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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Nociception01:44

Nociception

Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain. Thus, pain helps the...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...

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Related Experiment Video

Updated: Jun 13, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Managing pain in critically ill children.

M Gandhi1, S D Playfor

  • 1Department of Pediatric Anesthesia Royal Manchester Children's Hospital, Manchester, UK.

Minerva Pediatrica
|May 5, 2010
PubMed
Summary
This summary is machine-generated.

Pain in the Pediatric Intensive Care Unit (PICU) is common and undertreated, potentially causing long-term sensory issues. Effective pain management requires regular assessment and multimodal analgesia strategies.

Related Experiment Videos

Last Updated: Jun 13, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Area of Science:

  • Pediatric Intensive Care
  • Pain Management
  • Child Health

Background:

  • Pain is a frequent and often undertreated experience for children in the Pediatric Intensive Care Unit (PICU).
  • Untreated pain can lead to immediate adverse effects and has been linked to long-term consequences on sensory processing and pain response later in life.
  • The long-term effects of early analgesic administration in critically ill children require further investigation.

Purpose of the Study:

  • To emphasize the importance of effective pain management in critically ill children.
  • To highlight the potential long-term consequences of early life pain experiences.
  • To underscore the need for adherence to clinical guidelines for pediatric analgesia.

Main Methods:

  • Regular pain assessment using validated tools.
  • Establishment and regular review of therapeutic pain management plans.
  • Application of multimodal analgesia, incorporating pharmacological and non-pharmacological techniques.

Main Results:

  • Pain is a common and historically undertreated issue in the PICU.
  • Early life pain experiences can significantly impact later-life sensory processing and pain responses.
  • Clinical guidelines advocate for systematic pain assessment and management.

Conclusions:

  • Effective pain management is crucial for critically ill children.
  • Multimodal and pre-emptive analgesia are recommended for optimal pain control.
  • Addressing pain in the PICU is essential to mitigate immediate and potential long-term adverse effects.