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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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A practical guide to acute pain management in children

Nan Gai1, Basem Naser1, Jacqueline Hanley1

  • 1Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, 555 University Ave, #2211, Toronto, ON, M5G 1X8, Canada.

Journal of Anesthesia
|April 3, 2020
PubMed

Insights

Pain in children is often overlooked and undertreated. This review offers a practical guide for healthcare providers on managing acute pediatric pain, aiming to improve treatment outcomes.

Area of Science:

  • Pediatric Medicine
  • Pain Management
  • Clinical Practice

Background:

  • Pain in children is frequently under-recognized and inadequately managed.
  • Effective pain management in pediatric patients requires specialized knowledge and training.
  • Current approaches may have limitations impacting treatment efficacy.

Purpose of the Study:

  • To present a practical clinical approach for managing acute pain in pediatric inpatients.
  • To review common pain management strategies and their potential challenges.
  • To offer a resource for establishing or improving pediatric acute pain services.

Main Methods:

  • Literature review of pediatric acute pain management strategies.
  • Clinical guideline synthesis for practical application.
  • Overview of pain management modalities and their associated risks.

Main Results:

  • Identified key challenges in pediatric pain recognition and treatment.
  • Detailed common pain management modalities suitable for pediatric inpatients.
  • Highlighted potential pitfalls associated with various pain treatments.

Conclusions:

  • Enhanced education and training for healthcare providers are crucial for improving pediatric pain management.
  • A structured clinical approach can lead to safer and more effective pain treatment in children.
  • This review serves as a valuable tool for clinicians and institutions involved in pediatric acute pain care.

Keywords:
Acute pain serviceMultimodal managementOpioidPain assessmentPediatric acute pain

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