Pain assessment in children

IF 0.2 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-03-01 DOI:10.1016/j.mpaic.2024.12.008

Davina Wong

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Abstract

Causes of childhood pain include peri-procedural, injury and disease. Systematic reviews have shown that pain can lead to anxiety, sleep disturbance, and have deleterious effects on daily life.

Experienced pain is influenced by biological, psychological and social factors. Pain assessment in children is particularly challenging due to the wide variation in physiological responses, communication abilities and developmental stages of this group of patients. For example, their limited verbal repertoire can lead to an under-recognition of pain as compared to adults who may be better able to articulate their pain.

Childhood pain has an effect in the short-term not only on the child but their carers. Long-term effects of unrecognized, undertreated or poorly managed pain can lead to important cognitive and behavioural consequences. This can lead to anticipatory anxiety and can lead to more difficulty in management of pain during future episodes of illness or future treatments.

Well-managed pain is associated with faster recovery, fewer complications and decreased health care resources. Regular assessment and documentation of pain, using appropriate tools for development age and ability, is essential in order to assess efficacy of pain treatments.

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.