Multimodal analgesia, using different pharmacological products and locoregional techniques, is increasingly used in clinical practice.This study aims to provide a clear overview of the different modalities used in abdominal surgery in the pediatric population. We conducted a literature review in which relevant articles, which focused on the efficacy, side effects, and locoregional techniques of pharmacological products, were included and analyzed.The combined use of classic analgesics (such as paracetamol and nonsteroidal anti-inflammatory drugs) or alpha-2 agonists together with opioids can ensure lower opioid use, which in turn reduces the risk of adverse effects. Various locoregional techniques, particularly the transversus abdominis plane block and quadratus lumborum block, have also been shown to be effective in abdominal surgery in the pediatric population. Age-specific differences in analgesic use were investigated, with the importance of correct weight-based dosing and proper monitoring of vital parameters being particularly crucial. Further research focusing on specific surgical procedures could identify the most indicated technique.In conclusion, sufficient evidence supports the use of multimodal analgesia as the standard approach in pediatric abdominal surgery.http://www.sciencedirect.com/science/article/pii/S2949711625000085Pediatric AnesthesiaLocal AnesthesiaNerve BlockBalanced Anesthesia |
| spellingShingle | Jan Geudens An Teunkens Analgesia in pediatric abdominal surgery Journal of Pediatric Surgery Open Pediatric Anesthesia Local Anesthesia Nerve Block Balanced Anesthesia |
| title | Analgesia in pediatric abdominal surgery |
| title_full | Analgesia in pediatric abdominal surgery |
| title_fullStr | Analgesia in pediatric abdominal surgery |
| title_full_unstemmed | Analgesia in pediatric abdominal surgery |
| title_short | Analgesia in pediatric abdominal surgery |
| title_sort | analgesia in pediatric abdominal surgery |
| topic | Pediatric Anesthesia Local Anesthesia Nerve Block Balanced Anesthesia |
| url | http://www.sciencedirect.com/science/article/pii/S2949711625000085 |
| work_keys_str_mv | AT jangeudens analgesiainpediatricabdominalsurgery AT anteunkens analgesiainpediatricabdominalsurgery |