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Beyond the drugs: nonpharmacologic strategies to optimize procedural care in children

Piet L Leroy1, Luciane R Costa, Dimitris Emmanouil

  • 1aDepartment of Pediatrics, Maastricht University Medical Centre, Maastricht, The Netherlands bFaculty of Dentistry, Universidade Federal de Goiás, Goiânia, Brazil cDepartment of Pediatric Dentistry Dental School, University of Athens, Athens, Greece dFaculty of Industrial Design, University of Technology, Eindhoven, The Netherlands eDepartment of Family Healthcare Nursing, University of California, San Francisco, USA.

Current Opinion in Anaesthesiology
|March 2, 2016
PubMed

Insights

Optimizing procedural comfort for children involves a comprehensive policy including nonpharmacological strategies (NPS), analgesia, and sedation. NPS are essential for all procedures, enhancing child well-being and care experiences.

Area of Science:

  • Pediatric healthcare
  • Medical procedure comfort
  • Child psychology

Background:

  • Medical procedures pose significant burdens for sick children.
  • Optimizing procedural comfort is crucial for pediatric patient well-being.

Purpose of the Study:

  • To review evidence supporting a comprehensive policy for procedural comfort in children.
  • To highlight the role of nonpharmacological strategies (NPS) in procedural care.

Main Methods:

  • Review of theoretical frameworks and scientific evidence on procedural comfort.
  • Analysis of components of a comprehensive comfort-directed policy.

Main Results:

  • Nonpharmacological strategies (NPS) are integral to effective procedural comfort care.
  • Evidence supports NPS as a foundational element preceding and accompanying sedation.

Conclusions:

  • Procedural comfort care requires a child-friendly environment, optimized sensory input, and professional communication.
  • Family-centered care policies enhance safety, personalization, and outcomes in pediatric procedural care.
Abstract

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