Multimodal Perioperative Pharmacological Protocol in Pediatric Spine Surgery

Main Article Content

Lucas Piantoni
Carlos A. Tello
Rodrigo G. Remondino
Eduardo Galaretto
Mariano A. Noel

Abstract

Introduction: Spine surgery has one of the highest morbimortality rates in the pediatric population. Pain management has not been standardized on said population. Multimodal analgesia (MMA) was developed to resolve that problem.
Objective: To develop, based on a systematic review, a detailed and original pain management multimodal pharmacology protocol for pre and postoperative (intra and extra-hospital) periods for the pediatric population undergoing spine surgery.
Materials and Methods: We conducted a systematic review of full texts in English and Spanish from PubMed, Embase, Cochrane Library, and LiLacs Database from 2000 to 2021. We used the PRISMA flow diagram.
Results: From a total of 756 papers, 38 were included in the final evaluation. Considering the bioethical difficulties to develop a manuscript from clinical trials with drugs and drug combinations in the pediatric population, we developed an original and detailed pain management protocol for pre and post-operative (intra and extrahospital) periods for the pediatric population undergoing spine surgery.
Conclusion: Based on a systematic review, we succeeded in developing a simple and easily reproducible perioperative multimodal pain management protocol (intra and extra-hospital), intending to expedite the patient’s functional recovery and reduce global socioeconomic costs.Level of Evidence: II

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How to Cite
Piantoni, L., Tello, C. A., Remondino, R. G., Galaretto, E., & Noel, M. A. (2022). Multimodal Perioperative Pharmacological Protocol in Pediatric Spine Surgery. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(6), 825-837. https://doi.org/10.15417/issn.1852-7434.2022.87.6.1490
Section
Revisión Sistemática
Author Biographies

Lucas Piantoni, Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Carlos A. Tello, Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Rodrigo G. Remondino, Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Eduardo Galaretto, Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Mariano A. Noel, Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

Servicio de Patología Espinal, Hospital de Pediatría “Prof. Dr. Juan P. Garrahan”, Ciudad Autónoma de Buenos Aires, Argentina

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