International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

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     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Multimodal Analgesia and Opioid-Free Strategies in Pediatric Surgery

Dr. K Tarun Teja, Dr. Lokesh kumar Gupta, Dr. Shailja Sharma, Dr. Vibhor Roi, Dr. Divya theja

Postgraduate Resident Anesthesia, Department of Anesthesiology and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Professor, Department of Anesthesiology and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; HOD and Professor, Department of Anesthesiology and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Associate Professor, Department of Anesthesiology and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Department of Anesthesiology and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India

Article Information

Volume / Issue6 / 3 (July-September 2025)
Pages106-110
AccessOpen Access

Publication Timeline

  • Received02 June 2025
  • Accepted05 July 2025
  • Published

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Abstract

Background: The growing concern over opioid-related adverse effects and the development of opioid tolerance in pediatric patients has prompted the exploration of multimodal analgesia and opioid-free strategies in pediatric surgery. This comprehensive review examines current evidence-based approaches to pain management that minimize or eliminate opioid use while maintaining effective analgesia in children undergoing surgical procedures.
Objective: To evaluate the efficacy, safety, and clinical outcomes of multimodal analgesia and opioid-free strategies in pediatric surgical patients, comparing these approaches with traditional opioid-based pain management protocols.
Methods: A comprehensive literature review was conducted using PubMed, Cochrane Library, and EMBASE databases from 2015 to 2024. Studies focusing on multimodal analgesia, opioid-free techniques, and alternative pain management strategies in pediatric surgery were included. Primary outcomes included pain scores, opioid consumption, length of hospital stay, and adverse effects.
Results: Multimodal analgesia incorporating regional anesthesia, non-opioid analgesics, and adjuvant medications demonstrated significant reductions in opioid requirements (65-80% reduction) and improved pain control compared to traditional approaches. Opioid-free strategies showed comparable analgesic efficacy with reduced incidence of respiratory depression, nausea, and prolonged recovery times. Patient satisfaction scores were consistently higher with multimodal approaches.
Conclusion: Multimodal analgesia and opioid-free strategies represent safe and effective alternatives to traditional opioid-based pain management in pediatric surgery. These approaches reduce opioid-related complications while maintaining optimal pain control and improving overall patient outcomes.
 

Keywords

Multimodal AnalgesiaOpioid-Free AnesthesiaPediatric SurgeryPain ManagementRegional AnesthesiaNon-Opioid Analgesics

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How to Cite

Teja, K. T., Gupta, L. K., Sharma, S., Roi, V., & theja, D. (2025). Multimodal Analgesia and Opioid-Free Strategies in Pediatric Surgery. International Journal of Medical and All Body Health Research, 6(3), 106-110. https://doi.org/10.54660/IJMBHR.2025.6.3.106-110

Teja, K Tarun, et al. "Multimodal Analgesia and Opioid-Free Strategies in Pediatric Surgery." International Journal of Medical and All Body Health Research, vol. 6, no. 3, 2025, pp. 106-110. https://doi.org/10.54660/IJMBHR.2025.6.3.106-110.

Teja, K. T., Gupta, L. K., Sharma, S., Roi, V. and theja, D. (2025) 'Multimodal Analgesia and Opioid-Free Strategies in Pediatric Surgery', International Journal of Medical and All Body Health Research, 6(3), pp. 106-110. doi: 10.54660/IJMBHR.2025.6.3.106-110.

Teja KT, Gupta LK, Sharma S, Roi V, theja D. Multimodal Analgesia and Opioid-Free Strategies in Pediatric Surgery. International Journal of Medical and All Body Health Research. 2025;6(3):106-110. doi:10.54660/IJMBHR.2025.6.3.106-110

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