Related Experiment Video

Updated: Mar 24, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

31.5K

Management of acute pediatric pain in the emergency department

Stephanie Ruest1, Angela Anderson

  • 1aEmergency Medicine, Section of Pediatric Emergency Medicine bDepartments of Pediatrics and Emergency Medicine, Hasbro Children's Hospital, Providence, Rhode Island, USA.

Current Opinion in Pediatrics
|March 15, 2016
PubMed

Insights

This review updates pediatric acute pain management, recommending against codeine but encouraging intranasal fentanyl and ultrasound-guided nerve blocks for effective pain relief.

Area of Science:

  • Pediatric Emergency Medicine
  • Pain Management
  • Pharmacology

Background:

  • Acute pain management in children requires a multimodal and multidisciplinary approach.
  • Recent literature has focused on updating analgesic recommendations for pediatric patients.

Purpose of the Study:

  • To summarize current recommendations for multimodal pediatric acute pain management.
  • To highlight recent research and changes in analgesic use for children.

Main Methods:

  • Review of recent literature on pediatric pain management strategies.
  • Analysis of updated recommendations for analgesic use and procedural pain relief.

Main Results:

  • Codeine is no longer recommended for pediatric acute pain due to adverse effects.
  • Intranasal fentanyl is increasingly encouraged for its ease of administration and rapid effect.
  • Growing evidence supports ultrasound-guided regional nerve blocks for acute pediatric pain.

Conclusions:

  • Pediatric emergency medicine providers must individualize pain management plans.
  • Utilizing a range of nonpharmacologic and pharmacologic strategies is essential.
  • Staying updated on the latest literature and medication recommendations is crucial.
Abstract

More Related Videos

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex06:04

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

Published on: July 4, 2018

9.4K
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.8K

Related Concept Videos

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...
1.0K
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...
2.8K
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...
369
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
540
Drug Delivery: Enteral Route01:18

Drug Delivery: Enteral Route

The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
2.4K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
720