Methodologies for the treatment of acute and chronic nononcologic pain in children.
Minerva Anestesiol
; 73(9): 459-65, 2007 Sep.
Article
em En
| MEDLINE
| ID: mdl-17660739
ABSTRACT
Pain represents the most feared symptom of illness but for many years it has been underestimated in children. Only recently has analgesic treatment become an integral part in the assistance of ill children with acute pain, such as postoperative pain, and with chronic pain. Postoperative pain is a complication of surgery postoperative pain prevention should replace the current theory and practice of postoperative treatment through the creation of ''pain services'' and adequate pain prevention planning. Pain prevention begins in the preoperative period, continues in the operating theaters and in the postoperative phase. A multimodal approach should employ techniques of loco-regional anesthesia using a variety of agents from opioids to nonsteroidal anti-inflammatory drugs or paracetamol. The techniques we currently use to control procedural pain are both medical and nonmedical. Nonmedical interventions such as distraction, muscular relaxation, and guided imagination for pain control are psychological techniques showing very good results in those children who must undergo various procedures. The medical treatment must guarantee both sedation and effective analgesia. Our medical approach includes local anaesthesia, conscious sedation, deep sedation, and general anaesthesia.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Manejo da Dor
/
Analgésicos
Limite:
Child
/
Humans
Idioma:
En
Revista:
Minerva Anestesiol
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Itália