6. Analgesic Regimens for Children

  1. Ian Johnston2,
  2. William Harrop-Griffiths3 and
  3. Leslie Gemmell4
  1. Glyn Williams

Published Online: 10 NOV 2011

DOI: 10.1002/9781118227978.ch6

AAGBI Core Topics in Anaesthesia

AAGBI Core Topics in Anaesthesia

How to Cite

Williams, G. (2011) Analgesic Regimens for Children, in AAGBI Core Topics in Anaesthesia (eds I. Johnston, W. Harrop-Griffiths and L. Gemmell), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118227978.ch6

Editor Information

  1. 2

    Raigmore Hospital, Inverness, UK

  2. 3

    Imperial College Healthcare NHS Trust, London, UK

  3. 4

    Wrexham Maelor Hospital, Wrexham, UK

Author Information

  1. Great Ormond Street Hospital for Children, NHS Trust, London, UK

Publication History

  1. Published Online: 10 NOV 2011
  2. Published Print: 29 NOV 2011

ISBN Information

Print ISBN: 9780470658628

Online ISBN: 9781118227978

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Keywords:

  • analgesic regimens for children;
  • nociceptive pathways;
  • analgesic techniques;
  • pain perception;
  • pain management, analgesic planning;
  • pain, and good pain management;
  • children with neurodisability;
  • aspirin or NSAID allergy;
  • Tramadol, dual mode of action;
  • nurse-controlled analgesia (NCA)

Summary

• Nociceptive pathways are present from birth and even the most premature infant is born with the capacity to detect and respond to painful stimulation.

• Developmental age has a profound effect on both the processing of nociceptive information and the response to analgesia.

• An analgesic plan is required in all cases and the plan should be flexible, sufficient and safe.

• Adopting a multimodal approach to treatment provides optimal pain management.

• Regular pain assessment improves the safety and efficacy of pain management in children.

• Complex pain management requires the use of clear protocols for infusion rates and the detection and treatment of side effects, educated staff, appropriate monitoring and a safe nursing environment.

• Chronic pain in children is an increasingly recognized clinical problem and its treatment requires a multidisciplinary approach.