Standard procedure for the pharmacotherapy of pain in childhood

Abstract

Physicians of all specialties encounter patients in pain. The basis of the philosophy of caring children is not to question the existence of pain but to predict, prevent, and adequately treat it. Acute pain services implement preventive and multimodal analgesic treatment to increase the analgesic effect at the lowest possible doses to minimize undesirable effects of individual drugs. However, this service cannot be provided in all hospitals 24 hours a day. This study provides a clear, color-coded recommendation for pain relief in children, which provides a quick, rational, and safe choice of analgesics or their safe and effective combinations and dosage for each age group.

Keywords

preventive analgesia / multimodal principle of drug therapy pain / children

References

[1] Stasiowska MK, Gubbay AN, Cregg R, et al. Postoperative pain management. Hosp Med (Lond). 2015;76(10):570–575. DOI: 10.12968/hmed.2015.76.10.570

[2] Stasiowska M.K., Gubbay A.N., Cregg R. et al. Postoperative pain management // Hosp. Med. (Lond). 2015. Vol. 76. No. 10. P. 570–575. DOI: 10.12968/hmed.2015.76.10.570

[3] Gelman D, Gelmanas A, Urbanaité D, et al. Role of multimodal analgesia in the evolving enhanced recovery after surgery pathways. Medicina (Kaunas). 2018;54(2). DOI: 10.3390/medicina54020020

[4] Gelman D., Gelmanas A., Urbanaité D. et al. Role of multimodal analgesia in the evolving enhanced recovery after surgery pathways // Medicina (Kaunas). 2018. Vol. 54. No. 2. DOI: 10.3390/medicina54020020

[5] Dahl JB, Nielsen RV, Wetterslev J, et al. Post-operative analgesic effects of paracetamol, NSAIDs, glucocorticoids, gabapentinoids and their combinations: a topical review. Acta Anaesthesiol Scand. 2014;58(10):1165–1181. DOI: 10.1111/aas.12382

[6] Dahl J.B., Nielsen R.V., Wetterslev J. et al. Post-operative analgesic effects of paracetamol, NSAIDs, glucocorticoids, gabapentinoids and their combinations: a topical review // Acta Anaesthesiol. Scand. 2014. Vol. 58. No. 10. P. 1165–1181. DOI: 10.1111/aas.12382

[7] Wick EC, Grant MC, Wu ChL. Postoperative multimodal analgesia pain management with monopioid analgesics and techniques: A review. JAMA Surg. 2017;152(7):691–697. DOI: 10.1001/jamasurg.2017.0898

[8] Wick E.C., Grant M.C., Wu Ch.L. Postoperative multimodal analgesia pain management with nonopioid analgesics and techniques: A review // JAMA Surg. 2017. Vol. 152. No. 7. P. 691–697. DOI: 10.1001/jamasurg.2017.0898

RIGHTS & PERMISSIONS

Kollerová A.