Update in Acute Pain Management in Children

Sabine Kost-Byerly

Research output: Contribution to journalArticlepeer-review


A little more than a decade ago, most children presenting themselves for a surgical procedure had to limit their expectation for pain relief to infrequent, intermittent doses of an analgesic. Since then, intense research has significantly advanced our understanding of pediatric pharmacology and pharmacodynamics. The development of child-sized equipment has improved the safety and ease of the placement of regional blocks. Regional analgesia techniques can offer superior pain management and improved surgical outcomes with a low incidence of side effects. Continuous infusions through epidural or peripheral catheter are able to extend analgesia well beyond the immediate postoperative period and offer prolonged pain relief in trauma or other medical conditions. Acute pain management in children should follow a multimodal approach. An integration of opioid, nonopioid, adjunctive, behavioral-cognitive, and regional techniques will be most successful for achieving optimal analgesia, safety, and patient satisfaction. This report will be limited to new developments in regional analgesia, particularly to methods of continuous administration of analgesia.

Original languageEnglish (US)
Pages (from-to)166-171
Number of pages6
JournalTechniques in Regional Anesthesia and Pain Management
Issue number3
StatePublished - Jul 2003

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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