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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...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
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...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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...

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Updated: Jun 5, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
09:18

Electrophysiological Measurements and Analysis of Nociception in Human Infants

Published on: December 20, 2011

Acute pain management in children.

Susan T Verghese1, Raafat S Hannallah

  • 1The George Washington University Medical Center, Division of Anesthesiology, Children's National Medical Center, Washington, DC, USA.

Journal of Pain Research
|January 4, 2011
PubMed
Summary

Effective pediatric pain management is crucial for preventing complications after surgery. Advances in pharmacology and regional anesthesia improve pain relief and hasten recovery in children.

Keywords:
epidural additivespain medication in childrenpca and pcea in childrenpediatric pain treatmentpediatric regional anesthesia

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Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography
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Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography

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Related Experiment Videos

Last Updated: Jun 5, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
09:18

Electrophysiological Measurements and Analysis of Nociception in Human Infants

Published on: December 20, 2011

Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography
06:29

Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography

Published on: November 29, 2017

Area of Science:

  • Pediatric Anesthesiology
  • Pain Medicine
  • Pharmacology

Background:

  • Untreated postoperative pain can lead to significant morbidity and mortality in children.
  • Recent advances in neurobiology and pharmacology have enhanced pediatric pain management.
  • Newer applications of analgesics, including opioids via non-oral routes and neuraxial administration, are improving efficacy.

Purpose of the Study:

  • To provide an overview of acute pain management in children.
  • To emphasize the role of pharmacological and regional anesthesia in pediatric pain control.
  • To highlight the importance of multimodal approaches for perioperative pain management.

Main Methods:

  • Review of current pharmacological and regional anesthesia techniques for pediatric pain.
  • Discussion of advances in analgesics and their applications.
  • Emphasis on multimodal strategies combining systemic, regional, and additive analgesics.

Main Results:

  • Multimodal approaches combining systemic opioids, nonsteroidal anti-inflammatory agents, and regional analgesics provide effective postoperative pain relief.
  • Novel administration routes for opioids (transdermal, transmucosal) and neuraxial additives enhance analgesia.
  • Ongoing research focuses on developing receptor-specific drugs to minimize side effects like respiratory depression.

Conclusions:

  • Optimizing pediatric pain management requires a comprehensive understanding of pharmacological and regional anesthesia techniques.
  • Multimodal pain management is the cornerstone of effective perioperative care in children.
  • Future developments in targeted analgesics promise improved patient outcomes and faster recovery.