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Acute Pediatric Pain Management in the Primary Care Office
Insights
Effective procedural pain management in children requires a systematic, individualized, and multimodal approach. Addressing children
Area of Science:
- Pediatric Medicine
- Pain Management
- Anesthesiology
Background:
- Pain is a primary reason children seek medical care, often experienced during evaluations and treatments.
- Inadequate management of procedural pain and distress negatively impacts children's experiences, parental satisfaction, and procedural outcomes.
- Despite growing awareness, children's procedural pain and anxiety are frequently undertreated in outpatient settings.
Purpose of the Study:
- To review effective strategies for managing procedural pain and anxiety in pediatric outpatient care.
- To emphasize the importance of systematic, individualized, and multimodal pain management plans.
- To highlight the link between pain management, patient satisfaction, and procedural success.
Main Methods:
- Review of nonpharmacologic pain management modalities.
- Analysis of topical and oral analgesic agents for pediatric use.
- Evaluation of intranasal adjuncts for procedural pain relief in routine practice.
Main Results:
- Nonpharmacologic methods, topical/oral analgesics, and intranasal adjuncts offer viable options for pediatric procedural pain.
- A multimodal approach is crucial for optimizing pain relief and patient experience.
- Systematic and individualized plans are essential for effective pain management.
Conclusions:
- Optimizing procedural pain and anxiety management in children is critical for improving outcomes and satisfaction.
- A comprehensive review of available pharmacologic and nonpharmacologic interventions is presented.
- Implementing systematic, individualized, and multimodal pain management plans is recommended for routine outpatient practice.
Abstract:
Pain is a chief complaint in children seeking medical care, yet it may also be experienced in evaluation and treatment during office visits. Inadequate relief of children's procedural pain and distress not only affects the experience of the children and their parents, but also adversely affects procedural outcomes. Despite increasing awareness and research, management of procedural pain and anxiety in children is often inadequate. In addition, parent and patient satisfaction is often tied to pain management. Development of a pain management plan must be systematic, individualized, and multimodal. We present a review of nonpharmacologic modalities, topical and oral analgesic agents, and intranasal adjuncts for use in routine outpatient practice. [Pediatr Ann. 2018;47(3):e124-e129.].
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