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Updated: Jul 20, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Pain management in pediatric age. An update
Lorenzo Di Sarno1, Antonio Gatto2, David Korn3
1Department of Pediatrics. Fondazione Policlinico "A. Gemelli", IRCCS. Largo Gemelli, 1 - 00168 Roma, Italia.. lorenzodisarno1993@gmail.com.
Insights
Pediatric pain management is challenging, often leading to undertreatment. A multimodal approach, considering age and developmental factors, improves pain control and outcomes in children.
Area of Science:
- Pediatric Anesthesiology
- Pain Management
- Developmental Neurobiology
Background:
- Assessing and effectively treating pain in children is more challenging than in adults, frequently resulting in undertreatment.
- Pain assessment tools for pediatric patients must account for age, cognitive abilities, disabilities, pain type, and context.
- Advances in understanding developmental neurobiology and pediatric drug pharmacokinetics are crucial for better childhood pain management.
Purpose of the Study:
- To review current practices and recent advancements in pediatric pain management.
- To discuss effective strategies for assessing and treating pain in pediatric populations.
Main Methods:
- Conducted an extensive literature analysis using PubMed and the Cochrane Library.
- Focused on pediatric pain assessment tools and commonly used analgesic agents in children.
Main Results:
- A multimodal analgesic regimen is effective for improving pain control and functional outcomes in children.
- Multidisciplinary collaboration among anesthesiologists, surgeons, and pediatricians is vital for successful pain management.
Conclusions:
- Effective pediatric pain management requires tailored assessment tools and a multimodal therapeutic strategy.
- Enhanced understanding of pediatric pain mechanisms and pharmacokinetics, coupled with collaborative care, is essential for optimal outcomes.
Abstract:
Differently from the adult patients, in paediatric age it is more difficult to assess and treat efficaciously the pain and often this symptom is undertreated or not treated. In children, a selection of appropriate pain assessment tools should consider the age, the cognitive level, the presence of eventual disability, the type of pain and the situation in which it is occurring. Improved understanding of developmental neurobiology and paediatric analgesic drug pharmacokinetics should facilitate a better management of childhood pain. The objective of this update is to discuss the current practice and the recent advances in pediatric pain management. Using PubMed and the Cochrane Library we conducted an extensive literature analysis on pediatric pain assessment and commonly used analgesic agents in this kind of patients. According to our results, a multimodal analgesic regimen provides a better pain control and a functional outcome in children. Cooperation and communication among the anaesthesiologist, the surgeon and the paediatrician remains essential for successful anaesthesia and pain management in childhood.
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