Complex pain consultations in the pediatric intensive care unit

Helen N Turner1

  • 1Department of Anesthesiology and Perioperative Medicine, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon 97239-3098, USA. turnerh@ohsu.edu

AACN Clinical Issues
|August 6, 2005
PubMed

Insights

Managing pain in critically ill children is challenging. Multidisciplinary pediatric pain services can improve pain assessment and treatment for these vulnerable patients.

Area of Science:

  • Pediatric intensive care
  • Pain management
  • Critical care medicine

Background:

  • Pain assessment and management in children present unique difficulties, especially within the critical care setting.
  • The critical condition and complex illnesses of pediatric patients complicate pain management.
  • The emotional intensity of the critical care environment further challenges pain control.

Observation:

  • Pediatric intensive care units (PICUs) encounter diverse pain syndromes.
  • Healthcare staff in PICUs may lack familiarity or comfort in managing these complex pain cases.
  • Effective pain management requires specialized knowledge and skills.

Findings:

  • Pain assessment and treatment in critically ill children are often suboptimal.
  • The multidimensional nature of pediatric critical illness impacts pain perception and management.
  • Lack of specialized expertise contributes to difficulties in pain control.

Implications:

  • Multidisciplinary pediatric pain services are crucial for optimizing pain care in PICUs.
  • Expert guidance from pain services can enhance the assessment and treatment of pediatric pain.
  • Improved pain management in critical care settings can lead to better patient outcomes.