Chronic pain in children and young people

Goddard, J.M.

doi:10.1097/spc.0b013e328345832d

Cited by 17 publications

(7 citation statements)

References 39 publications

(19 reference statements)

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“…Many pain management studies have focused on postoperative and chronic pain (Goddard, 2011; Lewandowski et al, 2010). However, although the simple insertion of a needle is one of the most frightening and distressing medical procedures for hospitalized children (Alexander et al, 1993; von Baeyer et al, 2004) the recognition and assessment of acute pain resulting from this procedure in children remains inadequate (Drendel, Kelly & Ali, 2011).…”

Section: Introductionmentioning

confidence: 99%

Pain assessment in children undergoing venipuncture: the Wong–Baker faces scale versus skin conductance fluctuations

Savino

Vagliano

Ceratto

et al. 2013

PeerJ

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The aim of this study was to evaluate the efficacy of the subjective Wong–Baker faces pain rating scale (WBFS) and of the objective skin conductance fluctuation (SCF) test in assessing pain in children undergoing venipuncture. One-hundred and fifty children (aged 5–16 years) entered the study. All underwent venipuncture at the antecubital fossa to collect blood specimens for routine testing in the same environmental conditions. After venipuncture, the children indicated their pain intensity using the WBFS, whereas the number of SCFs was recorded before, during and after venipuncture. So, pain level was measured in each child with WBFS and SCF. We found that the level of WBFS-assessed pain was lower in all children, particularly those above 8 years of age, than SCF-assessed pain (p < 0.0001). Moreover, the number of SCFs was significantly higher during venipuncture than before or after venipuncture (p < 0.0001). At multivariate regression analysis, age and previous experience of venipuncture influenced the WBFS (β = −1.81, p < 0.001, and β = −0.86, p < 0.001, respectively) but not SCFs. In conclusion, although both procedures can be useful for research and clinical practice, our findings show that WBFS was affected by age and previous venipuncture, whereas SCF produced uniform data. If verified in other studies, our results should be taken into account when using these tools to evaluate pain in children.

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Section: Introductionmentioning

confidence: 99%

Pain assessment in children undergoing venipuncture: the Wong–Baker faces scale versus skin conductance fluctuations

Savino

Vagliano

Ceratto

et al. 2013

PeerJ

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“…Some physicians have recommended the use of corticosteroids as part of the local anesthetic injections (11). We are not supporters of corticosteroid therapy in routine use, because corticosteroids can cause severe pain in repeated applications, as well as atrophy of the tissues (12, 13). Lidocaine with steroids we attempted in 3 patients where we believed that inflammation may be present.…”

Section: Discussionmentioning

confidence: 99%

“…Pain trigger points frequently seem to lie along the lateral margins of the rectus abdominal muscles (linear semilunar), where cutaneous nerve roots pass around the rectus sheath. At the point of passage of the nerves around the rectus sheath, the nerves were cut in this point and solve the cause of pain (12, 13). We can still conclude that the chronic pain in the abdomen is a rare disease in which we think after we exclude other organic diseases.…”

Section: Discussionmentioning

confidence: 99%

Surgery for Abdominal Wall Pain Caused by Cutaneous Nerve Entrapment in Children-A Single Institution Experience in the Last 5 Years

Žganjer¹,

Bojić²,

Bumči³

2013

Iran Red Crescent Med J

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BackgroundChronic abdominal pain (CAP) is a serious medical condition which needs to be approached with great attention. Chronic abdominal pain may be caused by entrapment of cutaneous branches of intercostal nerves (ACNES).ObjectivesThe aim of this study is the surgery for abdominal wall pain which caused by cutaneous nerve entrapment in children during last 5 years.Materials and MethodsIn all children with ACNES, we tried conservative treatment with anesthetic and steroid injections. In children who were refractory to conservative treatment, we received surgical procedure like sectioning the entrapped nerve to obtain relief.ResultsIn 12 pediatric patients with chronic abdominal pain, we diagnosed ACNES. Each presented with abdominal pain and a positive Carnett sign. Local nerve blocks using anesthetic and steroid injections are the treatment. In all patients, we tried with local nerve block. In 3 patients, pain improvement occurs in the few minutes, and they were without pain after 5 days. In other 4 patients required a reinjection for pain recurrence. In one patients pain was gone. The maximum reinjection was 3. In other 5 patients, we did operative treatment like sectioning the entrapped nerve.ConclusionsSome children with CAP have ACNES. In all children with ACNES, we recommended local nerve blocks. If the local block in 3 times is not helping, neurectomy of the peripheral nerve is method of choice.

