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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
Considerations for neonatal and pediatric pain management
1Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy at Rutgers University, the State University of New Jersey, Piscataway, NJ, and Department of Clinical Pharmacy Services, Hackensack University Medical Center, Hackensack, NJ.
Insights
Effective pediatric pain management requires understanding pain assessment tools and pharmacotherapy options. Addressing barriers through education optimizes treatment for children experiencing acute pain.
Area of Science:
- Pediatric Pain Management
- Pharmacotherapy
- Clinical Practice Guidelines
Background:
- Acute pain is prevalent in neonates and pediatric patients.
- Suboptimal pain treatment occurs due to existing barriers.
- Effective pain management is crucial for pediatric patient outcomes.
Purpose of the Study:
- Review current literature and guidelines for pediatric pain management.
- Describe pharmacotherapy options for pediatric pain.
- Address barriers to optimal pediatric pain treatment.
Main Methods:
- Literature review of current pediatric pain management practices.
- Analysis of clinical practice guidelines.
- Examination of pharmacotherapy efficacy and safety data.
Main Results:
- Pain assessment tools vary by age, pain type, and clinical context.
- Opioid and nonopioid agents are key pharmacotherapy options.
- Opioid stewardship and withdrawal management present challenges.
Conclusions:
- Prioritizing acute pain management in neonates and pediatric patients is essential.
- Utilizing age-appropriate assessment tools and understanding pharmacotherapy optimizes treatment.
- Education can overcome barriers to effective pediatric pain management.
Purpose:
Current literature and clinical practice guidelines on pediatric pain management are reviewed.
Summary:
Acute pain is commonly present in neonatal and pediatric patients due to underlying disease states or procedures. Especially in institutions with limited pediatric pain services, it is imperative to describe the appropriate management of pain and pharmacotherapy options that are effective and safe in pediatric patients. Despite the knowledge of pain being an important aspect in the management of children, barriers exist, leading to suboptimal treatment. Addressing these barriers through education of healthcare practitioners, families, and patients will lead to optimizing the patient pain experience. Tools for pain assessment vary depending on the type of pain, the child's age and understanding of pain, and the clinical situation. Pharmacotherapy options for pain management in neonates and pediatric patients include opioid and nonopioid agents. Efficacy and safety data on the use of medications for the treatment of pain in pediatric patients is described. The delivery of medication encompasses patient-specific factors and preferences. Strategies for opioid stewardship and management of iatrogenic withdrawal pose a unique challenge in pediatric patients.
Conclusion:
The management of acute pain in neonates and pediatric patients should be a priority for all practitioners caring for these patients. Use of age-appropriate pain assessment tools and understanding of the mechanisms of action and roles in therapy of various nonopioid and opioid therapies can help optimize treatment of pain in neonatal and pediatric patients.
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