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Optimizing pediatric periprocedural pain management part I-Evolving ethics and topical anesthetics
Emily D Henkel1, Courtney N Haller1, Lucia Z Diaz1,2,3
1Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.
Insights
Optimizing pediatric pain management is crucial for children
Area of Science:
- Pediatric medicine
- Anesthesiology
- Pain management
Background:
- Inadequate pain management in children can negatively impact their future healthcare experiences.
- Optimizing periprocedural pain management is increasingly viewed as a fundamental right.
Purpose of the Study:
- To review the current state of topical anesthetics for pediatric pain.
- To compare the safety and efficacy of different anesthetic options.
- To guide clinical selection of appropriate pain management strategies.
Main Methods:
- Literature review of topical anesthetics.
- Analysis of mechanisms of action, safety, and efficacy data.
- Exploration of multimodal pain management strategies.
Main Results:
- Topical anesthetics offer viable options for pediatric pain management.
- Comparative data on safety and efficacy aid in clinical decision-making.
- Multimodal approaches, combining conventional and innovative techniques, are recommended.
Conclusions:
- Effective pediatric pain management requires a comprehensive, multimodal approach.
- Topical anesthetics can reduce the need for sedation and general anesthesia.
- Improving pain management enhances children's long-term relationship with healthcare.
Abstract:
Pediatric procedure-related pain management is often incompletely understood, inadequately addressed, and critical in influencing a child's lifelong relationship with the larger health care community. We highlight the evolution of ethics and expectations around optimizing periprocedural pain management as a fundamental human right. We investigate the state-of-the-art of topical anesthetics, reviewing their mechanisms of action and providing comparisons of their relative safety and efficacy data to help guide clinical selection. In total, this two-part review offers a combination of conventional approaches and innovative techniques that should be used multimodally-in series and in parallel-to help optimize pain management and provide alternatives to sedation medication and general anesthesia.
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