Pain therapy in the pediatric population
DOI:
https://doi.org/10.12775/JEHS.2023.13.04.006Keywords
pain therapy, pediatric, analgesiaAbstract
- Introduction: The assessment and treatment of pain in the pediatric population is a huge challenge for doctors and medical staff dealing with this group of patients. It is also one of the most important elements of pediatric care practice. There are many factors that contribute to the difficulty of assessing and managing pain in children, but the most important seems to be the lack of unified standards of care. In pain therapy, both pharmacotherapy and behavioral methods and psychological care are used.
- Purpose of the work: The aim of this work is to systematize the current state of knowledge in the field of pain therapy in the pediatric population, focusing particular attention on pharmacotherapy
- Materials and Evidence: We reviewed the literature available in the PubMed database using the following keywords: pediatric; pain therapy; analgesia
- Summary: Pain therapy in the pediatric population, despite the fact that it is often underestimated and insufficiently managed, is crucial both in terms of avoiding health complications and in the overall therapeutic process. Despite the presence of many drugs for pain therapy on the market, many of them are not approved for use in this group of patients. Knowledge of their mechanisms of action and predicting the impact on metabolism in a pediatric patient compared to an adult is crucial for the management of both acute and chronic pain syndromes. Despite the current knowledge, there is still a need for broader research on the possibility of the drugs used, their impact on the therapy process and side effects in the youngest patients.
References
Wytyczne uśmierzania bólu ostrego u dzieci, PTAiIT A.D. 2022
Wytyczne Światowej Organizacji Zdrowia WHO dotyczące leczenia bólu przewlekłego u dzieci 2020r. https://www.who.int/publications/i/item/9789240017870
Ickmans K, Rheel E, Rezende J, Reis FJJ. Spreading the word: pediatric pain education from
treatment to prevention. Arch Physiother. 2022 Nov 15;12(1):25. doi: 10.1186/s40945-022-00151-4. PMID: 36376953; PMCID: PMC9663293.
O'Donnell FT, Rosen KR. Pediatric pain management: a review. Mo Med. 2014 May-Jun;111(3):231-7. PMID: 25011346; PMCID: PMC6179554.
Hridya RV, Geeta MG, Geetha P, Ajithkumar VT, Riyaz A. Opioids for Pediatric Pain Management. Indian Pediatr. 2022 Feb 15;59(2):114-116. PMID: 35193989.
Pancekauskaitė G, Jankauskaitė L. Paediatric Pain Medicine: Pain Differences, Recognition and Coping Acute Procedural Pain in Paediatric Emergency Room. Medicina (Kaunas). 2018 Nov 27;54(6):94. doi: 10.3390/medicina54060094. PMID: 30486427; PMCID: PMC6306713.
Doria M, Careddu D, Iorio R, Verrotti A, Chiappini E, Barbero GM, Ceschin F, Dell'Era L, Fabiano V, Mencacci M, Carlomagno F, Libranti M, Mazzone T, Vitale A. Paracetamol and Ibuprofen in the Treatment of Fever and Acute Mild-Moderate Pain in Children: Italian Experts' Consensus Statements. Children (Basel). 2021 Sep 30;8(10):873. doi: 10.3390/children8100873. PMID: 34682137; PMCID: PMC8534871.
Packiasabapathy S, Rangasamy V, Horn N, Hendrickson M, Renschler J, Sadhasivam S. Personalized pediatric anesthesia and pain management: problem-based review. Pharmacogenomics. 2020 Jan;21(1):55-73. doi: 10.2217/pgs-2019-0108. PMID: 31849281; PMCID: PMC7132778.
Hall EA, Sauer HE, Davis MS, Anghelescu DL. Lidocaine Infusions for Pain Management in Pediatrics. Paediatr Drugs. 2021 Jul;23(4):349-359. doi: 10.1007/s40272-021-00454-2. Epub 2021 May 26. PMID: 34036532; PMCID: PMC8609473.
