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[Treatment of pain in hospital paediatrics]
J Molina1, M Sagaseta de Ilúrdoz, N Busto
1Unidad de Pediatría Oncológica, Servicio de Pediatría, Hospital Virgen del Camino, 31008 Pamplona. jmolinag@cfnavarra.es
Insights
This review covers pediatric pain management, detailing various pain types and effective control strategies. It emphasizes non-pharmacological approaches and multidisciplinary teams for optimal child pain relief.
Area of Science:
- Pediatric Pain Management
- Adolescent Medicine
- Pain Control Strategies
Context:
- Pain in childhood is a significant clinical concern.
- Historically, pediatric pain has been under-recognized and undertreated.
- Advances in analgesia and procedural sedation are crucial for effective pain management.
Purpose:
- To provide a comprehensive review of pediatric pain.
- To outline current concepts and actions for managing diverse pain types in children.
- To offer guidance on pharmacological and non-pharmacological interventions.
Summary:
- The review discusses pain etiology and localization, including oncologic, postoperative, and critical care pain.
- It presents tables with standard pediatric dosing for various pain scenarios.
- Non-pharmacological methods are highlighted for initial pain control, alongside sedation and analgesia techniques.
Impact:
- Informs healthcare professionals on managing pediatric pain effectively.
- Stresses the importance of a multidisciplinary team approach (pediatricians, anesthesiologists, nurses).
- Aims to improve the quality of care and reduce suffering in children experiencing pain.
Abstract:
The paper presents a review of pain at the paediatric age, which can be considered a question of maximum interest given the novel application of analgesia or other procedures for avoiding and controlling the different types of pain in the course of normal practice during childhood. After a brief introduction on the history of pain and the scarce attention that it has received until recently, the concepts and different actions for dealing with pain are set out, which depend on its aetiology and localisation: pain in oncology, post-operational pain, pain in chronic or acute diseases, pain in intensive care, etc. Tables are presented with the normal doses used at these ages in the different situations required by the child and which the professional might find himself facing. The non-pharmacological attitude is set out as this can be of great use in the initial stages of controlling pain at these ages, and the different forms of sedation and analgesia at the paediatric age are explained, with regard to the medicines employed, the form of administering them and the importance of a multidisciplinary team: paediatricians, child anaesthetists, nursing personnel as well as the necessary technical support for taking the corresponding action.