Managing acute pain in children presenting to the emergency department without opioids

被引:6
作者
Chumpitazi, Corrie E. [1 ]
Chang, Cindy [2 ]
Atanelov, Zaza [3 ]
Dietrich, Ann M. [4 ]
Lam, Samuel Hiu-Fung [5 ]
Rose, Emily [6 ]
Ruttan, Tim [7 ]
Shahid, Sam [8 ]
Stoner, Michael J. [9 ]
Sulton, Carmen [10 ]
Saidinejad, Mohsen [11 ]
机构
[1] Texas Childrens Hosp, Dept Pediat, Div Emergency Med, Baylor Coll Med, Houston, TX USA
[2] Univ Cincinnati, Dept Pediat Div Emergency Med, Cincinnati Childrens Hosp, Med Ctr,Coll Med, Cincinnati, OH USA
[3] Univ Cent Florida, Coll Med Consortium, HCA, North Florida Reg Med Ctr, Orlando, FL USA
[4] Univ South Carolina, Coll Med, Dept Pediat & Emergency Med, Greenville, NC USA
[5] Sutter Med Ctr Sacramento, Dept Emergency Med, Sacramento, CA USA
[6] Univ Southern Calif, Keck Sch Med, Los Angeles, CA USA
[7] Univ Texas Austin, Childrens Med Ctr Dept Pediat, US Acute Care Solut, Med Sch, Austin, TX USA
[8] Amer Coll Emergency Phys, Irving, TX USA
[9] Ohio State Univ, Coll Med, Nationwide Childrens Hosp, Columbus, OH 43210 USA
[10] Emory Univ, Sch Med, Childrens Healthcare Atlanta, Atlanta, GA USA
[11] Harbor UCLA Med Ctr, Dept Emergency Med, Torrance, CA USA
关键词
analgesia; emergency department; non-pharmacologic; pain management; pediatrics; policy; RANDOMIZED-CONTROLLED-TRIAL; LOW-DOSE KETAMINE; NITROUS-OXIDE; INTRAVENOUS CANNULATION; PROCEDURAL SEDATION; PEDIATRIC-PATIENTS; REDUCING PAIN; MANAGEMENT; VENIPUNCTURE; MORPHINE;
D O I
10.1002/emp2.12664
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pediatric pain is challenging to assess and manage. Frequently underestimated in children, untreated pain may have consequences including increased fear, anxiety, and psychological issues. With the current opioid crisis, emergency physicians must be knowledgeable in both pharmacologic and non-pharmacologic approaches to address pain and anxiety in children that lead to enhanced patient cooperation and family satisfaction. This document focuses pain management and distress mitigation strategies for the brief diagnostic and therapeutic procedures commonly performed.
引用
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页数:9
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