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

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)83-92
    Number of pages10
    JournalThe Lancet
    Volume387
    Issue number10013
    DOIs
    StatePublished - Jan 2 2016

    ASJC Scopus Subject Areas

    • General Medicine

    Keywords

    • Pediatrics
    • Anesthetics, Local/therapeutic use
    • Emergency Service, Hospital
    • Anti-Inflammatory Agents, Non-Steroidal/therapeutic use
    • Emergency Medicine
    • Analgesics, Opioid/therapeutic use
    • Pain Management/methods
    • Humans
    • Acute Pain/psychology
    • Anxiety/psychology
    • Child
    • Stress, Psychological/psychology

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