Pediatric Pain Management

Childrens' Pain Reliever Recalled Due to Potentially Higher Potency Level

Childrens' Pain Reliever Recalled Due to Potentially Higher Potency Level

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Ingesting nonsteroidal anti-inflammatory drugs (NSAID) at a higher potency level may cause nausea, vomiting, epigastric pain, diarrhea, tinnitus, headache, and even gastrointestinal bleeding; pediatric patients are also at greater risk of developing NSAID-associated renal injury.

Long Wait Times Between Referral and Interdisciplinary Pediatric Chronic Pain Evaluation

Long Wait Times Between Referral and Interdisciplinary Pediatric Chronic Pain Evaluation

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For adolescents with chronic pain, wait times to evaluation at an interdisciplinary pain clinic after referral were long and were associated with anxious anticipation and frustration from families.

Efficacy of Psychological Therapies on Pediatric Chronic Pain: Updated Cochrane Review

Efficacy of Psychological Therapies on Pediatric Chronic Pain: Updated Cochrane Review

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Psychological therapies may be effective in improving pain and disability in children and adolescents with chronic pain, including headache and mixed chronic pain conditions, although some of these effects did not persist at follow-up.

Postnatal Education Increases Pain Relief Use at Vaccinations

Postnatal Education Increases Pain Relief Use at Vaccinations

In-hospital postnatal education about infant pain management at vaccinations leads to more frequent use of pain relief interventions.

Recommendations for the Use of Pain Self-Reporting Measures in Pediatric Populations

Recommendations for the Use of Pain Self-Reporting Measures in Pediatric Populations

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Evidence supporting the use of the 11-point numeric rating scale, the Faces Pain Scale Revise, and the Color Analogue Scale for the self-assessment of acute pain in children aged 3 to 18 is strong.

Anesthesia Before Age 3 Not Linked to Intelligence Deficits

Anesthesia Before Age 3 Not Linked to Intelligence Deficits

Multiple exposures to anesthesia before the age of 3 years may have neuropsychological impacts, though intelligence does not appear to be affected.

Lyrica Approved as Adjunctive Tx for Partial Onset Seizures in Children

Lyrica Approved as Adjunctive Tx for Partial Onset Seizures in Children

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The approval was based on a 12-week, double-blind, placebo-controlled study (N=295) in pediatric patients 4-17 years of age.

The Relationship Between Sleep, Chronic Pain, and Mood Disorders in Children

The Relationship Between Sleep, Chronic Pain, and Mood Disorders in Children

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The presence of sleep disorders in children with chronic pain may result in greater pain levels and pain interference, a relationship that may in part be mediated by anxiety and depressive symptoms.

Despite Research Gap, Medical Marijuana Use Supported at End of Life in Pediatric Cancer

Despite Research Gap, Medical Marijuana Use Supported at End of Life in Pediatric Cancer

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Since the legalization of medical marijuana, clinicians must come up with appropriate responses to requests for treatment in pediatric end-of-life settings.

Multiple Pain Sites May Increase Risk for Poor Physical Function in Children

Multiple Pain Sites May Increase Risk for Poor Physical Function in Children

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Youths between the ages of 8 and 17 who suffer from multiple pain sites may be at risk for poorer emotional, physical, and educational functioning compared with youths who experience pain at a single site.

Lidocaine Gel May Not Improve Pediatric Procedural Pain

Lidocaine Gel May Not Improve Pediatric Procedural Pain

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Lidocaine gel may not provide substantial advantage over nonanesthetic gel for reducing pain associated with transurethral bladder catheterization in children aged <4 years.

Using the Modified Behavioral Pain Scale to Assess Pediatric Procedural Pain

Using the Modified Behavioral Pain Scale to Assess Pediatric Procedural Pain

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The Modified Behavioral Pain Scale may represent a reliable tool for assessing procedural pain but may not allow to discriminate between pain- and non-pain-related distress in infants and young children.

Intravenous Acetaminophen May Reduce Hospital Length of Stay in Adolescents Undergoing Posterior Spinal Fusion

Intravenous Acetaminophen May Reduce Hospital Length of Stay in Adolescents Undergoing Posterior Spinal Fusion

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Postoperative management of adolescents undergoing posterior spinal fusion surgery with intravenous acetaminophen may have an opioid-sparing effect, due to a reduced hospital length of stay.

