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Related Experiment Videos

Control of pain.

J E Brill1

  • 1Department of Pediatrics, University of California, Los Angeles, School of Medicine.

Critical Care Clinics
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

Effective pain management for critically ill children is achievable. Advanced methods like continuous infusions and patient-controlled analgesia (PCA) offer superior pain relief compared to older, less effective techniques.

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Area of Science:

  • Pediatric Critical Care Medicine
  • Pain Management
  • Anesthesiology

Background:

  • Pain in critically ill pediatric patients is frequently underrecognized and undertreated.
  • Children may exhibit stoic behavior, and caregivers may hesitate to administer aggressive pain relief.
  • Fear of adverse effects can lead to inadequate pain management in pediatric intensive care units (PICUs).

Purpose of the Study:

  • To highlight the availability and benefits of modern pain management strategies for critically ill pediatric patients.
  • To advocate for improved pain assessment and treatment protocols in pediatric critical care.
  • To emphasize the importance of selecting appropriate pain management techniques for individual patients.

Main Methods:

  • Continuous intravenous infusions of opioids for sustained pain relief.

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  • Patient-controlled analgesia (PCA) for self-administered opioid therapy.
  • Epidural administration of local anesthetics or opioids for regional analgesia.
  • Utilizing painless routes of administration to ensure patient comfort and compliance.

    • Main Results:

    • Modern pain management methods can effectively alleviate pain in most pediatric ICU patients.
    • Continuous infusions and PCA provide consistent therapeutic opioid levels, improving pain control.
    • Epidural techniques offer targeted and effective pain relief.
    • These advanced methods are generally well-tolerated, even in critically ill children.

    Conclusions:

    • Adequate pain relief is essential for critically ill and injured pediatric patients.
    • Current advanced pain management techniques are superior to traditional methods like intramuscular injections.
    • A flexible approach, tailoring methods to individual patient needs, is crucial for optimal pain management in the pediatric ICU.