Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids

被引:75
作者
Wren, Anava A. [1 ]
Ross, Alexandra C. [2 ]
D'Souza, Genevieve [3 ]
Almgren, Christina [3 ]
Feinstein, Amanda [3 ]
Marshall, Amanda [4 ]
Golianu, Brenda [3 ]
机构
[1] Stanford Univ, Dept Pediat, Div Pediat Gastroenterol Hepatol & Nutr, Palo Alto, CA 94305 USA
[2] Univ Calif San Francisco, Dept Pediat, Child & Adolescent Headache Program, San Francisco, CA 94158 USA
[3] Stanford Univ, Dept Anesthesiol Perioperat & Pain Med, Palo Alto, CA 94305 USA
[4] Univ Edinburgh, Ctr Clin Brain Sci, Edinburgh EH16 4SB, Midlothian, Scotland
来源
CHILDREN-BASEL | 2019年 / 6卷 / 02期
关键词
multidisciplinary pain management strategies; opioid reduction therapy; non-pharmacological therapy; cognitive behavioral therapy; hypnosis; mindfulness-based stress reduction; acupuncture; pain rehabilitation; COGNITIVE-BEHAVIORAL THERAPY; FUNCTIONAL ABDOMINAL-PAIN; MINDFULNESS-BASED INTERVENTIONS; CHRONIC NONMALIGNANT PAIN; LOW-BACK-PAIN; STRESS REDUCTION; SELF-HYPNOSIS; PSYCHOLOGICAL THERAPIES; PREFRONTAL CORTEX; LASER ACUPUNCTURE;
D O I
10.3390/children6020033
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Opioid therapy is the cornerstone of treatment for acute procedural and postoperative pain and is regularly prescribed for severe and debilitating chronic pain conditions. Although beneficial for many patients, opioid therapy may have side effects, limited efficacy, and potential negative outcomes. Multidisciplinary pain management treatments incorporating pharmacological and integrative non-pharmacological therapies have been shown to be effective in acute and chronic pain management for pediatric populations. A multidisciplinary approach can also benefit psychological functioning and quality of life, and may have the potential to reduce reliance on opioids. The aims of this paper are to: (1) provide a brief overview of a multidisciplinary pain management approach for pediatric patients with acute and chronic pain, (2) highlight the mechanisms of action and evidence base of commonly utilized integrative non-pharmacological therapies in pediatric multidisciplinary pain management, and (3) explore the opioid sparing effects of multidisciplinary treatment for pediatric pain.
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页数:22
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