Pain management in the pediatric intensive care unit
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Updated: Oct 25, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
A J Macfadyen1, M A Buckmaster
1Department of Pediatrics, University of Alabama Birmingham School of Medicine, Children's Hospital of Alabama, USA.
Insights
Effective pain management in pediatric intensive care units (PICUs) is crucial. This review discusses optimal selection, use, and administration of analgesics for pediatric pain, enhancing intensivist capabilities.
Area of Science:
- Pediatric intensive care
- Pain management
- Pharmacology
Background:
- Pain control in pediatric intensive care units (PICUs) is a growing concern for intensivists.
- Advances in analgesic pharmacology and administration techniques have improved pain management.
- Effective pain management is essential for optimal patient outcomes in the PICU.
Purpose of the Study:
- To discuss the selection, use, and administration techniques of analgesics for pediatric pain management.
- To provide guidance for intensivists on managing pain in critically ill children.
- To highlight the importance of appropriate analgesic strategies in the PICU.
Main Methods:
- Review of current literature on pediatric pain management and analgesics.
- Discussion of pharmacological properties of commonly used analgesics.
- Analysis of different analgesic administration techniques relevant to the PICU setting.
Main Results:
- Improved understanding of analgesic pharmacology aids in patient management.
- New administration techniques enhance the effectiveness of pain relief.
- Appropriate selection and use of analgesics are key to successful pain control.
Conclusions:
- Intensivists are better equipped to manage pediatric pain due to pharmacological advancements.
- Careful selection and administration of analgesics are vital for treating pain in pediatric patients.
- Optimizing analgesic strategies improves patient care in the pediatric intensive care unit.
Abstract:
Control of pain in the pediatric intensive care unit has become increasingly important to intensivists. Improved understanding of the pharmacology of analgesics and the development of new techniques for analgesic administration have greatly enhanced the ability of intensivists to successfully manage patients in pain. The appropriate selection, use, and techniques for administration of analgesics in the treatment of pain in pediatric patients are discussed.
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