Progress of pediatric pain management and sedation in the emergency department

VernacularTitle:急诊科小儿镇痛和镇静的研究进展
Author: Jianbin CHEN ¹ ; Yu FENG ; Xiaoyan LIN ; Zhaoming XIE ; Jin NI
Author Information

1. 复旦大学附属儿科医院厦门分院厦门市儿童医院麻醉科
Keywords: Emergency medicine; Pediatrics; Pain management; Sedation
From: Chinese Pediatric Emergency Medicine 2017;24(10):767-770
CountryChina
Language:Chinese
Abstract: Children usually come to emergency department accompanied with painful conditions and injuries.During the emergence care,additional painful,distressing or unpleasant diagnostic and therapeutic procedures may be required.Emergency doctors are anticipated to provide safe and effective analgesia and se-dation for children.This review summarized recent studies on the following aspects:make sure that children do not experience lengthened or additional pain when coming to emergency medical care;at triage use a com-posite pain assessment tool to assess;aim to provide effective analgesia at the first attempt-use the appropriate drug,dose,and route;choose painless modes of delivery(nasal route,flavoured syrups) if possible;reassess frequently pain scores to make sure that analgesia is effective and allow adequate time for it to work;use non-pharmacological and pharmacological modalities to manage pain;avoid the"routine"use of unnecessary painful invasive procedures;use topical,local and regional anaesthesia together with proper safe procedural se-dation to avoid further pain.