Progress in perioperative pain management of pediatric and adolescent spinal deformity corrective surgery
10.7507/1002-1892.201810122
- Author:
Haozhong WANG
1
Author Information
1. Department of Orthopedics, West China Hospital, Sichuan University
- Publication Type:Journal Article
- Keywords:
adolescent;
multimodal analgesia;
pain management;
Pediatric;
perioperative;
spinal deformity
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2019;33(5):644-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To review the advances in perioperative pain management of pediatric and adolescent spinal deformity corrective surgery. Methods: Regular analgesics, drug administrations, and analgesic regimens were reviewed and summarized by consulting domestic and overseas related literatures about perioperative pain management of pediatric and adolescent spinal deformity corrective surgery in recent years. Results: As for perioperative analgesis regimens of pediatric and adolescent spinal deformity corrective surgery, regular analgesics include non-steroidal anti-inflammatory drugs, opioids, antiepileptic drugs, adrenergic agonists, and local anesthetic, etc. Besides drug administration by mouth, intravenous injection, and intramuscular injection, the administration also includes patient controlled analgesia, epidural injection, and intrathecal injection. Multimodal analgesia is the most important regimen currently. Conclusion: Heretofore, a number of perioperative pain managements of pediatric and adolescent spinal deformity corrective surgery have been applied clinically, but the ideal regimen has not been developed. To design a safe and effective analgesic regimen needs further investigations.
