Recognising and treating pain in children has gone through significant change over the years, this is a trend that looks set to continue. With a focus upon Enhanced Recovery (ER), what are the pathways for the pediatric patient? Should we be looking more at opioid reduction rather than opioid avoidance? How large a part of the problem is the dispensation of opioids and the “bystander risk” – where they go unused but are kept in a drugs cabinet at home, posing a risk to curious teenagers? How much of an issue are opioids and their negative consequences in pediatrics? How should one dispose of opioids?

Desiree Chappell and Mike Grocott interview their guest Myron Yaster, Children’s Hospital Colorado.