Current concepts in management of pain in children in the emergency department

被引:154
作者
Krauss, Baruch S. [1 ,2 ]
Calligaris, Lorenzo [3 ]
Green, Steven M. [4 ]
Barbi, Egidio [3 ]
机构
[1] Boston Childrens Hosp, Div Emergency Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] IRCCS Burlo Garofolo, Inst Maternal & Child Hlth, Trieste, Italy
[4] Loma Linda Univ, Med Ctr, Dept Emergency Med, Loma Linda, CA USA
关键词
RANDOMIZED CONTROLLED-TRIAL; PEDIATRIC PAIN; INTRANASAL FENTANYL; INTRAVENOUS CANNULATION; PROCEDURAL SEDATION; VAPOCOOLANT SPRAY; ABDOMINAL-PAIN; CEREBRAL-PALSY; ANALGESIA; ACETAMINOPHEN;
D O I
10.1016/S0140-6736(14)61686-X
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Pain is common in children presenting to emergency departments with episodic illnesses, acute injuries, and exacerbation of chronic disorders. We review recognition and assessment of pain in infants and children and discuss the manifestations of pain in children with chronic illness, recurrent pain syndromes, and cognitive impairment, including the difficulties of pain management in these patients. Non-pharmacological interventions, as adjuncts to pharmacological management for acute anxiety and pain, are described by age and development. We discuss the pharmacological management of acute pain and anxiety, reviewing invasive and non-invasive routes of administration, pharmacology, and adverse effects.
引用
收藏
页码:83 / 92
页数:10
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