Journal
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
Volume 61, Issue 2, Pages 180-187Publisher
SPRINGER
DOI: 10.1007/s12630-013-0076-7
Keywords
Chronic Pain; Acute Pain; Complex Regional Pain Syndrome; Palliative Care Team; Advanced Practice Nurse
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PurposeThis review article explores the need for specialized pain care for children and adolescents and provides some historical context for our current knowledge base and clinical practice.Principal findingsPediatric patients have specialized needs with respect to assessment and management of pain. Acute pain care is modified by developmental considerations in both these areas; chronic pain encompasses a wide range of complex developmental, social, and psychological factors requiring the skills of different health disciplines to provide the best care.ConclusionsAwareness of children's pain has increased dramatically over the past three decades, and Canadians have performed a leadership role in much of the research. Specific multidisciplinary teams are a more recent phenomenon, but they are shown to be more effective and probably more cost effective than traditional treatment models. Important gaps in availability of resources to manage these patients remain.
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