{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:33:10Z","timestamp":1785861190288,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T00:00:00Z","timestamp":1469577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of Anaesthesiology, University Medical Centre, Georg August University of G\u00f6ttingen, Germany"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to summarize the current standard practices for acute pain management in children in Germany and the implementation of these procedures. The last survey on acute pain management in children was performed in 1999, highlighting the need for an up to date review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire was mailed to German departments of anesthesiology (<jats:italic>n<\/jats:italic>\u00a0=\u00a0885), asking for structures and processes of acute pain management in children. Results were compared between hospitals with and without an acute pain service and with and without a pediatric department.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 407 responding hospitals (response rate of 46%), 342 treated children younger than 14\u00a0years. These were considered for analysis. Of the 342 hospitals, 42% contained either a general pediatric department or a department of pediatric surgery, and the majority of the responding hospitals had an acute pain service (83%). Pain intensities were measured at least once per shift in 40% of the institutions, and at least once or twice a day in 27%. Of the institutions, 31% did not document pain scores regularly, without any difference between hospitals with or without a pediatric department. Standard operating procedures for acute pain management existed in 68% of the hospitals, with large differences in content and length. Opioids were administered to children in 85% of the hospitals. Nonopioid analgesics were the first choice baseline analgesics in most hospitals. Peripheral regional and epidural analgesia were performed in children in 18% and 8% of the hospitals, respectively (21%\/16% with a paediatric department, 16%\/1% without; <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Current practice of pediatric pain management varied widely and the recommendations of guidelines, like regular pain management, were frequently not met. However, improvements could be observed since 1999, for example, an increase in regular pain measurements (4% vs 67%). Furthermore, pain management in hospitals running a pediatric department had a higher degree of organization, and more sophisticated analgesic techniques.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12947","type":"journal-article","created":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T11:25:33Z","timestamp":1469618733000},"page":"883-890","source":"Crossref","is-referenced-by-count":17,"title":["Current practice of acute pain management in children\u2014a national follow\u2010up survey in <scp>G<\/scp>ermany"],"prefix":"10.1111","volume":"26","author":[{"given":"Miriam I.","family":"Emons","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology University Medical Centre Georg August University of G\u00f6ttingen G\u00f6ttingen Germany"},{"name":"Section\u00a0\u201cAcute Pain\u201d German Pain Society Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Petzke","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology University Medical Centre Georg August University of G\u00f6ttingen G\u00f6ttingen Germany"},{"name":"Section\u00a0\u201cPain Medicine\u201d German Society of Anaesthesiology and Intensive Care N\u00fcrnberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike M.","family":"Stamer","sequence":"additional","affiliation":[{"name":"Section\u00a0\u201cAcute Pain\u201d German Pain Society Berlin Germany"},{"name":"Section\u00a0\u201cPain Medicine\u201d German Society of Anaesthesiology and Intensive Care N\u00fcrnberg Germany"},{"name":"Department of Anaesthesiology and Pain Medicine Inselspital and Department of Clinical Research University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"Mei\u00dfner","sequence":"additional","affiliation":[{"name":"Section\u00a0\u201cAcute Pain\u201d German Pain Society Berlin Germany"},{"name":"Section\u00a0\u201cPain Medicine\u201d German Society of Anaesthesiology and Intensive Care N\u00fcrnberg Germany"},{"name":"Department of Anaesthesiology and Intensive Care Medicine Jena University Hospital Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Koschwitz","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology University Medical Centre Georg August University of G\u00f6ttingen G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Erlenwein","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology University Medical Centre Georg August University of G\u00f6ttingen G\u00f6ttingen Germany"},{"name":"Section\u00a0\u201cAcute Pain\u201d German Pain Society Berlin Germany"},{"name":"Section\u00a0\u201cPain Medicine\u201d German Society of Anaesthesiology and Intensive Care N\u00fcrnberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(76)90090-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/S0029-6465(22)02986-3","article-title":"Pain in children","volume":"25","author":"Eland JM","year":"1990","journal-title":"Nurs Clin North Am"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00314-1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181ca749c"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/614784"},{"key":"e_1_2_8_7_1","first-page":"980","article-title":"An evaluation of postoperative pain management in pediatric patients at a university teaching hospital","volume":"30","author":"Cox TH","year":"1995","journal-title":"Hosp Pharm"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.100.4.626"},{"issue":"1","key":"e_1_2_8_9_1","first-page":"1","article-title":"Good practice in postoperative and procedural pain management","volume":"22","author":"Association of Paediatric Anaesthetists of Great B, Ireland","year":"2012","journal-title":"Pediatr Anesth"},{"key":"e_1_2_8_10_1","unstructured":"LaubenthalH.Leitlinie \u201cBehandlung akuter perioperativer und posttraumatischer Schmerzen\u201dwww.awmf.org: AWMF;2007. 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