Abstract
Summary Postoperative pain management is a topic that has been neglected but is currently an active field. In children, pain transmission is not fully understood, but may be affected by the child’s state of development. Clearly, the child’s cognitive understanding of pain and emotional response to pain are different than an adult’s. These differences make pain assessment more difficult, but workers are developing techniques that may be helpful in estimating pain intensity in children. The effects of untreated pain in children are similar to those in adults, but the effects may be more significant. Pain treatment is often inadequate after surgery in children, but newer techniques such as continuous infusion of narcotics, patient-controlled analgesia (PCA) and regional analgesia techniques such as epidural narcotics hold promise for the future.
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