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Updated: Jul 14, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

[Systemic analgesia adapted to the children's condition]

M Jöhr1, T-M Berger, S Ruesch

  • 1Département d'anesthésiologie, anesthésie pédiatrique, hôpital Cantonal, Lucerne, Switzerland. joehrmartin@bluewin.ch <joehrmartin@bluewin.ch>

Annales Francaises D'Anesthesie Et De Reanimation
|May 29, 2007
PubMed

Insights

Balanced analgesia strategies, including NSAIDs and acetaminophen, offer effective pain relief for children. However, careful consideration of patient comorbidities like renal impairment and bleeding risk is crucial for safe pain management.

Area of Science:

  • Pediatric Pain Management
  • Pharmacology

Background:

  • Balanced analgesia involves a multimodal approach using NSAIDs, acetaminophen, opioids, and corticosteroids.
  • This strategy can be adapted for pediatric patients with pre-existing conditions.

Purpose of the Study:

  • To outline the principles of balanced analgesia in pediatric patients.
  • To highlight the appropriate and cautious use of analgesics based on patient-specific factors and comorbidities.

Main Methods:

  • Review of current literature and clinical guidelines on pediatric pain management.
  • Analysis of the efficacy and safety profiles of NSAIDs, acetaminophen, opioids, and corticosteroids in children.

Main Results:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective for moderate acute pain in children but require caution in those with renal impairment or bleeding tendencies.
  • Corticosteroids may offer additional benefits for asthma symptoms alongside pain relief in pediatric patients.
  • Opioids and NSAIDs should be used cautiously in non-intubated children with cerebral trauma due to risks of sedation and bleeding.
  • Oral sucrose or glucose effectively minimizes pain in neonates and infants during brief procedures.

Conclusions:

  • Balanced analgesia requires careful selection of agents based on the child's age, condition, and comorbidities.
  • Individualized pain management plans are essential to maximize efficacy and minimize risks in pediatric populations.

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