Pain Management in the Recovery Room - Revision history

WikiSysop at 11:58, 31 May 2024

2024-05-31T11:58:21Z

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	REFERENCE: https://pubmed.ncbi.nlm.nih.gov/32129952/		REFERENCE: [https://pubmed.ncbi.nlm.nih.gov/32129952/ Pain assessment and management in children in the postoperative period: A review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children]

Ricardo.Janotti: Adicionada tabela com escala de dor. Citados efeitos colaterais de opioides.

2024-05-28T01:32:36Z

Adicionada tabela com escala de dor. Citados efeitos colaterais de opioides.

← Older revision		Revision as of 01:32, 28 May 2024
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	Assessing the patient’s pain level is probably the main issue, as it can be challenging or excessively subjective. In contrast to what happens among adults, there is a lack of direct and objective indicators of childrens’ pain severity. Aspects such as behavior, cognitive development and ethnicity add complexity to this evaluation. There can hardly be a satisfactory assessment without an interdisciplinary approach.		Assessing the patient’s pain level is probably the main issue, as it can be challenging or excessively subjective. In contrast to what happens among adults, there is a lack of direct and objective indicators of childrens’ pain severity. Aspects such as behavior, cognitive development and ethnicity add complexity to this evaluation. There can hardly be a satisfactory assessment without an interdisciplinary approach.
			[[File:Table 2.png\|thumb]]


	In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools. More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.		In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools (see table). More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.


	Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.		Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored, specially in its respiratory and neurologic functions. Basic analgesics can be administered orally, intravenously or rectally, with low incidence of adverse effects.

Ricardo.Janotti at 21:24, 27 May 2024

2024-05-27T21:24:14Z

← Older revision		Revision as of 21:24, 27 May 2024
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	In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools. More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.		In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools. More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.


	Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.		Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.

Ricardo.Janotti at 21:23, 27 May 2024

2024-05-27T21:23:08Z

← Older revision		Revision as of 21:23, 27 May 2024
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	In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools. More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.		In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools. More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.



	Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.		Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.

Ricardo.Janotti at 21:20, 27 May 2024

2024-05-27T21:20:00Z

← Older revision		Revision as of 21:20, 27 May 2024
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	Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, ~~determining~~ an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.
			Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, promoting an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.

Ricardo.Janotti at 21:17, 27 May 2024

2024-05-27T21:17:50Z

← Older revision		Revision as of 21:17, 27 May 2024
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	A correct pain management ~~for~~ children in the postoperative recovery room can be determinant. There is plenty of evidence suggesting notable physiological dysfunction related to poor analgesia, in this scenario, and beneficial results of an effective pain management are also well documented. Postoperative pain, for instance, prolongs hospitalization and delays recovery.
			A correct pain management of children in the postoperative recovery room can be determinant for many health outcomes. There is plenty of evidence suggesting notable physiological dysfunction related to poor analgesia, in this scenario, and beneficial results of an effective pain management are also well documented. Postoperative pain, for instance, prolongs hospitalization and delays recovery.

Ricardo.Janotti: Breve revisão do tema

2024-05-27T21:11:35Z

Breve revisão do tema

← Older revision		Revision as of 21:11, 27 May 2024
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			REFERENCE: https://pubmed.ncbi.nlm.nih.gov/32129952/


			A correct pain management for children in the postoperative recovery room can be determinant. There is plenty of evidence suggesting notable physiological dysfunction related to poor analgesia, in this scenario, and beneficial results of an effective pain management are also well documented. Postoperative pain, for instance, prolongs hospitalization and delays recovery.


			Assessing the patient’s pain level is probably the main issue, as it can be challenging or excessively subjective. In contrast to what happens among adults, there is a lack of direct and objective indicators of childrens’ pain severity. Aspects such as behavior, cognitive development and ethnicity add complexity to this evaluation. There can hardly be a satisfactory assessment without an interdisciplinary approach.


	~~This is a Stub Notice~~. ~~This page has not~~ been ~~completed~~. ~~You can work on~~ this ~~page by signing in~~ and ~~going to~~ the ~~<b>Edit</b> tab. Thanks for helping to make PedsAnesthesia.Net Wiki useful~~.		In terms of propedeutic signs, clinical observation must include facial expressions, limbs’ motion, posture, agitation level, verbal content and whether or not the infant touches or points the wound. There’s been an effort to systematize these signs through pain scores, such as CHEOPS, FLACC, CHIPPS, FPS, VAP, OPS and MOPS, which can be useful tools. More recent attempts to enclose objectivity to this assessment are notable, including the skin conductance algesimeter and algorithms that evaluate the heart rate variability.

	~~Go to the [[Main Page]] to see the Topic Outline.~~

	Go to the ~~[[Generalized Suggested Outline]] for information on case-specific details for each page~~.		Once correctly diagnosed, pain management in children can more easily be addressed. Fundamentally, basic analgesics, which are widely accessible, such as NSAIDs and paracetamol should be administered, determining an opioid use reduction. Opioid use should be limited to the operative and early postoperative set, in order to minimize risks related to its collateral effects. Patients receiving opioids must be closely monitored. Basic analgesics can be administered orally, intravenously or rectally.

	~~Go to the [[Test Page]] for examples on how to use references in the page.~~

	~~__NOTOC__ __NOEDITSECTION__~~		In the following table, guidelines published by the European Society for Paediatric Anaesthesiology Pain Committee (2018).

	~~https~~:~~//pubmed~~.~~ncbi.nlm.nih.gov/28504322/~~		[[File:Table.png\|thumb\|884x884px]]

WikiSysop at 17:33, 22 March 2021

2021-03-22T17:33:22Z

← Older revision		Revision as of 17:33, 22 March 2021
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			https://pubmed.ncbi.nlm.nih.gov/28504322/

WikiSysop: 1 revision imported

2021-03-05T02:34:23Z

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2021-03-04T20:37:24Z

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