Paediatric pain management: from regional to virtual

被引:4
作者
Heydinger, Grant [1 ,2 ,4 ]
Karthic, Anitra [3 ]
Olbrecht, Vanessa A. [1 ,2 ]
机构
[1] Ohio State Univ, Nationwide Childrens Hosp, Coll Med, Dept Anesthesiol & Pain Med, Columbus, OH USA
[2] Ohio State Univ, Dept Anesthesiol & Pain Med, Coll Med, Columbus, OH USA
[3] Ohio State Univ, Coll Med, Columbus, OH USA
[4] Nationwide Childrens Hosp, Dept Anesthesiol & Pain Med, 700 Childrens Dr, Columbus, OH 43205 USA
关键词
biofeedback; nonpharmacological analgesia; paediatric pain management; regional anaesthesia; virtual reality; REALITY DISTRACTION; POSTOPERATIVE PAIN; ANESTHESIA; SURGERY; CHILDREN; INFANTS; BIOFEEDBACK; PREVALENCE; PERCEPTION; EXPOSURE;
D O I
10.1097/ACO.0000000000001247
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Purpose of reviewDue to increased interest in opioid-sparing multimodal analgesic strategies both inside and outside of the operating room, anaesthesiologists have started to look towards regional anaesthesia as well as nonpharmacological pain-reducing techniques. The purpose of this article is to discuss current trends and recent developments in regional anaesthesia and virtual reality for paediatric pain management.Recent findingsThe development of novel fascial plane blocks has expanded regional options for anaesthesiologists, especially when neuraxial anaesthesia is not a viable or straightforward option. Other regional techniques, such as spinal anaesthesia and continuous epidural analgesia for infants and neonates, are becoming more popular, as more paediatric anaesthesiologists become familiar with these techniques. Virtual reality for paediatric pain management is a relatively new area of study that has shown promise, but more research needs to be done before widespread adoption of this practice becomes a reality. Various preexisting pain-reducing strategies such as distraction and biofeedback are being integrated with virtual reality to help optimize its effect on pain and anxiety for paediatric patients.Regional anaesthesia and virtual reality are valuable tools that serve to alleviate pain in paediatric patients. Advances are being made within both fields in various healthcare settings for different types of pain. Over the next few years, they will likely both play an increasing role in paediatric pain management.
引用
收藏
页码:347 / 353
页数:7
相关论文
共 65 条
  • [1] [Anonymous], 2022, Overdose death rates
  • [2] Mechanisms of distraction in acute pain perception and modulation
    Birnie, Kathryn A.
    Chambers, Christine T.
    Spellman, Christina M.
    [J]. PAIN, 2017, 158 (06) : 1012 - 1012
  • [3] Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery
    Blum, Johannes
    Rockstroh, Christoph
    Goeritz, Anja S.
    [J]. FRONTIERS IN PSYCHOLOGY, 2019, 10
  • [4] The Effect of Deep and Slow Breathing on Pain Perception, Autonomic Activity, and Mood ProcessinguAn Experimental Study
    Busch, Volker
    Magerl, Walter
    Kern, Uwe
    Haas, Joachim
    Hajak, Goeran
    Eichhammer, Peter
    [J]. PAIN MEDICINE, 2012, 13 (02) : 215 - 228
  • [5] A Randomized Controlled Trial of Virtual Reality in Awake Minor Pediatric Plastic Surgery Procedures
    Clerc, Paul G. B.
    Arneja, Jugpal S.
    Zwimpfer, Charlotte M.
    Behboudi, Amir
    Goldman, Ran D.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2021, 148 (02) : 400 - 408
  • [6] Cote C.L., 2019, A Practice of Anesthesia for Infants and Children, V6th
  • [7] The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period
    Cravero, Joseph P.
    Agarwal, Rita
    Berde, Charles
    Birmingham, Patrick
    Cote, Charles J.
    Galinkin, Jeffrey
    Isaac, Lisa
    Kost-Byerly, Sabine
    Krodel, David
    Maxwell, Lynne
    Voepel-Lewis, Terri
    Sethna, Navil
    Wilder, Robert
    [J]. PEDIATRIC ANESTHESIA, 2019, 29 (06) : 547 - 571
  • [8] Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study
    Darnall, Beth D.
    Krishnamurthy, Parthasarathy
    Tsuei, Jeannette
    Minor, Jorge D.
    [J]. JMIR FORMATIVE RESEARCH, 2020, 4 (07)
  • [9] Effects of virtual reality on relieving postoperative pain in surgical patients: A systematic review and meta-analysis
    Ding, Lingyu
    Hua, Hongxia
    Zhu, Hanfei
    Zhu, Shuqin
    Lu, Jinling
    Zhao, Kang
    Xu, Qin
    [J]. INTERNATIONAL JOURNAL OF SURGERY, 2020, 82 : 87 - 94
  • [10] Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children A randomised controlled trial
    Eijlers, Robin
    Dierckx, Bram
    Staals, Lonneke M.
    Berghmans, Johan M.
    van der Schroeff, Marc P.
    Strabbing, Elske M.
    Wijnen, Rene M. H.
    Hillegers, Manon H. J.
    Legerstee, Jeroen S.
    Utens, Elisabeth M. W. J.
    [J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2019, 36 (10) : 728 - 737