Diagnosing and managing acute abdominal pain in children

Raymond, M P; Marsicovetere, Priscilla; DeShaney, Katrina

doi:10.1097/01.jaa.0000803624.08871.5f

Cited by 9 publications

(9 citation statements)

References 11 publications

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“… 30 Similarly, abdominal (e.g., visceral) pain is a common problem among children. 31 Those experiencing chronic abdominal pain report significantly lower quality of life compared to their healthy counterparts and are more frequently absent from school. 32 There is emerging evidence that children and adolescents who report persistent pain are at increased risk of chronic pain as adults.…”

Section: Discussionmentioning

confidence: 99%

Continuing professional development needs in pain management for Canadian health care professionals: A cross sectional survey

Dale

Cioffi

Novak

et al. 2023

Canadian Journal of Pain

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Background Continuing professional development is an important means of improving access to effective patient care. Although pain content has increased significantly in prelicensure programs, little is known about how postlicensure health professionals advance or maintain competence in pain management. Aims The aim of this study was to investigate Canadian health professionals’ continuing professional development needs, activities, and preferred modalities for pain management. Methods This study employed a cross-sectional self-report web survey. Results The survey response rate was 57% (230/400). Respondents were primarily nurses (48%), university educated (95%), employed in academic hospital settings (62%), and had ≥11 years postlicensure experience (70%). Most patients (>50%) cared for in an average week presented with pain. Compared to those working in nonacademic settings, clinicians in academic settings reported significantly higher acute pain assessment competence (mean 7.8/10 versus 6.9/10; P < 0.002) and greater access to pain specialist consultants (73% versus 29%; P < 0.0001). Chronic pain assessment competence was not different between groups. Top learning needs included neuropathic pain, musculoskeletal pain, and chronic pain. Recently completed and preferred learning modalities respectively were informal and work-based: reading journal articles (56%, 54%), online independent learning (44%, 53%), and attending hospital rounds (43%, 42%); 17% had not completed any pain learning activities in the past 12 months. Respondents employed in nonacademic settings and nonphysicians were more likely to use pocket cards, mobile apps, and e-mail summaries to improve pain management. Conclusions Canadian postlicensure health professionals require greater access to and participation in interactive and multimodal methods of continuing professional development to facilitate competency in evidence-based pain management.

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Section: Discussionmentioning

confidence: 99%

Continuing professional development needs in pain management for Canadian health care professionals: A cross sectional survey

Dale

Cioffi

Novak

et al. 2023

Canadian Journal of Pain

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“…Eines der Leitsymptome des akuten Abdomens ist der Bauchschmerz. Im klinischen Alltag ist es oftmals nicht einfach, die Bauchschmerzen eines Patienten einer potenziell lebensbedrohlichen oder einer nichtlebensbedrohlichen Erkrankung zuzuordnen [ 16 , 19 ]. Es gibt jedoch Schmerzcharakteristika, die auf ein akutes Abdomen hinweisen und der Schmerzcharakter spielt eine wesentliche Rolle bei der Diagnosestellung.…”

