Perioperative Management of Pain and Other Consequences Following Regional or Local Anesthesia for Pediatric Patients with Least Invasive Procedures

Sayed Athar Hussain Kazmi *

Al Dhannah Hospital, UAE.

*Author to whom correspondence should be addressed.


Abstract

Operative procedures, whether emergent or elective, must be executed carefully, keeping all important measures in mind. It is of great value for the surgeons and the anesthetists to be on the same page while planning for a particular procedure to be carried out on a patient. However, with the pediatric population, even the most simple of all procedures tend to become complex if care is not taken. The pediatric population is extremely vulnerable to developing complications, and therefore, a lot of care and proper measures need to be taken to ensure that the procedure goes smoothly and without any complications. Children undergoing such procedures require a tailored approach to address their unique physiological and psychological needs. Effective pain management is essential not only for the well-being of pediatric patients but also for ensuring successful surgical outcomes. Unmanaged pain can lead to increased stress, delayed recovery, and long-term negative effects on a child's perception of medical procedures. The unique challenge in pediatric patients lies in the need for a balanced approach that minimizes pain while avoiding potential side effects and complications associated with analgesic medications. In this article, we shall review and explore the significance of perioperative pain management in pediatric patients, with a focus on least invasive procedures performed with local anesthesia.

Keywords: Pediatric anesthesia, pediatric surgery, minimally invasive procedures, pediatric surgery complications, anesthesia complications


How to Cite

Kazmi, Sayed Athar Hussain. 2023. “Perioperative Management of Pain and Other Consequences Following Regional or Local Anesthesia for Pediatric Patients With Least Invasive Procedures”. Asian Journal of Medical Principles and Clinical Practice 6 (2):360-65. https://www.journalajmpcp.com/index.php/AJMPCP/article/view/199.

Downloads

Download data is not yet available.

References

Tesoro S, Marchesini L, De Robertis E. Pediatric Anesthesia. Transl Med UniSa. 2019 Jan 12;20:1–3.

Ahmed Z, Rufo PA. Pediatric Preoperative Management. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2023 Nov 22]. Available:http://www.ncbi.nlm.nih.gov/books/NBK559198/

Khan FA, Haider S, Abbas N, Akhtar N, Haq NU, Khaskheli MS, et al. Challenges of pediatric anesthesia services and training infrastructure in tertiary care teaching institutions in pakistan: a perspective from the province of sindh. Anesth Analg. 2022 Mar 1;134(3): 653–60.

Wu JP. Pediatric Anesthesia Concerns and Management for Orthopedic Procedures. Pediatr Clin North Am. 2020 Feb;67(1):71–84.

Walters CB, Kynes JM, Reddy SK, Crockett CJ, Lovejoy HK, Lorinc AN. Pediatric Anesthesia Specialty Societies and Multi-Institutional Collaborations. Children. 2020 Nov 17;7(11):233.

Walters C. Pediatric Anesthesiology Special Issue. Children. 2021 Mar 7;8(3):201.

Holzki J. Recent advances in pediatric anesthesia. Korean J Anesthesiol. 2011 May;60(5):313–22.

Dave NM. Premedication and Induction of Anaesthesia in paediatric patients. Indian J Anaesth. 2019 Sep;63(9):713–20.

Chorney JM, Kain ZN. Behavioral analysis of children’s response to induction of anesthesia. Anesth Analg. 2009 Nov;109(5):1434–40.

Boric K, Dosenovic S, Jelicic Kadic A, Batinic M, Cavar M, Urlic M, et al. Interventions for postoperative pain in children: An overview of systematic reviews. Paediatr Anaesth. 2017 Sep;27(9):893–904.

Jun JH, Kim KN, Kim JY, Song SM. The effects of intranasal dexmedetomidine premedication in children: a systematic review and meta-analysis. Can J Anaesth J Can Anesth. 2017 Sep;64(9):947–61.

Bosenberg A. Benefits of regional anesthesia in children. Paediatr Anaesth. 2012 Jan;22(1):10–8.

Kain ZN, Caldwell-Andrews AA, Mayes LC, Weinberg ME, Wang SM, MacLaren JE, et al. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial. Anesthesiology. 2007 Jan;106(1):65–74.

O’Sullivan M, Wong GK. Preinduction techniques to relieve anxiety in children undergoing general anaesthesia. Contin Educ Anaesth Crit Care Pain. 2013 Dec 1;13(6):196–9.

Wu JP. Pediatric Anesthesia Concerns and Management for Orthopedic Procedures. Pediatr Clin North Am. 2020 Feb;67(1):71–84.

Jöhr M. Regional anaesthesia in neonates, infants and children: an educational review. Eur J Anaesthesiol. 2015 May;32(5):289–97.

Walker BJ, Long JB, Sathyamoorthy M, Birstler J, Wolf C, Bosenberg AT, et al. Complications in Pediatric Regional Anesthesia: An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network. Anesthesiology. 2018 Oct;129(4):721–32.

Meyer MJ, Krane EJ, Goldschneider KR, Klein NJ. Case report: neurological complications associated with epidural analgesia in children: a report of 4 cases of ambiguous etiologies. Anesth Analg. 2012 Dec;115(6):1365–70.

Manyande A, Cyna AM, Yip P, Chooi C, Middleton P. Non-pharmacological interventions for assisting the induction of anaesthesia in children. Cochrane Database Syst Rev. 2015 Jul 14;2015(7):CD006447.

Epstein RH, Stein AL, Marr AT, Lessin JB. High concentration versus incremental induction of anesthesia with sevoflurane in children: A comparison of induction times, vital signs, and complications. J Clin Anesth. 1998 Feb;10(1):41–5.

Mossetti V, Ivani G. Controversial issues in pediatric regional anesthesia. Paediatr Anaesth. 2012 Jan;22(1):109– 14.

Verma D, Naithani U, Gokula C, Harsha. Spinal anesthesia in infants and children: A one year prospective audit. Anesth Essays Res. 2014;8(3):324–9.

DeLorenzi C. Complications of injectable fillers, part 2: Vascular complications. Aesthetic Surgery Journal. 2014 May 1; 34(4):584-600.

Almenrader N, Passariello M, Coccetti B, Haiberger R, Pietropaoli P. Steal-induction after clonidine premedication: A comparison of the oral and nasal route. Paediatr Anaesth. 2007 Mar;17(3): 230–4.