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Pain in child patients: A review on managements

Seyedeh Mahsa Mahmoudinezhad Dezfouli1, Shaqayeq Khosravi1

  • 1(1) Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Aliasghar children Hospital, Tehran, Iran.

European Journal of Translational Myology
|August 13, 2020
PubMed

Insights

Effective pediatric pain management requires understanding pain mechanisms and utilizing both pharmacologic and non-pharmacologic strategies. Early combined treatments are crucial for managing acute and chronic pain in children.

Area of Science:

  • Pediatric Medicine
  • Pain Management
  • Clinical Research

Background:

  • Pediatric pain is a significant health concern with challenges in evaluation due to limited verbalization.
  • Insufficient clinical data and research in pediatric pain, coupled with concerns about opioid side effects, complicate treatment.
  • Existing pharmacologic and non-pharmacologic strategies offer potential solutions for pediatric pain.

Purpose of the Study:

  • To comprehensively review pediatric pain mechanisms, evaluation, and management strategies.
  • To synthesize findings from literature published between January 2000 and January 2019.
  • To identify optimal approaches for treating acute and chronic pain in children.

Main Methods:

  • Systematic literature review using PubMed, EMBASE, MEDLINE, and LILACS databases.
  • Analysis of studies focusing on pain mechanisms, assessment tools, and treatment modalities.
  • Inclusion of research on both pharmacological and non-pharmacological interventions.

Main Results:

  • Pharmacological and integrative non-pharmacological therapies are effective for acute and chronic pediatric pain.
  • Opioids and opioid-sparing agents are key in managing nociceptive and neuropathic pain.
  • Evidence supports a combination of pharmacological and non-pharmacological approaches for optimal outcomes.

Conclusions:

  • A multimodal approach combining pharmacological and non-pharmacological treatments is recommended for pediatric pain.
  • Early intervention and tailored strategies are essential for effective pain management in children.
  • Further research is needed to optimize pediatric pain treatment protocols.

Keywords:
Pediatric painnon-pharmacological therapyopioid reduction therapypain evaluationpain management

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