[Progress in Perioperative Pain Management of Pediatric and Adolescent Spinal Deformity Corrective Surgery]

Overview

Journal Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Specialty General Surgery

Date 2019 May 16

PMID 31090362

Authors

Haozhong Wang

Peng Xiu

Lei Wang

Yueming Song

Affiliations

Soon will be listed here.

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, . 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.

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