Pain assessment in children

Brand, Katherine; Thorpe, Benjamin

doi:10.1016/j.mpaic.2016.03.007

Cited by 24 publications

(14 citation statements)

References 4 publications

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“…12 Özellikle de 5 yaş altındaki çocuklarda ağrıyı anlamlandırıp, korku kaygı gibi diğer hoş olma-yan durumlardan ayırt etmesi ve bunu doğru bir şekilde aktarabilmesi, her zaman mümkün olama-maktadır. 13 Bu durumların tamamı ağrı derecelerinin bildirilmesini zorlaştıran durumlardır. Bu ne-denle çok küçük çocuklarda ağrının var olup olmadığını anlamak için davranışlarının gözlenmesine dayanılarak ağrıyı değerlendiren çözüm araçları kullanılması önerilir.…”

Section: Discussionunclassified

Evaluation of Turkish validity and reliability of dental iscomfort questionnaire on young children: A pilot study

Senirkentli¹,

Tiralı²

2019

Yeditepe J Dent

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Section: Discussionunclassified

Evaluation of Turkish validity and reliability of dental iscomfort questionnaire on young children: A pilot study

Senirkentli¹,

Tiralı²

2019

Yeditepe J Dent

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“…By the time they reach the age of four, the majority of children are usually able to differentiate pain on a scale of 4-5. However, their ability to recognize pain develops as they become able to comprehend the intensity of pain, and this ability is usually developed at around the age of five [16]. To obtain pain reports in this age group, facial expression scales are generally used, in which children choose the facial expression that best describes the pain they feel or experience [17].…”

Section: Introductionmentioning

confidence: 99%

“…This scale requires health professionals to describe each face to the child, after which the child is asked to select the face that best reflects their current pain level. The pain score is determined based on the numerical values assigned to the faces, with the lowest and highest scores being 0 and 5, respectively; the high scores indicate lower pain tolerance, and the low scores reflect more tolerable pain [16]. Upon reaching the age of 7-8 years, children begin to understand the quality of pain.…”

Section: Introductionmentioning

confidence: 99%

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Simulation of three intraoral radiographic techniques in pediatric dental patients: subjective comfort assessment using the VAS and Wong-Baker FACES Pain Raiting Scale

2020

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Background: Perception of pain associated with intraoral radiography in pediatric patients was evaluated through statistical comparisons of data obtained using the Wong-Baker FACES Pain Raiting Scale (WBFPRS) and visual analog scale (VAS) scoring. Methods: A total of 75 pediatric patients aged 6-12 years were included in this study. Simulations of each of three radiological methods (analog films, CCD sensor and phosphorus plates) were performed on 25 pediatric patients. Following the simulations, the meaning of each facial expression on the WBFPRS and the numbers on the VAS were explained to each child. For the comparison between groups, the homogeneity of the variances was tested with Levene's test; because the variances were not homogeneous, Welch's test was used. Tamhane's T2 test was used because the homogeneity assumption was not provided to determine the source of the difference between the groups. Results: When the conventional method was compared to the PSPL (photostimulable phosphor luminescence) method, no significant differences were noted in either the WBFPRS or VAS results (p >0.05). The results obtained from both of the scales were significantly different between the conventional method and the CCD sensor method (p < 0.05). When the PSPL and CCD sensors were compared, a significant difference was observed for the WBFPRS (p < 0.05). It was found the highest level of pain scores when used the CCD sensor method than the analog film and PSPL methods (p < 0.05). Conclusions: It is expected that digital radiographic techniques will be improved in the future and that their disadvantages will be eliminated, resulting in imaging devices that are more comfortable for pediatric patients.

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“…In general it is recognised that there are physiological measures, behavioural measures and self-report. [10][11][12] Self-report is often referred to as the 'gold standard' as it is a direct measure of pain. The self-report tool used must be appropriate to the child's age and developmental level; it must be practical to use in the clinical setting; it should be reproducible, reliable and valid; and ideally transferable between assessors.…”

Section: Introductionmentioning

confidence: 99%

Audit of perioperative pain management in paediatric patients following tonsillectomy at a tertiary hospital in Johannesburg

Mogane

Mashinini

Lundgren

2019

South Afr J Anaesth Analg

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Background: Adenotonsillectomy remains one of the most frequently performed surgical procedures in children. Despite improvements in anaesthetic and surgical techniques, severe pain is reported in as many as 25–50% of children. Pain assessment and knowledge of drug pharmacodynamics and pharmacokinetics in the paediatric patient, is a prerequisite for optimal care. Much has been written on perioperative pain management following tonsillectomy. However, no consensus has been reached on what the ideal analgesic regimen should be. This audit is a review of current practice at Chris Hani Baragwanath Academic Hospital. It aims to identify problems and develop possible solutions to improve anaesthetic practice. Methods: A prospective, contextual, descriptive study design using a data collection sheet was used on paediatric patients presenting for tonsillectomy. Results: Eighty-five patients aged three to 12 years of age, with ASA grading I or II, were enrolled in the study. The choice of anaesthetic was variable with a combination of simple analgesics, opioids and adjuvants. This affected postoperative pain scores. Snare dissection and monopolar cautery haemostasis, was the standard surgical technique. Surgical seniority influenced the duration of tonsillectomy, with an effect on postoperative pain scores. Conclusions: Audits are necessary to evaluate what resources are needed to optimise care. The occurrence of pain after tonsillectomy continues to be poorly managed. Appropriate premedication and fasting of clear fluids for no more than two hours, needs to be introduced. Where possible surgical technique should involve bipolar cautery and be limited to less than 45 minutes. A preemptive, multimodal, opioid-sparing anaesthetic should be routinely practised.

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Pain assessment in children

Cited by 24 publications

References 4 publications

Evaluation of Turkish validity and reliability of dental iscomfort questionnaire on young children: A pilot study

Evaluation of Turkish validity and reliability of dental iscomfort questionnaire on young children: A pilot study

Simulation of three intraoral radiographic techniques in pediatric dental patients: subjective comfort assessment using the VAS and Wong-Baker FACES Pain Raiting Scale

Audit of perioperative pain management in paediatric patients following tonsillectomy at a tertiary hospital in Johannesburg

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