Evidence map›Paper›PMID 41937897›Full record

ReviewFrontiers in pediatrics2026

Postoperative pain management in children.

Pierre Pardessus, Yara Maroun, Lynda Ferahtia, Zied Sammoud, Refka Kaddour, Chiraz El Bachraoui, Myriam Abdelmassih, Joelle Saroufim, Kelly Brouns, Florence Julien-Marsollier and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pierre PardessusUniversité de Paris-Cité, Paris, France.
Yara MarounUniversité de Paris-Cité, Paris, France.
Lynda FerahtiaDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Zied SammoudDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Refka KaddourDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Chiraz El BachraouiDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Myriam AbdelmassihDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Joelle SaroufimDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Kelly BrounsUniversité de Paris-Cité, Paris, France.
Florence Julien-MarsollierUniversité de Paris-Cité, Paris, France.
Sonia BenkalifaDepartment of Anesthesia and Intensive Care, Robert Ballanger Hospital, Aulnay-Sous-Bois, France.
Souhayl DahmaniUniversité de Paris-Cité, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite considerable research and established guidelines, postoperative pain management in children remains suboptimal. This review aims to outline the significant developments in pediatric postoperative pain management over the past decade and to provide updated, evidence-based recommendations. A comprehensive literature search was conducted across major databases, followed by detailed analysis. In addition to the core strategies of systemic non-opioids, systemic opioids, and regional analgesia, two major developments have significantly affected clinical practice: the widespread implementation of Enhanced Recovery After Surgery (ERAS) protocols and the emerging research on chronic postsurgical pain (CPSP). ERAS protocols have played a crucial role by incorporating minimally invasive surgical techniques, which effectively reduce postoperative pain and accelerate recovery. A fundamental component of ERAS is the intentional minimization of opioid exposure, achieved through standardized opioid-sparing multimodal protocols and the proactive application of regional anesthesia. Concurrently, there is increasing awareness of CPSP as a significant long-term complication. Although its pathophysiology mechanisms remain incompletely understood, but research has shown a strong statistical correlation between CPSP development and both high levels of postoperative pain intensity and increased opioid consumption. This connection guides current preventive strategies, as CPSP affects up to 50% of pediatric surgical patients, with a higher prevalence after major surgeries. Consequently, optimizing acute pain management within an ERAS framework-by reducing both pain and opioid use-is hypothesized to serve as a protective measure against CPSP. Finally, effective postoperative pain management in children requires a multifaceted approach. This includes multidisciplinary collaboration, adherence to standardized, evidence-based protocols, continuous professional education, and individualized patient follow-up.

Indexed as

painpediatricspersistent pain after surgerypostoperative painrehabilitation

Identifiers

PMID41937897
PMCPMC13046522

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.