Section: Leitsymptome Und Warnzeichenunclassified

Akutes Abdomen im Kindesalter

Theilen

Rolle

2023

Med Klin Intensivmed Notfmed

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Hintergrund Etwa 8–10 % der pädiatrischen Notfälle präsentieren sich mit akuten Bauchschmerzen. Zum Ausschluss eines akuten Abdomens ist eine gezielte Abklärung notwendig. Ziel der Arbeit Dieser Leitartikel gibt einen Überblick über Ursachen, Symptome, Diagnostik und aktuelle Therapieempfehlungen des akuten Abdomens im Kindesalter. Material und Methoden Review der aktuellen Literatur. Ergebnisse Ursachen eines akuten Abdomens sind in der Regel eine abdominale Entzündung, eine Ischämie, ein Hohlorganverschluss oder eine akute abdominale Blutung. Extraabdominale Erkrankungen, wie eine Otitis media bei Kleinkindern und eine Hodentorsion bei jugendlichen Jungen, können auch Symptome eines akuten Abdomens auslösen. Leitbefunde sind Bauchschmerzen, (galliges) Erbrechen, abdominale Abwehrspannung, Stuhlverhalt, blutiger Stuhl, eine abdominale Prellmarke und ein reduzierter Allgemeinzustand mit Allgemeinsymptomen (Tachykardie, Tachypnoe, Hypotonie) bis zum Schock. In einigen Fällen ist eine (Notfall‑)Operation zur Fokussanierung bzw. zum Organerhalt notwendig. Ein „pediatric inflammatory multisystem syndrome-temporarily associated with rSARS-CoV‑2 infection“ (PIMS-TS) mit gastrointestinaler Beteiligung ist eine neue Ursache, die ein akutes Abdomen verursachen kann, bei der jedoch selten eine Operationsindikation besteht. Diskussion Das akute Abdomen kann zu einem Organverlust (z. B. Darm oder Ovar) und zu einer akuten Verschlechterung des Allgemeinzustands des Patienten bis zum Schock führen. Zur rechtzeitigen und zielgerichteten Therapie sind daher eine aufmerksame Anamnese und Untersuchung notwendig.

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“…3 Acute abdomen in children is difficult to treat as history is either not available or is not accurate in younger children, and in most of the times physicians will only find a crying child. 4 This makes situation very difficult, even for a shrewd and wise clinician. The anxiety of parents also contributes significantly to increase the difficulty of the whole situation.…”

Section: Introductionmentioning

confidence: 99%

“…5,6 Diagnosis of acute abdomen in children depends on history, examination, and investigations. 4,6 Acute abdomen in children can be caused by a variety of surgical and nonsurgical causes. 3 Common surgical causes of acute abdomen in children include acute appendicitis, intussusception, intestinal obstruction, obstructed hernia, malrotations, torsion ovary and intestinal perforations.…”

Section: Introductionmentioning

confidence: 99%

Non Surgical Causes of Acute Abdomen in Children: Surgeons Standpoint for Exclusion

Muhammad Tahir Ghani,

Ambreen Mobaraz,

Huma Azam Malik

et al. 2023

Ann Pak Inst Med Sci

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Objectives: The aim of this study is to find out the non-surgical causes of acute abdomen, their frequencies, and to make an algorithm to make a methodology for excluding surgical abdomen. Methodology: This descriptive case series study was carried out in departments of pediatrics and surgery in Aero hospital from January 2021 to November 2022. One hundred children with acute abdomen who were referred for surgical opinion and found to have non-surgical abdomen were included in the study. Surgical causes were ruled out after serial examinations and investigations by consultant surgeons. All non-surgical causes, their frequencies of presentation were recorded and an algorithm was made. Descriptive data was analyzed using SPPS version 25. Results: Gastroenteritis was found to be the most important cause of non-surgical acute abdomen and found in 23% (n=23) children followed by 18% (n=18) mesenteric lymphadenitis, nonspecific abdominal pain 12% (n=12), UTI 7% (n=7), worm infestation 7% (n=7), enteric ileitis 06% (n=6), Covid 05% (n=5), hepatitis 05%(n=5), constipation 04% (n=4), dengue 4% (n=4), ruptured ovarian follicle 3% (n=3), renal calculi 2% (n=2), Henoch schonlein purpura 2% (n=2) and gastritis 2% (n=2). An algorithm also made at the end of study to help treating surgeons to rule out surgical abdomen. Conclusion: Gastroenteritis is the leading cause of acute non-surgical abdomen in children along with many other causes and these must be carefully ruled out by an algorithm to avoid unnecessary surgeries.

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Diagnosing and managing acute abdominal pain in children

Cited by 9 publications

References 11 publications

Continuing professional development needs in pain management for Canadian health care professionals: A cross sectional survey

Continuing professional development needs in pain management for Canadian health care professionals: A cross sectional survey

Akutes Abdomen im Kindesalter

Non Surgical Causes of Acute Abdomen in Children: Surgeons Standpoint for Exclusion

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