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2004, Number S1

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Rev Mex Anest 2004; 27 (S1)

Pain management for the pediatric trauma patient

Rose JB

Language: English
References: 8
Page: 67-70
PDF size: 69.13 Kb.


Text Extraction

Trauma is a leading cause of Pediatric Morbidity and Mortality in the United States accounting for over 500,000 hospitalizations and 15,000-20,000 deaths each year. Pain frequently accompanies injury. Strategies to comfort pediatric trauma patients are essential components of their management and may help not only to reduce pain but also improve cardiorespiratory stability. Effective pain management can also allay fear and anxiety; prevent the development of procedure-phobia which frequently develops in these patients who often require multiple daily painful dressing changes and other diagnostic and therapeutic procedures; and reduce the incidence and severity of post-traumatic stress disorder and other psychological disturbances.


REFERENCES

  1. Potoca DA, Schall LC, et al. Impact of Pediatric Trauma Centers on Mortality in a Statewide System. J Trauma 2000;49:237-45.

  2. Gaffney A, McGrath PJ, Dick B. Measuring Pain in Children: Developmental and Instrument Issues. In: Schecter NL, Berde C, Yastor M, eds. Pain in Infants, Children, and Adults. 2nd Edition. Philadelphia, PA: Lippincott, Williams & Wilkins, 2003:128-141.

  3. Sherry DD, Wallace CA, et al. Short- and Long-term Outcomes of Children with Complex Regional Pain Syndrome Type I Treated with Exercise Therapy. Clinical Journal of Pain 1999;15:218-223.

  4. Rose JB, Finkel JF, Arguedas-Mohs A, Himelstein BP, Schreiner MS, Medve RA. Oral Tramadol for the Treatment of Pain of 7-30 Days Duration in Children. Anesthesia & Analgesia 2003;96:78-81.

  5. Cohen SE, Ratner EF, et al. Nalbuphine is better than naloxone for treatment of side effects after epidural morphine. Anesth Analg 1992;75:747-52.

  6. Ross AK, Eck JB, Tobias JD. Pediatric regional Anesthesia: Beyond the Caudal. Anesth Analg 2000;91:16-26.

  7. Berde C. Convulsions associated with pediatric regional anesthesia. Anesth Analg 1992;75:164-166.

  8. Quigley C, Wiffen P. A systematic review of hydromorphone in acute and chronic pain. J Pain Symptom Manage 2003;25:169-178.




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