Paediatric chronic pain

IF 0.3 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-23 DOI:10.1016/j.mpaic.2025.04.013

William Shankey-Smith

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引用次数: 0

Abstract

Chronic pain in children significantly impacts their physical, emotional, and social well-being, making its management complex and multifaceted. This review explores the intricacies of paediatric chronic pain, focusing on its prevalence, physiology, pathophysiology, assessment, and multidisciplinary management strategies. It discusses the development of pain pathways in children and highlights the mechanisms underlying peripheral and central sensitization in the development of chronic pain. Emphasis is placed on a comprehensive assessment approach using the biopsychosocial model, including history taking, physical examination, and age-appropriate pain assessment tools. This article also explores various management strategies, including pharmacological, physical, and psychological therapies. It emphasizes the importance of pain education and self-management techniques in empowering patients and families. By adopting a holistic approach that integrates biological, psychological, and social factors, healthcare professionals can optimize the quality of life and function of children living with chronic pain. This article aims to provide anaesthetists and pain specialists with a thorough understanding of paediatric chronic pain and effective management strategies to improve patient outcomes.

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小儿慢性疼痛

儿童慢性疼痛显著影响他们的身体、情感和社会福祉，使其管理复杂且多方面。这篇综述探讨了儿科慢性疼痛的复杂性，重点是其患病率、生理学、病理生理学、评估和多学科管理策略。它讨论了儿童疼痛通路的发展，并强调了慢性疼痛发展中外周和中枢致敏的机制。重点放在使用生物心理社会模型的综合评估方法上，包括病史记录、体格检查和适合年龄的疼痛评估工具。本文还探讨了各种管理策略，包括药理学，物理和心理治疗。它强调了疼痛教育和自我管理技术在赋予患者和家属权力方面的重要性。通过采用综合生物、心理和社会因素的整体方法，医疗保健专业人员可以优化患有慢性疼痛的儿童的生活质量和功能。本文旨在为麻醉师和疼痛专家提供对儿科慢性疼痛的全面了解和有效的管理策略，以改善患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.