An intervention to improve pain management in the pediatric emergency department

Pediatric Emergency Care

Volumn 28, Issue 6, 2012, Pages 524-528

  Corwin, Daniel J ^a   Kessler, David O ^b   Auerbach, Marc ^c   Liang, Ana ^d   Kristinsson, George ^e  

^a CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^b NewYork Presbyterian Hospital   (United States)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d CHILDREN S HOSPITAL OAKLAND   (United States)

^e NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

analgesia; pain management; provider training

Indexed keywords

ANALGESIC AGENT; LIDOCAINE; PRILOCAINE;

ADOLESCENT; ADULT; AGE; ANALGESIA; ARTICLE; BURN; CARDIOVASCULAR DISEASE; CARDIOVASCULAR PAIN; CHILD; EMERGENCY WARD; FEMALE; GASTROINTESTINAL PAIN; HEADACHE; HEALTH CARE POLICY; HUMAN; INFANT; LACERATION; MAJOR CLINICAL STUDY; MALE; MEDICAL EDUCATION; MEDICAL SPECIALIST; MUSCULOSKELETAL PAIN; NURSE; OTALGIA; PAIN; PAIN ASSESSMENT; PAINFUL BREATHING; PATIENT SATISFACTION; PEDIATRIC WARD; PHYSICIAN; PRESCHOOL CHILD; PROCEDURAL PAIN; PROCEDURAL SITE REACTION; PROSPECTIVE STUDY; RASH; SCHOOL CHILD; SKIN BRUISING; SORE THROAT; TERTIARY HEALTH CARE; URBAN AREA; UROGENITAL PAIN; UROGENITAL TRACT DISEASE;

ADOLESCENT; AGE FACTORS; ANALGESIA; ANESTHESIA; CHILD; CHILD, PRESCHOOL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INFANT; MALE; PAIN MANAGEMENT; PAIN MEASUREMENT; PATIENT SATISFACTION; PROGRAM DEVELOPMENT; PROSPECTIVE STUDIES; UNITED STATES; YOUNG ADULT;

EID: 84862203478     PISSN: 07495161     EISSN: 15351815     Source Type: Journal    
DOI: 10.1097/PEC.0b013e3182587d27     Document Type: Article

References (32)

1. Cordell WH, Keene KK, Giles BK, et al. The high prevalence of pain in emergency medical care. Am J Emerg Med. 2002;20:165-169.
2. Tanabe P, Buschmann M. A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs. 1999; 25:171-177.
3. Rupp Tm, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004;43:494-503.
4. Wilson JE, Pendleton JM. Oligoanalgesia in the emergency department. Am J Emerg Med. 1989;7:620-622.
5. Todd KH, Ducharme J, Choiniere M, et al. Pain in the Emergency department: Results of the Pain and Emergency Medicine Initiative (PEMI) multicenter study. J Pain. 2007;8:460-466.
6. Mancuso T, Burns J. Ethical concerns in the management of pain in the neonate. Pediatr Anesth. 2009;19:953-957.
7. Friedland LR, Kulick RM. Emergency department analgesic use in pediatric trauma victims with fractures. Ann Emerg Med. 1994;23:203-207.
8. Schechter NL, Berde CB, Yaster M. Pain in infants, children, and adolescents: An overview. In: Schechter NL, Berde CB, Yaster M, eds. Pain in Infants, Children, and Adolescents. Baltimore, MD: Williams & Wilkins; 1993:3-9.
9. Taddio A, Katz J. The effects of early pain experience in neonates on pain responses in infancy and childhood. Paediatr Drugs. 2005;7:245-257.
10. Brown JC, Klein EJ, Lewis CW, et al. Emergency department analgesia for fracture pain. Ann Emerg Med. 2003;42:197-205.
11. Soto F, Fiesseler F, Morales J, et al. Presentation, evaluation, and treatment of clavicle fractures in preschool children presenting to an emergency department. Pediatr Emerg Care. 2009;25:744-747.
12. McGrath PA, Brigham MC. The assessment of pain in children and adolescents. In: Turk DC, Melzack R, eds. Handbook of Pain Assessment. New York, NY: Guilford Press; 1992:295-314.
13. Fuchs S. Pediatric Pain Management in the Emergency Department: Educational Module. Chicago, IL: Illinois Emergency Medical Services for Children; 2002.
14. Anand KJ. Effects of perinatal pain and stress. Prog Brain Res. 2000;122:117-129.
15. Kennedy RM, Luhmann J, Zempsky WT. Clinical implications of unmanaged needle-insertion Pain and distress in children. Pediatrics. 2008;122(suppl 3):130-133.
16. Taddio A, Goldbach M, Ipp M, et al. Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet. 1995;345:291-292.
17. Peters JW, Koot HM, de Boer JB, et al. Major surgery within the first 3 months of life and subsequent biobehavioral pain responses to immunization at later age: A case comparison study. Pediatrics. 2003;111:129-135.
18. Buskila D, Neumann L, Zmora E, et al. Pain sensitivity in prematurely born adolescents. Arch Pediatr Adolesc Med. 2003;157:1079-1082.
19. Woolf CJ, Salter MW. Neuronal plasticity: Increasing the gain in pain. Science. 2000;288:1765-1789.
20. Pate JT, Blount RL, Cohen LL, et al. Childhood medical experience and temperament as predictors of adult functioning in medical situations. Child Health Care. 1996;25:281-298.
21. The American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health: Task Force on Pain in Infants, Children, and Adolescents. The assessment and management of acute pain in infants, children, and adolescents. Pediatrics. 2001;108:793-797.
22. Wilder-Smith OHG, Moehrle JJ, Martin NC. Acute pain management after surgery or in the emergency room in Switzerland: A comparative survey of Swiss anaesthesiologists and surgeons. Eur J Pain. 2002;6:189-201.
23. Harmer M, Davies KA. The effect of education, assessment and a standardised prescription on postoperative pain management: The value of clinical audit in the establishment of acute pain services. Anaesthesia. 1998;53:424-430.
24. Yanuka M, Soffer D, Halpern P. An interventional study to improve the quality of analgesia in the emergency department. CJEM. 2008;10:435-439.
25. Kharasch S, Vreeland J, Muenier-Sham J, et al. Boston Medical Center PainFree Pediatrics Committee. Pediatric Procedural Pain Management Guideline. 3rd ed. 2007. Available at: Http://www.bmc.org/Documents/bmc-pediatric- PharmacyTherap-MedicationGuide.pdf. Accessed August 1, 2008.
26. Gorder DB, Pellino TA, Miaskowski C, et al. A 10-year review of quality improvement monitoring in pain management: Recommendations for standardized outcome measures. Pain Manag Nurs. 2005;3:116-130.
27. Taddio A, Soin HK, Schuh S, et al. Liposomal lidocaine to improve procedural success rates and reduce procedural pain among children: A randomized controlled trial. CMAJ. 2005;172:1691-1695.
28. Koh JL, Harrison D, Myers R, et al. A randomized, double-blind comparison study of EMLA and ELA-Max for topical anesthesia in children undergoing intravenous insertion. Pediatr Anesth. 2004;14:977-982.
29. Stevens B, Yamada J, Ohlsson A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev. 2004;3:CD001069.
30. Bulloch B, Tenebein M. Validation of 2 pain scales for use in the pediatric emergency department. Pediatrics. 2002;110:33-38.
31. Garra G, Singer AJ, Taira BR, et al. Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency department patients. Acad Emerg Med. 2010;17:50-54.
32. Manworren RC, Hynan LS. Clinical validation of FLACC: Preverbal patient pain scale. Pediatr Nurs. 2003;29:140-146.