This page is part of the 10N-Matrix for a high quality conduct of pediatric anesthesia.
It refers to the concept No Postoperative Discomfort
Unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such.
A large number of children still experience significant pain in the perioperative period. Poor pain control remains a significant problem following hospital discharge.
Inadequate perioperative pain control can lead to a variety of behavioural and somatic changes.
- altered behaviour (emotional)
- subsequent altered pain perception
- prolonged hospital stays and increased re-admission rates
- chronic pain
- negative parental perception
- social consequences
Prevention and treatment
Consider multimodal pain concept
Establish a structured approach to perioperative pain which may include:
- preoperative information and preparation
- standardise age appropriate assessment
- non-pharmacological approaches
- preventive medication
- pharmacological approach (WHO guideline on management of pain)
- standard operating protocols for nurse administered analgesia
- discharge medication and follow-up
- specialised pain services (acute and chronic)
- coming soon…
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Review all 10N
- No Fear / No Awareness
- Normal Heart Rate
- No Postoperative Discomfort:
- No Pain
- No PONV
- No Emergence Delirium