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• W2052512658 abstract "In the May 2003 issue of Annals, Alexander and Manno1Alexander J Manno M Underuse of analgesia in very young pediatric patients with isolated painful injuries.Ann Emerg Med. 2003; 41: 617-622Abstract Full Text Full Text PDF PubMed Scopus (178) Google Scholar (article #138) add an important link in the growing chain of evidence supporting the undertreatment of pain in children. They highlight a number of barriers that are perceived to be inherent in the management of acute pain in this population. In addition to their discussion, it should be noted that a crucial aspect in the management of pain for any age group is the measurement or quantification of pain.There is no mention of screening charts for pain scale use or any documented measure of pain in this retrospective review. It is entirely possible that children younger than 2 years received fewer pain medications because the treating physicians had no objective valid tool to measure pain in this age group. Although these data may be difficult to substantiate in a retrospective manner, it is important to document such discussions or measurements on the emergency department (ED) record. This may also show that older children are more likely to have their pain quantified because they are more able to describe their degree of pain and desire for pain medications.Currently, there are more than 40 pain scales available for the measurement of pain in children. The most often used are Faces-based pain scales, which are valid for children as young as 4 years.2Bieri D Reeve RA Champion GD et al.The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties.Pain. 1990; 41: 139-150Abstract Full Text PDF PubMed Scopus (850) Google Scholar In general, children younger than 4 years can be evaluated by observational scales such as the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS).3Ho K Spence J Murphy MF Review of pain-measurement tools.Ann Emerg Med. 1996; 27: 427-432Abstract Full Text Full Text PDF PubMed Scopus (157) Google Scholar These scales have been used by researchers to measure pain in children as young as the newborn infant.Future investigations should not only describe practiced analgesia in children but also seek to find solutions to this pervasive problem, such as assessing the use of pain scales or other methods to quantify pain in the ED setting. In the May 2003 issue of Annals, Alexander and Manno1Alexander J Manno M Underuse of analgesia in very young pediatric patients with isolated painful injuries.Ann Emerg Med. 2003; 41: 617-622Abstract Full Text Full Text PDF PubMed Scopus (178) Google Scholar (article #138) add an important link in the growing chain of evidence supporting the undertreatment of pain in children. They highlight a number of barriers that are perceived to be inherent in the management of acute pain in this population. In addition to their discussion, it should be noted that a crucial aspect in the management of pain for any age group is the measurement or quantification of pain. There is no mention of screening charts for pain scale use or any documented measure of pain in this retrospective review. It is entirely possible that children younger than 2 years received fewer pain medications because the treating physicians had no objective valid tool to measure pain in this age group. Although these data may be difficult to substantiate in a retrospective manner, it is important to document such discussions or measurements on the emergency department (ED) record. This may also show that older children are more likely to have their pain quantified because they are more able to describe their degree of pain and desire for pain medications. Currently, there are more than 40 pain scales available for the measurement of pain in children. The most often used are Faces-based pain scales, which are valid for children as young as 4 years.2Bieri D Reeve RA Champion GD et al.The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties.Pain. 1990; 41: 139-150Abstract Full Text PDF PubMed Scopus (850) Google Scholar In general, children younger than 4 years can be evaluated by observational scales such as the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS).3Ho K Spence J Murphy MF Review of pain-measurement tools.Ann Emerg Med. 1996; 27: 427-432Abstract Full Text Full Text PDF PubMed Scopus (157) Google Scholar These scales have been used by researchers to measure pain in children as young as the newborn infant. Future investigations should not only describe practiced analgesia in children but also seek to find solutions to this pervasive problem, such as assessing the use of pain scales or other methods to quantify pain in the ED setting. In reply:Annals of Emergency MedicineVol. 43Issue 2Preview Full-Text PDF" @default.
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• W2052512658 date "2004-02-01" @default.
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• W2052512658 title "Oligoanalgesia in very young pediatric patients" @default.
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• W2052512658 doi "https://doi.org/10.1016/j.annemergmed.2003.07.006" @default.
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