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Abstract Adults are frequently referred to anaesthesiologists for evaluation and treatment of acute or chronic pain . Only recenth has there been similar involvement of anaesthesiologists in pediatric pain assessment and only since 1986 have there been wide spread effon to establish multidisciplinary approach to pam management in children ( Berde et al. , 1989) . In all age groups . acute pam does serve as a prumnw wanung signal drawing attennon ro injuries or surgical complications requiring medical attention . Postoperatively . persistent pain serves no function and funhermore . has both adverse psychological and pathophysiological effects . It has been documented that children are frequently g1ven little or no analgesia even following: maJor operanons (Beyer el al. , 1983) . Also 7 5 o/c of hospitalized patients rece1vmg intermittent narcotics postoperatively remain in moderate to severe pam ( Dalens , 1991 ) . As a consequence techniques such as epidural narcotic analgesia and patient-controlled analgesia ( PCA ) have been developed to circumvent the shon commgs of traditional intermittent pain control methods . \Vhile treatment of postoperative pain is based primarily on humanitarian concerns . effective pain management can allow also early mobilization , reduce perioperative complications and improve t.l-le surgical outcome ( Berde , 1992) . So . the assessment and management of pediatric pam IS a topic that has received a great deal of attention . |