Anesthesiologists must go beyond their current duties as pain management consultants and beyond the typical operating room anaesthesia roles in order for optimum multimodal accelerated postoperative recovery programmes to be used more widely. Anesthesiologists, surgeons, nurses, physical therapists, administrators, and others involved in the management of patients following surgery must work closely together to develop the best postoperative recovery services. Clinical research is a continuous process that improves the optimization of perioperative care; nevertheless, making major changes to clinical practise should begin right away with a wider implementation of methods that have been shown to promote recovery and rehabilitation. According to the evidence now available, the difficulties in creating perioperative recovery services appear likely to be rewarded with better patient outcomes and lower costs.

Stressful pathophysiologic changes during the perioperative phase make patients susceptible to a number of potential adverse outcomes. It has become more widely acknowledged in recent years that postoperative pain can increase postoperative morbidity as well as cause human suffering. As a result of this acknowledgment, acute pain services have been formally created in numerous hospitals both domestically and internationally. As postoperative pain has drawn more attention, it has become evident that while increasing pain management is important from a humanitarian perspective, it has not significantly reduced perioperative morbidity or death. Careful integration of surgical, anaesthetic, and pain management therapies into integrated perioperative care and rehabilitation programmes is necessary for significant improvements in surgical outcomes.

In children, acute postoperative pain is typical. After surgery, about 40% of paediatric patients experience moderate to severe pain. There are both immediate and long-term effects of inadequate pain prevention and treatment. Recently, several therapeutic strategies have developed, and multimodal analgesia which includes both pharmaceutical and non-pharmacological approaches has emerged as the preferred method of treatment (eg, regional analgesia, rehabilitation, cognitive behavioural therapy, virtual reality). The purpose of this article is to present current trends and management techniques for paediatric acute postoperative pain and to demonstrate how ineffective care of this pain can result in chronic postoperative pain.

In general, compared to intravenous opioid PCA, peripheral regional and epidural analgesic methods provided better postoperative analgesia and were linked to less negative side effects, such as drowsiness, nauseousness, vomiting, obstipation, and sensorimotor impairments. According to a subgroup study, EA produced significantly superior analgesia than PCA during rest and activity following major upper abdominal surgery. PCEA produced much superior analgesia during movement during lower abdominal surgery than both PCA and EA. Overall, there was a high level of patient satisfaction, with PCEA scoring the highest (95%) followed by CPNB (94%), EA (91%) and PCA (88%).

Anesthetics and Anesthesiology is an open access, Peer- reviewed Journal which will be dedicated to submission of manuscripts in the field of anaesthesia practice, airway management, anaesthetic administration, preoperative & postoperative considerations, pain management, Sedation, Invasive hypo sedation.

Authors can submit manuscripts through mail Id: anesthesiology@scholarsresjournal.com

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Journal of Anesthetics and Anesthesiology.