Abebe Y, Hetmann F, Sumera K, Holland M, Staff T. The effectiveness and safety of paediatric prehospital pain management: a systematic review. Scand J Trauma Resusc Emerg Med. 2021 Dec 11;29(1):170. doi: 10.1186/s13049-021-00974-3. PMID: 34895311; PMCID: PMC8665507.
Matthews J, Zoffness R, Becker D. Integrative pediatric pain management: Impact & implications of a novel interdisciplinary curriculum. Complement Ther Med. 2021 Jun;59:102721. doi: 10.1016/j.ctim.2021.102721. Epub 2021 May 5. PMID: 33964407.
Daverio M, von Borell F, Ramelet AS, Sperotto F, Pokorna P, Brenner S, Mondardini MC, Tibboel D, Amigoni A, Ista E; Analgosedation CONSORTIUM on behalf of the Pharmacology Section and the Nurse Science Section of the European Society of Paediatric and Neonatal Intensive Care. Pain and sedation management and monitoring in pediatric intensive care units across Europe: an ESPNIC survey. Crit Care. 2022 Mar 31;26(1):88. doi: 10.1186/s13054-022-03957-7. Erratum in: Crit Care. 2022 May 16;26(1):139. PMID: 35361254; PMCID: PMC8969245.
Carvalho JA, Souza DM, Domingues F, Amatuzzi E, Pinto MCM, Rossato LM. Pain management in hospitalized children: A cross-sectional study. Rev Esc Enferm USP. 2022 May 30;56:e20220008. English, Portuguese. doi: 10.1590/1980-220X-REEUSP-2022-0008en. PMID: 35652630.
Chumpitazi CE, Chang C, Atanelov Z, Dietrich AM, Lam SH, Rose E, Ruttan T, Shahid S, Stoner MJ, Sulton C, Saidinejad M; ACEP Pediatric Emergency Medicine Committee. Managing acute pain in children presenting to the emergency department without opioids. J Am Coll Emerg Physicians Open. 2022 Mar 12;3(2):e12664. doi: 10.1002/emp2.12664. PMID: 35310402; PMCID: PMC8918119.
Krajnik M., Sobański P.: Leczenie farmakologiczne i radioterapia bólu nowotworowego u dorosłych i młodzieży. Omówienie wytycznych Światowej Organizacji Zdrowia 2018 w kontekście problemów ze stosowaniem opioidów. Med. Prakt., 2019; 10: 75–87
Le May S, Ali S, Khadra C, Drendel AL, Trottier ED, Gouin S, Poonai N. Pain Management of Pediatric Musculoskeletal Injury in the Emergency Department: A Systematic Review. Pain Res Manag. 2016;2016:4809394. doi: 10.1155/2016/4809394. Epub 2016 Apr 11. PMID: 27445614; PMCID: PMC4904632.
James L, Sullivan JE, Roberts D. The proper use of acetaminophen. Paediatr Child Health. 2011 Nov;16(9):544-7. doi: 10.1093/pch/16.9.544. PMID: 23115492; PMCID: PMC3223888.
Taylor EM, Boyer K, Campbell FA. Pain in hospitalized children: a prospective cross-sectional survey of pain prevalence, intensity, assessment and management in a Canadian pediatric teaching hospital. Pain Res Manag. 2008 Jan-Feb;13(1):25-32. doi: 10.1155/2008/478102. PMID: 18301813; PMCID: PMC2670807.
Groenewald CB, Rabbitts JA, Schroeder DR, Harrison TE. Prevalence of moderate-severe pain in hospitalized children. Paediatr Anaesth. 2012 Jul;22(7):661-8. doi: 10.1111/j.1460-9592.2012.03807.x. Epub 2012 Feb 15. PMID: 22332912.
Definicja bólu według Międzynarodowego Stowarzyszenia Badania Bólu (International Association Study of Pain – IASP) https://www.iasp-pain.org/resources/terminology/ [dostęp: 22.01.2023r.]
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