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

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Key factors susceptible to improve the design of clinical trials on analgesics for acute pain in pediatric populations were reviewed and recommendations published.

Postoperative Pain Management in Children With Developmental Delay

Postoperative Pain Management in Children With Developmental Delay

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Parent- and nurse-controlled analgesia may not reduce postoperative pain in children with developmental delay compared with opioids administered by a nurse as needed.

Occipital Nerve Block, an Effective Option for Pediatric Headache

Occipital Nerve Block, an Effective Option for Pediatric Headache

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Peripheral nerve blocks for pediatric headache treatment are associated with significant benefit and minimal risk.

Pain Catastrophizing May Mediate Child Pain Associated With Parent, Child PTSD

Pain Catastrophizing May Mediate Child Pain Associated With Parent, Child PTSD

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Catastrophic thinking about pain in children may mediate the relationship between chronic pain and posttraumatic stress disorder in both children and parents.

Factors Contributing to Persistent Pain After Rehabilitation in Pediatric Patients

Factors Contributing to Persistent Pain After Rehabilitation in Pediatric Patients

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Anxiety and reduced readiness to change are key factors related to nonresponsiveness to intensive pain rehabilitation in pediatric patients.

Verbal Numerical Rating Scale: A Reliable Pediatric Pain Assessment Tool

Verbal Numerical Rating Scale: A Reliable Pediatric Pain Assessment Tool

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The Verbal Numerical Rating Scale represents a useful clinical tool for the assessment of pain intensity in pediatric patients with painful and non-painful medical conditions.

Postoperative Pain Management in Children: Evidence on Efficacy

Postoperative Pain Management in Children: Evidence on Efficacy

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Fewer randomized controlled trials include children vs adult cohorts, and the evidence pertaining to this population.

Midazolam Plus Morphine: Continuous vs Intermittent Infusions for Pediatric Postsurgical Pain

Midazolam Plus Morphine: Continuous vs Intermittent Infusions for Pediatric Postsurgical Pain

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Continuous infusions of midazolam plus morphine do not provide additional pain relief compared with intermittent dosing of those drugs, and may increase hospital length of stay among pediatric patients who have undergone cardiac surgery.

Neurostimulation Alleviates Abdominal Pain in Children

Neurostimulation Alleviates Abdominal Pain in Children

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Neurostimulation through percutaneous electrical nerve field stimulation was shown to durably reduce pain in children.

Antidepressants for Chronic Pediatric Pain?

Antidepressants for Chronic Pediatric Pain?

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No conclusive evidence was found supporting the efficacy of antidepressants in the pediatric population.

Probiotics May Improve Symptoms of Recurrent Abdominal Pain in Children

Probiotics May Improve Symptoms of Recurrent Abdominal Pain in Children

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Probiotics may alleviate pain in the short-term in children with recurrent abdominal pain.

Pediatric Chronic Postsurgical Pain Prevalence, Risk Factors

Pediatric Chronic Postsurgical Pain Prevalence, Risk Factors

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An estimated 20% of children have chronic postsurgical pain 12 months after surgery; several presurgical factors predict CPSP in these patients.

Q&A: Transitioning Pediatric Patients to Adult Care

Q&A: Transitioning Pediatric Patients to Adult Care

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The transition process can be challenging for patients and families and can require a great deal of pre-planning by providers.

Sleep Quality Linked With Postoperative Pain Intensity In Children

Sleep Quality Linked With Postoperative Pain Intensity In Children

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An association was found between sleep quality and next-day pain intensity in children undergoing major surgery.

Headache Prevalence in Pediatric Ischemic Stroke

Headache Prevalence in Pediatric Ischemic Stroke

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Headaches may more commonly be associated with stroke in children younger than 18 years than in adults.

Juvenile Fibromyalgia Pain Treatment Enhanced By Psychosocial Impact Therapies

Juvenile Fibromyalgia Pain Treatment Enhanced By Psychosocial Impact Therapies

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Novel psychosocial therapies such as cognitive behavioral therapy that have been effective in adults with fibromyalgia need additional neuromuscular fitness training to overcome catastrophizing and fear of exercise in adolescents.

Cognitive Behavioral Therapy as First-Line Therapy for Pediatric Migraine

Cognitive Behavioral Therapy as First-Line Therapy for Pediatric Migraine

Cognitive behavioral therapy is an effective nonpharmacologic treatment that should be considered as a first-line therapy for pediatric migraine.

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