Postoperative Pain Management:

  • Multimodal pain management, similar to adults
  • Regional anesthesia, usually performed under general anesthesia with ultrasound guidance +/- nerve stimulation.
    • Dosing of local anesthetics must be carefully calculated for weight to avoid toxicity.
  • Depending on age and maturity of patient, options may include opioid infusions + PRN bolus vs. PCA.
  • Ensure parental presence and avoid agitation, comfort measures.

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