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Updated: Mar 14, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
More work needed in child analgesia
Insights
A study found that nearly one-third of painful procedures on children in intensive care units (ICUs) were performed without additional pain relief. This highlights a critical gap in pediatric pain management for critically ill children.
Area of Science:
- Pediatric intensive care
- Pain management
- Medical procedures
Background:
- Children in intensive care units (ICUs) often undergo numerous invasive procedures.
- Adequate pain management is crucial for pediatric patients in critical care settings.
Purpose of the Study:
- To investigate the frequency of additional analgesia administration during invasive procedures in a pediatric ICU.
- To assess the current practices of pain control for children undergoing invasive procedures.
Main Methods:
- Retrospective review of 181 invasive procedures performed in a pediatric ICU.
- Analysis of documentation regarding the use of additional analgesia during these procedures.
Main Results:
- Nearly one-third (33%) of the 181 invasive procedures were conducted without additional analgesia.
- Observable signs of pain, such as crying and grimacing, were noted in many cases where pain control was inadequate.
Conclusions:
- A significant proportion of invasive procedures in pediatric ICUs are performed without sufficient pain management.
- There is a pressing need for improved protocols and practices in pediatric pain control within critical care environments.
Abstract:
Children in intensive care endure scores of painful invasive procedures without any extra analgesia, a new study shows. The research, in the British /Medical Journal, found that of 181 invasive procedures carried out in the paediatric ITU at the Royal Brompton Hospital, almost a third were done without additional analgesia. The children cried and grimaced in many of the cases where extra pain control was not given. Hilary Herron. Chair of the Royal College of Nursing Paediatric Nursing Society, described the findings as 'disturbing and warned they show more work needs to be done on paediatric pain control.
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