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Pain Treatment
Opportunities and Challenges
Sigmund Kharasch, MD
Glenn Saxe, MD;
Barry Zuckerman, MD
Arch Pediatr Adolesc Med. 2003;157:1054-1056.
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Treatment of acute pain is important and should be a priority for all clinicians. The past decade has witnessed a revolution in drug options and combinations, especially in the area of conscious sedation. We believe all pediatric settings require knowledge and skill in pain treatment. We focus on challenges and opportunities associated with 2 extreme levels of pain severity, which reflect our work: (1) extreme pain resulting from injuries, burns, and stressful medical procedures, and (2) mild to moderate pain associated with common medical procedures that nonetheless cause considerable distress.
EXTREME PAIN
A variety of conditions can result in extreme pain for children. These include acute burns, orthopedic injuries, some cancers, sickle cell crises, and procedures such as bone marrow aspiration. Furthermore, some medical and surgical conditions require ongoing intervention such as dressing changes in burned children, which can be extremely painful and . . . [Full Text of this Article]
MILD-TO-MODERATE PAIN AND COMMON MEDICAL PROCEDURES
Department of Pediatrics
Boston Medical Center
Boston University School of Medicine
91 E Concord St, Sixth Floor
Boston, MA 02118
(e-mail: sig.kharasch@bmc.org)
Boston
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