Related Experiment Video

Updated: Jul 3, 2025

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
06:04

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

8.9K

Non-pharmacological therapies for pain management in paediatric intensive care units: a protocol for a scoping review

Isabele Gouveia Muniz de Alencar1,2, Joyce Karolayne Dos Santos Dantas3, Sara Cristina Matias de Araújo3

  • 1Postgraduate Programme in Nursing, Nursing Department, Rio Grande do Norte Federal University, Natal, RN, Brazil isabele_muniz@hotmail.com.

BMJ Open
|February 12, 2024
PubMed

Insights

This study explores non-pharmacological pain management for critically ill children. It highlights the need to investigate and share these methods alongside traditional pharmacological approaches for better pediatric pain control.

Area of Science:

  • Pediatric critical care medicine
  • Pain management research
  • Evidence-based practice in pediatrics

Background:

  • Pain management in critically ill children is challenging due to developmental factors and intensive care unit environments.
  • Existing guidelines primarily focus on pharmacological pain control.
  • Non-pharmacological interventions offer potential benefits but require further exploration and dissemination.

Purpose of the Study:

  • To systematically review non-pharmacological pain management strategies for newborns, infants, children, and adolescents in pediatric intensive care settings.
  • To identify and synthesize evidence on the effectiveness and implementation of non-pharmacological pain therapies.
  • To provide a comprehensive overview to inform clinical practice and future research.

Main Methods:

  • A systematic literature search will be conducted across multiple databases (e.g., PubMed, Scopus, Web of Science, CINAHL).
  • Inclusion criteria encompass all study designs (quantitative, qualitative, mixed-methods, reviews) and languages, focusing on non-pharmacological pain therapies in pediatric intensive care.
  • Grey literature and theses will also be searched to ensure comprehensive coverage.

Main Results:

  • This section is to be populated upon study completion.
  • The review will synthesize findings on various non-pharmacological pain interventions.
  • Results will be categorized based on intervention type, patient population, and reported outcomes.

Conclusions:

  • Non-pharmacological pain management strategies are crucial for critically ill children.
  • Further research and dissemination of evidence-based non-pharmacological practices are needed.
  • Integrating these methods can enhance multimodal pain management in pediatric intensive care.
Abstract

Keywords:
COMPLEMENTARY MEDICINEPAIN MANAGEMENTPaediatric anaesthesiaPaediatric intensive & critical care

More Related Videos

A Preterm Rat Model for Pain Studies01:37

A Preterm Rat Model for Pain Studies

Published on: February 9, 2024

392
Electrophysiological Measurements and Analysis of Nociception in Human Infants09:18

Electrophysiological Measurements and Analysis of Nociception in Human Infants

Published on: December 20, 2011

17.2K

Related Concept Videos

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...
623
Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
663
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
456
Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
486
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...
300
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
56