Procedural Pain
Children very often experience multiple painful procedures in the course of their emergency department visit, as a part of investigation and treatment. The pain associated with these procedures can cause both long and short-term sequelae. Minimizing procedure-related pain should be a routine part of emergency department care for children.
BROWSE EVIDENCE REPOSITORY
Bottom Line Recommendations
Recommandations de Base: Douleur procédurale (2016)
Recommandations de Base: Douleur procédurale
French Bottom line recommendations for the treatment and management of procedural pain. Published online: March 2017.
French Bottom line recommendations for the treatment and management of procedural pain. Published online: March 2017.
Bottom Line Recommendations: Procedural Pain (2016)
Bottom Line Recommendations: Procedural Pain
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Ali, S, Drendel A & TREKK Network
Ali, S, Drendel A & TREKK Network
Bottom line recommendations for the treatment and management of procedural pain. Published online: November 2016.
Bottom line recommendations for the treatment and management of procedural pain. Published online: November 2016.
Bottom Line: Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older) (2011)
Bottom Line: Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older)
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BC Children's Hospital
BC Children's Hospital
Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/abrasions).
Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/abrasions).
Bottom Line: Psychological Interventions (2011)
Bottom Line: Psychological Interventions
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BC Children's Hospital
BC Children's Hospital
Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence in managing any future procedures. Reducing both pain and anxiety will facilitate effective coping.
Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence in managing any future procedures. Reducing both pain and anxiety will facilitate effective coping.
Bottom Line: Sucrose as a procedural analgesic for infants up to 12 monts of age (2011)
Bottom Line: Sucrose as a procedural analgesic for infants up to 12 monts of age
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BC Children's Hospital
BC Children's Hospital
Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non-pharmacological interventions for relief of procedural pain in neonates and infants and may help reduce pain in infants up to 12 months of age. Sucrose and non-nutritive sucking are thought to elevate pain thresholds via endogenous opioid pathways.
Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non-pharmacological interventions for relief of procedural pain in neonates and infants and may help reduce pain in infants up to 12 months of age. Sucrose and non-nutritive sucking are thought to elevate pain thresholds via endogenous opioid pathways.
