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Considerations in Pediatric Inpatients
Book chapter

Considerations in Pediatric Inpatients

Anureet Walia, Kasra Zarei and Rahul Rastogi
Guide to the Inpatient Pain Consult, pp.519-532
Springer International Publishing
05/22/2020
DOI: 10.1007/978-3-030-40449-9_35

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Abstract

Pain in pediatric inpatients is prevalent, under-recognized, and undertreated. Proper pain management in the pediatric inpatient setting is essential to improving short- and long-term clinical outcomes including maximum pain intensity, physical functioning, frequency of pain medication, and reduce healthcare utilization and costs such as mean number of medical visits and patient and parent ratings of satisfaction and pain experience. Pediatric inpatient pain management has evolved to consist of multimodal analgesia including traditional analgesic medications, physical therapy and exercise, psychotherapy, proper sleep hygiene techniques, stabilization of life stressors and other less traditional, non-pharmacological approaches. Inpatient pediatric pain management is now more opioid-sparing, with more of an emphasis on multidisciplinary therapy. Despite advancements in pain assessment and multimodal pain treatment options, management of pain can still be challenging due to the subjective nature of pain which can be challenging to monitor (especially in pediatric patients with limited communication abilities), the safety profiles and variable responses of pain medications in pediatric patients, environmental and psychosocial factors, and the limited number of clinical trials conducted. In this chapter, we review aspects of comprehensive pain management in pediatric inpatients including differential diagnosis, assessment, treatment, and management of pain in the hospital and at discharge.
 Inpatient Pain management Pediatric pain

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