Current practice of acute pain management in children—a national follow‐up survey in Germany

Abstract

Current practice of pediatric pain management varied widely and the recommendations of guidelines, like regular pain management, were frequently not met. However, improvements could be observed since 1999, for example, an increase in regular pain measurements (4% vs 67%). Furthermore, pain management in hospitals running a pediatric department had a higher degree of organization, and more sophisticated analgesic techniques.

Efficacy and safety of inhaled low-dose methoxyflurane for acute paediatric pain: A systematic review

“…11 Inhaled nitrous oxide (50%)/oxygen (50%) is also commonly used for children with moderate-to-severe acute pain in some countries including France and can provide effective analgesia with an acceptable safety profile. 3,38,46,47 Low doses of IN ketamine can also provide effective control of trauma and procedural pain in children and is associated with acceptable levels of patient satisfaction. [48][49][50] In two small RCTs, IN ketamine was associated with similar or less pain reduction than IN fentanyl and a greater incidence of mild adverse events, including drowsiness, dizziness, bad taste and nausea/ vomiting.…”

“…4 For example, oral analgesics (non-steroidal anti-inflammatories and acetaminophen) are commonly used as a first-line approach for mild-to-moderate acute paediatric pain, adding opiates if additional analgesia is required. 3,38,39 Of these opiates, IN diamorphine is widely used in some countries, including the UK. 40,41 IN diamorphine was found to cause less distress, and was as effective as intramuscular (IM) morphine in an RCT of 404 children with acute fracture-related pain, with decreased pain scores observed 5 min after treatment.…”

A Scoping Review of Nursing Research Priorities in Pediatric Care

“…Interestingly improving or measuring quality of nursing care and implementation of evidence into practice were only briefly referred to in the articles. Implementing clinical practice guidelines is an effective strategy to promote standardisation and uptake of evidence in clinical practice (Emons et al, 2016), yet it remains challenging to ensure consistent and widespread uptake (Almblad, Siltberg, Engvall, & Malqvist, 2018;de Groot et al, 2018).…”

Nursing research goals in pediatric care

“…Integrating evidence into clinical nursing practice is frequently tricky since it calls for altering behaviour and maintaining that change over time. This review suggests that implementation research, which is the scientific study of ways to get research results used in everyday practice, should get more attention in nursing research than it has [5].…”