Treatment of acute postoperative pain, the new face of multimodal analgesia

Abstract

19 Treatment of acute postoperative pain, the new face of multimodal analgesia Ivana Budić1,2, Vesna Marjanović1,2, Ivana Gajević2, Jelena Lilić2, Marija Stević3,4, Marija Jovanovski-Srceva5,6, Dušica Simić3,4 1Department of Surgery and Anesthesiology, Medical Faculty, University of Niš, Serbia; 2Clinic for Anesthesiology and Intensive Therapy, University Clinical Center Niš, Serbia; 3Department of Surgery and Anesthesiology, Medical Faculty, University of Belgrade, Serbia; 4University Children’s Hospital, Belgrade, Serbia; 5University Clinic for TOARILUC, Skopje, N. Macedonia; 6 Medical Faculty, UKIM, Skopje, N. Macedonia ABSTRACT Management of pain remains undertreated in the pediatric population. Multimodal an- algesia (MMA) integrates the use of several analgesic medications, each of which targets a different pain-related receptor, and thereby exhibits its pain reducing effect by way of a different mechanism of action. MMA approach to pain management includes phar- macologic and non-pharmacologic options. Effective postoperative analgesia in infants and young children continues to evolve with innovative methods of therapy using new- er drugs or older drugs introduced via novel routes.