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Complex pain consultations in the pediatric intensive care unit
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
Summary
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.