International Association for the Study of Pain | Acute and Procedure Pain in Infants and Children

Product Details
Publish Year: 2001
Format: hardcover, 183 pages
ISBN-13: 978-0-931092-39-8

Acute pain is important not only in terms of the suffering it causes children, but also because it is almost invariably the first step in the development of chronic pain. The management of acute pain often determines children's later attitudes toward health care in general. How an institution manages acute pain is a marker for how it manages all forms of distress in suffering children.

Fifteen years ago, undermedication of postoperative pain in children was widespread in comparison to the treatment offered adults. Current systemic and regional analgesic techniques allow more aggressive treatment of acute pain, and the management of pediatric procedure pain has seen an upsurge in interest.

However, many challenges remain – the impact of powerful analgesics on physical development, the management of pain in the cognitively impaired, the high prevalence of pain in sports injuries, ethics in pain management, and cultural and institutional constraints on transforming into clinical practice the knowledge gained from research.

This volume documents the past twenty years' progress in the aggressive management of acute pain in children. Leading clinicians and scientists discuss mapping the complex cascade of events occurring in response to pain in both the central and peripheral nervous systems and the many ways to manage acute pediatric pain.

Acute and Procedure Pain in Infants and Children represents the first attempt to address this topic from the perspective of basic science, clinical practice, and ethical responsibility. The editors have assembled an impressive array of internationally renowned clinicians and scientists whose contributions in this book will set the standard for future exploration of these topics.

"Acute and Procedure Pain in Infants and Children attempts to cover [pediatric pain] from basic science to the bedside and even beyond to the community. This multiauthored book, edited by two renowned experts in the field of pediatric pain management, does an excellent job of attaining its goal ... [and] does not have a narrow perspective. There are nine well-organized chapters. Eight of the chapters are required reading for anyone providing health care to children.

"With the ongoing challenge of balancing effective pain management with patient safety and the reality of economic constraints, this book will be very helpful to many healthcare professionals caring for children who may experience pain."
APS Bulletin

"This book has an unusual approach to the subject of paediatric pain in that it touches on basic science, clinical practice, and ethical issues. The editors are well-known international experts in the field, as are the contributing authors, and this makes for a powerful combination in providing this reference on paediatric pain. It is published under the auspices of the International Association for the Study of Pain and is reasonably priced at US$70.

"The articles are carefully and thoroughly researched, well written and referenced, and form a cohesive collation of subject matter. A theme evident throughout the book is the awareness of how poorly pain in children of all ages has been managed in the past, and how this is currently being addressed. Understanding basic sciences, the neurobiology of pain and being informed of all modalities available for improving pain relief, improve the management of the child for painful procedures and postoperative pain, not to mention the appropriate treatment of chronic pain.

"In conclusion, this is a very good specialist reference book on paediatric pain and is recommended to practitioners, especially anaesthetists, who have an interest in the management of paediatric pain."
South African Medical Journal

"... the chapters are well written and thoroughly cover the subject of acute and procedural pain in children ... there is an excellent chapter on neonatal pain.... 'The Politics of Pediatric Pain' may seem to be an odd heading, but this is a very important chapter that should be read by a much wider audience than the readers of this book. This chapter addresses 'The paradox of the central moral obligation of physicians and other caregivers to relieve pain and the failure to identify pain relief as a priority for medical practice and education ... the widespread failure to bring optimal pain and symptom control to adults and children is, therefore, not simply a clinical failure. It is a moral and ethical failure.'

"In summary, this book is comprehensive, well written, and easy to read, and should be recommended to all those working with children in health care."
British Journal of Anaesthesia

"The book succeeds in its stated goal of examining aspects of paediatric acute and procedural pain, from the laboratory to the bedside. It does not aim to be a comprehensive text, rather a series of stand-alone chapters which loosely link basic science, clinical practice, and cultural attitudes relevant to paediatric pain management.

"The volume comprises topical chapters, the authors of which are recognised as experts in their field, succinctly summarizing and drawing upon current evidence. Where appropriate, authors offer practical guidelines, providing evidence to support clinical practice. Each chapter is well researched, comprehensive, up-to-date and easy to read.

"Some of the chapters are updates on themes previously published such as local and regional anaesthesia and the management of procedural and postoperative pain. These would appeal to any anaesthetist whose practice includes children.

"Other chapters cover important topics not covered previously in standard paediatric pain medicine and anaesthesia texts: adolescent sporting injuries and pain, ethical considerations and pain management, and achieving cultural change regarding pain management in the hospital environment. These would be of interest to those with a strong interest in paediatric pain management.

"This is an excellent text for personal or departmental libraries and is highly recommended."
Anaesthesia and Intensive Care

"I think this book is useful for all physicians and nurses who handle a child in pain, whether due to a medical condition, trauma, or surgery. The author is a credible authority. The book is well prepared. The author's effort to collect almost all of the available published information concerning the management of pain in children shows. The book highlights the problem of the underevaluation of the danger of pain and consequently the undertreatment of pain in children and adolescents, whether by parents or medical professionals. It is the first publication I have seen that covers these important topics."
Doody's Notes

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G. Allen Finley, MD, FRCPC, Professor of Anesthesia and Psychology at Dalhousie University, is a Senior Clinical Research Scholar of the Dalhousie Faculty of Medicine. Founder and Medical Director of the Pediatricd Pain Service at the IWK Health Centre, he has been a practicing pediatric anesthesiologist since 1986. He co-directs the Pediatric Pain Research Laboratory, provides clinical anesthesia services, and coordinates acute and chronic pain management.

Patrick J. McGrath, PhD, Killiam Professor of Psychology and Professor of Pediatrics, Psychiatry, and Biomedical Engineering at Dalhousie University in Halifax, Canada, is a Canada Research Chair in Pediatric Pain. Distinguished Scientist of the Canadian Institutes of Health Research, he was the 2001 recipient of both the Wilbert E. Fordyce Clinical Investigator Award from the American Pain Society and the 2001 Distinguished Career Award from the Canadian Pain Society.

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Acute and Procedure Pain in Infants and Children