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[Pain in children in the 21st century]

Rachel Efrat1

  • 1Schneider Children's Medical Center of Israel. cmrachelef@clalit.org.il

Harefuah
|September 21, 2012
PubMed

Insights

Pediatric pain is often undertreated, presenting unique assessment and management challenges. Early intervention and specialized care, like that offered by Pediatric Pain Clinics, are crucial for improving outcomes and preventing long-term suffering.

Area of Science:

  • Pediatric Medicine
  • Pain Management
  • Developmental Psychology

Background:

  • Historical under-treatment of pediatric pain.
  • Neonatal pain pathways are developed early, impacting future responses.
  • Pain assessment in children is complex due to developmental variations.

Purpose of the Study:

  • Highlight challenges in pediatric pain assessment and management.
  • Emphasize the unique responses of children to pain treatments.
  • Advocate for early recognition and treatment of chronic pain in children.

Main Methods:

  • Review of pain assessment tools for different age groups (neonates, preverbal, older children).
  • Comparison of pediatric and adult responses to pain management.
  • Discussion of pharmacologic and non-pharmacologic treatment efficacy in children.

Main Results:

  • Neonatal pain can lead to long-term altered pain responses.
  • Non-pharmacologic treatments are often more effective than invasive procedures for children.
  • Chronic pain in children has significant physical, emotional, and social consequences.

Conclusions:

  • Pediatric pain requires specialized attention and tailored treatment approaches.
  • Early intervention for chronic pain in children can mitigate adult pain prevalence.
  • Multidisciplinary Pediatric Pain Clinics offer vital support for children with acute and chronic pain.

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