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Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology ( ESPA Pain Management Ladder Initiative)
Author(s) -
Vittinghoff Maria,
Lönnqvist PerArne,
Mossetti Valeria,
Heschl Stefan,
Simic Dusica,
Colovic Vesna,
Dmytriiev Dmytro,
Hölzle Martin,
Zielinska Marzena,
KubicaCielinska Anna,
LorraineLichtenstein Elizabeth,
Budić Ivana,
Karisik Marijana,
Maria Belen De Josè,
Smedile Francesco,
Morton Neil S.
Publication year - 2018
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13373
Subject(s) - medicine , pain management , analgesic , perioperative , postoperative pain , advisory committee , acute pain , physical therapy , anesthesia , management , economics
Summary The main remit of the European Society for Paediatric Anaesthesiology (ESPA) Pain Committee is to improve the quality of pain management in children. The ESPA Pain Management Ladder is a clinical practice advisory based upon expert consensus to help to ensure a basic standard of perioperative pain management for all children. Further steps are suggested to improve pain management once a basic standard has been achieved. The guidance is grouped by the type of surgical procedure and layered to suggest basic, intermediate, and advanced pain management methods. The committee members are aware that there are marked differences in financial and personal resources in different institutions and countries and also considerable variations in the availability of analgesic drugs across Europe. We recommend that the guidance should be used as a framework to guide best practice.