Maggio 2010 - Volume XXIX - numero 5

Medico e Bambino


Focus

Il dolore: le vie, i segni, i tempi, le cure
Alcune specificità del dolore in pediatria. Riassunto e revisione delle conoscenze e della pratica

Franco Panizon1, Egidio Barbi2

1Professore Emerito, Dipartimento di Scienze della Riproduzione e dello Sviluppo, Università di Trieste
22Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste

Indirizzo per corrispondenza: barbi@burlo.trieste.it

SOME SPECIFIC ISSUES ON PAIN IN PAEDIATRICS: SUMMARY AND REVIEW OF THE PRESENT KNOWLEDGE AND PRACTICE

Key words: Pain, Drug dosages, Association therapy, Pre-emptive treatment, Non-pharmacological therapeutic strategies

The paper deals with pain in children. In the first part the most relevant physio-pathological aspects and the changing patterns of pain according to age are described. The relevance of the maturation of the central nervous system in the perception of pain and in the evaluation of symptoms is discussed in detail. The age related epidemiology of pain is discussed in the second part of the paper, highlighting the most frequent and clinically relevant pain causes in the different periods of child growth. Finally, the basic golden rules of pain management are discussed from a pragmatical point of view highlighting the importance of adequate drug dosages, association therapy, pre-emptive treatment and non-pharmacological therapeutic strategies.

Vuoi citare questo contributo?

F. Panizon, E. Barbi Il dolore: le vie, i segni, i tempi, le cure
Alcune specificità del dolore in pediatria. Riassunto e revisione delle conoscenze e della pratica. Medico e Bambino 2010;29(5):289-301 https://www.medicoebambino.com/?id=1005_289.pdf

Focus

Il dolore del neonato

Carlo Valerio Bellieni, Lorenzo Iantorno, Giuseppe Buonocore

Dipartimento di Pediatria, Ostetricia e Medicina della Riproduzione, Università di Siena

Indirizzo per corrispondenza: bellieni@unisi.it

NEONATAL PAIN

Key words: Neonatal pain, Analgesia, Care

Neonatal pain is still today inadequately treated. This flaw is due to several reasons, among which the difficulty to consider newborns as patients like others and to understand their language. Newborns feel pain and it is our duty to prevent, recognize and treat it. More than 30 scales have been developed to evaluate pain, but a gold standard has not been found. We have good therapeutic instruments for pain treatment. It is necessary to use adequate analgesia also for minor invasive procedures: in the last few years the use of non-pharmacological analgesia has made big progress, e.g. instillation of sweet solution or performing sensorial saturation. However, in neonatal analgesia, attention should be paid not only to the use of analgesia, but also to doctors’ and parents’ suffering.

Vuoi citare questo contributo?

C.V. Bellieni, L. Iantorno, G. Buonocore Il dolore del neonato. Medico e Bambino 2010;29(5):289-301 https://www.medicoebambino.com/?id=1005_289.pdf


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