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 INFORMATiON REPOSITORY
Bottom Line Recommendations English (7) French (1) All (8)
Bottom Line: Application of topical local anesthetic for potentially painful skin-breaking procedures (2020)
Bottom Line: Application of topical local anesthetic for potentially painful skin-breaking procedures
- Visit
Alberta Health Services
Alberta Health Services
Objectives: To provide direction to health care professionals on the timely and safe application of topical local anesthetics prior to a painful skin-breaking procedure for in-patients and outpatients.
Objectives: To provide direction to health care professionals on the timely and safe application of topical local anesthetics prior to a painful skin-breaking procedure for in-patients and outpatients.
Bottom Line: Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits (2017)
Bottom Line: Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits
- Visit
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Network
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Net...
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newborns in the first month of life is not reviewed here. Four reviews relevant to the management of childrens pain are currently available
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newborns in the first month of life is not reviewed here. Four reviews relevant to the management of childrens pain are currently available
UNDER REVIEW Bottom Line Recommendations: Procedural Pain (2016)
UNDER REVIEW Bottom Line Recommendations: Procedural Pain
- Download
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: An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42. (2016)
Bottom Line: An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42.
- Visit
Ali S, McGrath T, Drendel AL
Ali S, McGrath T, Drendel AL
Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in the ED and beyond.
Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in the ED and beyond.
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)
- Visit
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
- Visit
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
- Visit
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.
UNDER REVIEW: Recommandations de Base: Douleur procdurale (2016)
UNDER REVIEW: Recommandations de Base: Douleur procdurale
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: Application of topical local anesthetic for potentially painful skin-breaking procedures (2020)
Bottom Line: Application of topical local anesthetic for potentially painful skin-breaking procedures
- Visit
Alberta Health Services
Alberta Health Services
Objectives: To provide direction to health care professionals on the timely and safe application of topical local anesthetics prior to a painful skin-breaking procedure for in-patients and outpatients.
Objectives: To provide direction to health care professionals on the timely and safe application of topical local anesthetics prior to a painful skin-breaking procedure for in-patients and outpatients.
Bottom Line: Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits (2017)
Bottom Line: Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits
- Visit
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Network
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Net...
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newborns in the first month of life is not reviewed here. Four reviews relevant to the management of childrens pain are currently available
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newborns in the first month of life is not reviewed here. Four reviews relevant to the management of childrens pain are currently available
UNDER REVIEW: Recommandations de Base: Douleur procdurale (2016)
UNDER REVIEW: Recommandations de Base: Douleur procdurale
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.
UNDER REVIEW Bottom Line Recommendations: Procedural Pain (2016)
UNDER REVIEW Bottom Line Recommendations: Procedural Pain
- Download
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: An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42. (2016)
Bottom Line: An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42.
- Visit
Ali S, McGrath T, Drendel AL
Ali S, McGrath T, Drendel AL
Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in the ED and beyond.
Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in the ED and beyond.
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)
- Visit
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
- Visit
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
- Visit
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.