title: [Special features of procedures in paediatric orthopaedics].
abstract: To get good to excellent results in paediatric orthopaedics perioperative pain treatment is essential. Guidelines are in general similar to those for adults. Some special features should be taken into account. Differences are reduced possibilities of communication in the early years, different pharmacokinetics and a different perception of pain itself. A multimodal approach has proven to be very effective: workflow tailored to children's needs, ambiance appropriate for children and pharmacological analgesia. Children and parents have to be informed carefully about procedures, hospital setting and pain therapy in the first session. Pain therapy is orientated to the reversed WHO pain treatment scheme completed by surface and regional anaesthesia. After discharge pain treatment has to be administered. This article presents concepts of perioperative analgesia.
authors.affiliation: Stiftung Orthopädische Universitätsklinik, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Deutschland. kerstin.schroeder@ok.uni-heidelberg.de
authors.forename: K
authors.initials: K
authors.lastname: Schroeder
authors.forename: F
authors.initials: F
authors.lastname: Geiger
mesh_terms: D000328:Adult; D000367:Age Factors; D000698:Analgesia / Q000379:methods*; D000772:Anesthesia, Local; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009407:Nerve Block; D009985:Orthopedics; D010027:Osteotomy; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic; D014944:World Health Organization
references.citation: Anesth Analg. 1996 Nov;83(5):904-12
references.pmid: 8895261
references.citation: Pediatrics. 2007 Mar;119(3):460-7
references.pmid: 17332198
references.citation: Acad Emerg Med. 2002 Jun;9(6):609-12
references.pmid: 12045074
references.citation: J Pediatr. 1998 Jan;132(1):22-7
references.pmid: 9469995
references.citation: Paediatr Anaesth. 1999;9(5):435-8
references.pmid: 10447908
references.citation: Br J Anaesth. 1999 May;82(5):715-7
references.pmid: 10536549
references.citation: Paediatr Anaesth. 2004 Mar;14(3):201-17
references.pmid: 14996259
references.citation: Schmerz. 2005 Apr;19(2):140-3
references.pmid: 15004746
references.citation: Pain. 1999 Oct;83(1):25-35
references.pmid: 10506669
references.citation: Anesthesiology. 1990 Apr;72(4):637-9
references.pmid: 2321781
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 1998 Jun;33(6):353-61
references.pmid: 9689392
references.citation: Schmerz. 2006 Feb;20(1):10-6
references.pmid: 16421706
references.citation: J Pain Symptom Manage. 1996 Jan;11(1):42-6
references.pmid: 8815149
references.citation: Res Commun Chem Pathol Pharmacol. 1992 May;76(2):171-82
references.pmid: 1604043
references.citation: J Pediatr Surg. 2002 Apr;37(4):610-3
references.pmid: 11912520
references.citation: Pediatr Nurs. 2000 May-Jun;26(3):315-7
references.pmid: 12026397
references.citation: J Dev Behav Pediatr. 1988 Apr;9(2):96-102
references.pmid: 3284917
references.citation: Pediatr Nurs. 1993 May-Jun;19(3):217-20
references.pmid: 8511001
references.citation: Eur J Anaesthesiol. 1987 Nov;4(6):441-8
references.pmid: 3328685
references.citation: Paediatr Anaesth. 2003 Jun;13(5):397-402
references.pmid: 12791112
references.citation: Paediatr Anaesth. 2004 Jun;14(6):443-51
references.pmid: 15153204
references.citation: J Pediatr Nurs. 1996 Dec;11(6):375-82
references.pmid: 8991338
references.citation: J Pediatr Psychol. 1996 Oct;21(5):683-98
references.pmid: 8936897
references.citation: J Pediatr. 1998 Jan;132(1):5-8
references.pmid: 9469992
references.citation: Paediatr Anaesth. 2004 Jul;14(7):557-63
references.pmid: 15200652