PEDIATRICS Vol. 108 No. 3 September 2001, pp. 793-797
AMERICAN ACADEMY OF PEDIATRICS:
The Assessment and Management of Acute Pain in Infants,
Children, and Adolescents
Acute pain is one of the most common adverse
stimuli experienced by children, occurring as a result of injury,
illness, and necessary medical procedures. It is associated with
increased anxiety, avoidance, somatic symptoms, and increased parent
distress. Despite the magnitude of effects that acute pain can have on
a child, it is often inadequately assessed and treated. Numerous myths,
insufficient knowledge among caregivers, and inadequate application of
knowledge contribute to the lack of effective management. The pediatric
acute pain experience involves the interaction of physiologic,
psychologic, behavioral, developmental, and situational factors. Pain
is an inherently subjective multifactorial experience and should be
assessed and treated as such. Pediatricians are responsible for
eliminating or assuaging pain and suffering in children when possible.
To accomplish this, pediatricians need to expand their knowledge, use
appropriate assessment tools and techniques, anticipate painful
experiences and intervene accordingly, use a multimodal approach to
pain management, use a multidisciplinary approach when possible,
involve families, and advocate for the use of effective pain management
in children.
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