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“…On 29 January, 2018 the department of palliative care for children was founded, the five new separate chambers for children and their relatives were opened. The World Health Organization defines the pediatric palliative care as follows: "Active integrated care for body, mind and spirit of child and his family" [4][5][6][7].…”

Section: Palliative Carementioning

confidence: 99%

Historical Information on Kharkiv Regional Specialized Infant Orphanage: One Hundred Years

Marabyan¹,

Gonchar²,

Ріга³

2018

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HISTORICAL INFORMATION ON KHARKIV REGIONAL SPECIALIZED INFANT ORPHANAGE: ONE HUNDRED YEARSR.V. Marabyan, M.O. Gonchar, O.O. RigaThe article presents historical data, which are currently known, on the organization and transformation with the time of the public health institution "Kharkov Regional Specialized Child Home No.1". Modern approaches to accompanying children not only of orphans, but also children with special needs are presented: rehabilitation, early intervention services, pediatric palliative care. As the clinical base of the Kharkiv National Medical University, the institution carries out an educational program for the training of students, interns, clinical residents, educational work, scientific work, which is represented by a large number of participation in national and international conferences and congresses, publications, thesis, internship.Key Words: Kharkiv Regional Specialized Child's Home, Kharkov National Medical University, children of early age. ІСТОРИЧНА ІНФОРМАЦІЯ ПРО ХАРКІВСЬКИЙ ОБЛАСНИЙ СПЕЦІАЛІЗОВАНИЙ БУДИНОК ДИТИНИ №1: СТО РОКІВР.В.Марабян, М.О.Гончарь, О.О.РігаУ статті наведені історичні дані, які на теперішній час відомі, щодо організації та трансформації з часом комунального закладу охорони здоров’я «Харківський обласний спеціалізований будинок дитини №1». Наведені сучасні підходи до супроводу дітей не лише сиріт, а й дітей з особливими потребами: реабілітація, сервіс раннього втручання, педіатрична паліативна допомога. В якості клінічної бази Харківського національного медичного університету в закладі виконується освітня програма підготовки студентів, лікарі-інтернів, клінічних ординаторів, виховна робота, наукова робота, яка представлена великою кількістю участі в національних та закордонних конференціях та конгресах, публікаціях, виконанням дисертаційних робіт, стажуванням. Ключові слова: Харківський обласний спеціалізований будинок дитини, Харківський національний медичний університет, діти раннього віку. ИСТОРИЧЕСКАЯ ИНФОРМАЦИЯ О ХАРЬКОВСКОМ ОБЛАСТНОМ СПЕЦИАЛИЗИРОВАННОМ ДОМЕ РЕБЕНКА №1: СТО ЛЕТР.В.Марабян, М.О.Гончарь, О.О.РигаВ статье приведены исторические данные, которые в настоящее время известны, по организации и трансформации со временем коммунального учреждения здравоохранения «Харьковский областной специализированный дом ребенка №1». Приведены современные подходы к сопровождению детей не только сирот, но и детей с особыми потребностями: реабилитация, сервис раннего вмешательства, педиатрическая паллиативная помощь. В качестве клинической базы Харьковского национального медицинского университета в заведении выполняется образовательная программа подготовки студентов, врачей-интернов, клинических ординаторов, воспитательная работа, научная работа, которая представлена большим количеством участия в национальных и зарубежных конференциях и конгрессах, публикациях, выполнением диссертационных работ, стажировкой.Ключевые слова: Харьковский областной специализированный дом ребенка, Харьковский национальный медицинский университет, дети раннего возраста.

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Chronic pain in children and young people

Abstract: Clinicians need to be aware of the therapeutic effect of the psychosocial approach to the management of chronic pain in children and young people. Further research is required into the pharmacological and physical aspects of management, which remain important.

Cited by 17 publications

References 39 publications

Pain assessment in children undergoing venipuncture: the Wong–Baker faces scale versus skin conductance fluctuations

Pain assessment in children undergoing venipuncture: the Wong–Baker faces scale versus skin conductance fluctuations

Surgery for Abdominal Wall Pain Caused by Cutaneous Nerve Entrapment in Children-A Single Institution Experience in the Last 5 Years

Historical Information on Kharkiv Regional Specialized Infant Orphanage: One Hundred Years

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