Related Experiment Video

Updated: Jul 29, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.4K

Comparison of Professionally and Parentally Administered Analgesia Before Emergency Department Admission

Beata Rybojad1, Daniel Sieniawski2, Anna Aftyka3

  • 1Clinic of Pediatric Anesthesiology and Intensive Care, Medical University of Lublin, Lublin, Poland; Department of Emergency Medicine Unit, Medical University of Lublin, Lublin, Poland.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|May 27, 2023
PubMed

Insights

Pediatric emergency departments often undertreat acute pain in children. While prehospital analgesia is insufficient, emergency department treatment significantly reduces pain intensity in pediatric patients.

Area of Science:

  • Emergency Medicine
  • Pediatric Care
  • Pain Management

Background:

  • Pediatric patients frequently present to emergency departments experiencing acute pain.
  • Effective pain management in children is crucial for their well-being and recovery.

Purpose of the Study:

  • To investigate the prevalence of acute pain in pediatric emergency department patients.
  • To assess prehospital and in-department pain management practices for children.
  • To evaluate the effectiveness of analgesia in reducing pediatric pain.

Main Methods:

  • A prospective, cross-sectional study involving 124 pediatric patients aged 4 years and older.
  • Pain intensity was assessed using a numeric rating scale upon admission and post-analgesia.
  • Data collected included demographics, transport method, and medications administered.

Main Results:

  • Over 80% of pediatric patients presented with trauma, most commonly extremity injuries.
  • Ambulance-transported children received analgesia more frequently than those brought by parents (63.5% vs. 13.3%).
  • Prehospital analgesia was administered insufficiently by both medical teams and parents.

Conclusions:

  • Prehospital pain management for pediatric emergency department patients is often inadequate.
  • Emergency department analgesic therapy effectively reduced pain intensity in children.
  • Improved prehospital assessment and administration of analgesia are needed for pediatric patients.
Abstract

More Related Videos

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

1.5K
Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

12.8K

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
461
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
673
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
351
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
163
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
690
Stages of General Anesthesia01:22

Stages of General Anesthesia

Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
517