Pediatric pain management
A multimodal approach to preventing and treating pain is usually used. A randomized, double-blind study evaluated whether the use of topical and intraurethral lidocaine would decrease distress in infants ages 2 to 24 months receiving urethral catheterization; the authors found that its use resulted in lower distress than the topical lubricant with standard catheterization, although it did not completely eliminate pain.
Talbot-Stern J, Paoloni R. Accessed Jan.
The site includes lists of questions that caregivers should ask hurting children, as well as any observers, to better understand the intensity and type of pain.
Patient should be on monitors during anesthetic injection. The revised FLACC observational pain tool: Improved reliability and validity for pain assessment in children with cognitive impairment.
Intranasal fentanyl for the management of acute pain in children. Wong-Baker Pain Rating Scale. World Health Organization.
Pediatric pain management in the emergency department
Bradshaw M, Sen A. Wente SJK. March University of Michigan Health System Pain and Your Child or Teen Designed specifically for parents and caregivers, this website helps adults understand the definitions and causes of pain in children and adolescents. Topical anesthesia. Systemic opioids, nonsteroidal anti-inflammatory agents and regional analgesics alone or combined with additives are currently used to provide effective postoperative analgesia. Children suffer postoperative pain in the same way as adults. All patients should receive clear, written instructions that include information about expectation of pain duration, as well as medication dosing, duration, and adverse effects. Child Care Health Dev ; Fears, worries, and scary dreams in 4- to year-old children: Their content, developmental pattern, and origins. This review focuses on the overview of acute pain management in children, with an emphasis on pharmacological and regional anesthesia in achieving this goal. The latter include administering opioids via the skin and nasal mucosa and their addition into the neuraxial local anesthetics. N Engl J Med ; The main difference is that factors such as fear, anxiety, coping style and lack of social support can further exaggerate the physical pain in children. Children receive less analgesia in general ERs than adults: A retrospective study.
This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
The site contains a variety of links for professionals and researchers, in addition to those directly affected by pediatric pain.
based on 114 review