Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Maria Vittinghoff, Per-Arne Lönnqvist, Valeria Mossetti, Stefan Heschl, Dusica Simic, Vesna Colovic, Dmytro Dmytriiev, Martin Hölzle, Marzena Zielinska, Anna Kubica-Cielinska, Elizabeth Lorraine-Lichtenstein, Ivana Budić, Marijana Karisik, Belen De Josè Maria, Francesco Smedile, Neil S Morton

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Abstract

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.

Original languageEnglish
Pages (from-to)493-506
Number of pages14
JournalPaediatric Anaesthesia
Volume28
Issue number6
DOIs
Publication statusPublished - Jun 2018
Externally publishedYes

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Vittinghoff, M., Lönnqvist, P-A., Mossetti, V., Heschl, S., Simic, D., Colovic, V., Dmytriiev, D., Hölzle, M., Zielinska, M., Kubica-Cielinska, A., Lorraine-Lichtenstein, E., Budić, I., Karisik, M., Maria, B. D. J., Smedile, F., & Morton, N. S. (2018). Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative). Paediatric Anaesthesia, 28(6), 493-506. https://doi.org/10.1111/pan.13373