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
SOME SPECIFIC ISSUES ON PAIN IN PAEDIATRICS: SUMMARY AND REVIEW OF THE PRESENT KNOWLEDGE AND PRACTICE
Franco Panizon1, Egidio Barbi2
1Professore Emerito, Dipartimento di Scienze della Riproduzione e dello Sviluppo, Università di Trieste
22Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste
Maggio 2010 - pagg. 289 -301
Abstract
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.
Suggerite dall'AI
Classificazione MeSH
Bibliografia
Fisiopatologia del dolore
• Besson JM. The neurobiology of pain. Lancet 1999;353:1610-5.
• Loeser JD, Melzack R. Pain: an overview. Lancet 1999;353:1607-9. Il dolore come sintomo guida
• Forsyth BW. Colic and the effect of changing formulas: a double-blind, multiple-crossover study. J Pediatr 1989;115:521-6.
• Hamilton AB, Zeltzer LK. Visceral pain in infants. J Pediatr 1994;125:95-102.
• Jakobsson I, Lindberg T. Cow’s milk as a cause of infantile colic in breast-fed infants. Lancet 1978;2:437-9.
• Jakobsson I, Lothe L, Ley D, Borschel MW. Effectiveness of casein hydrolysate feedings in infants with colic. Acta Paediatr 2000;89:18- 21.
•. Porter FL, Anand KJS. Epidemiology of pain in neonates. Res Clin Forum 1998;20:9-18. La terapia del dolore
• Barbi E, Marchetti F. Il bambino e il dolore. Collana “Pediatria pronta per l’uso”, Primula Edizioni, 2005.
• Berde CB, Setna N. Analgesics for the treatment of pain in children. N Engl J Med 2002;347:1094-103.
• Chambliss CR, Heggen J, Copeln DN, Pettinato R. The assessment and management of chronic pain in children. Paediatr Drugs 2002; 4:737-46.
• Cotè CJ. Anestesiologia pediatrica clinica. Verduci Editore, 1994. Farmacologia pratica degli agenti anestetici, dei narcotici e dei sedativi, pag 105-134.
• Holdcroft A, Power R. Recent developments: managements of pain. BMJ 2003;326: 635-9.
• Howard RF. Current status of pain management in children. JAMA 2003;290:2464-9.
• Kart T, Christrup LL, Rasmussen M. Recommended use of morphine in neonates infants and children based on a literature review, part 2:clinical use. Paediatr Anaesth 1997;7:93-101.
• Kharasch S, Saxe G, Zuckerman B. Pain treatment: opportunities and challenges. Arch Ped Adolesc Med 2003;157:1054-6.
• Romano E. Anestesia generale e speciale. Utet Editore 1997. Analgesia postoperatoria, pag 379-391. Il dolore da procedure
• Brauss B, Green SM. Procedural sedation and analgesia in children. Lancet 2006;367 (9512):766-80.
• Franck L, Gilbert R. Reducing pain during blood sampling in infants. Clin Evid 2002;7: 352-66.
• Besson JM. The neurobiology of pain. Lancet 1999;353:1610-5.
• Loeser JD, Melzack R. Pain: an overview. Lancet 1999;353:1607-9. Il dolore come sintomo guida
• Forsyth BW. Colic and the effect of changing formulas: a double-blind, multiple-crossover study. J Pediatr 1989;115:521-6.
• Hamilton AB, Zeltzer LK. Visceral pain in infants. J Pediatr 1994;125:95-102.
• Jakobsson I, Lindberg T. Cow’s milk as a cause of infantile colic in breast-fed infants. Lancet 1978;2:437-9.
• Jakobsson I, Lothe L, Ley D, Borschel MW. Effectiveness of casein hydrolysate feedings in infants with colic. Acta Paediatr 2000;89:18- 21.
•. Porter FL, Anand KJS. Epidemiology of pain in neonates. Res Clin Forum 1998;20:9-18. La terapia del dolore
• Barbi E, Marchetti F. Il bambino e il dolore. Collana “Pediatria pronta per l’uso”, Primula Edizioni, 2005.
• Berde CB, Setna N. Analgesics for the treatment of pain in children. N Engl J Med 2002;347:1094-103.
• Chambliss CR, Heggen J, Copeln DN, Pettinato R. The assessment and management of chronic pain in children. Paediatr Drugs 2002; 4:737-46.
• Cotè CJ. Anestesiologia pediatrica clinica. Verduci Editore, 1994. Farmacologia pratica degli agenti anestetici, dei narcotici e dei sedativi, pag 105-134.
• Holdcroft A, Power R. Recent developments: managements of pain. BMJ 2003;326: 635-9.
• Howard RF. Current status of pain management in children. JAMA 2003;290:2464-9.
• Kart T, Christrup LL, Rasmussen M. Recommended use of morphine in neonates infants and children based on a literature review, part 2:clinical use. Paediatr Anaesth 1997;7:93-101.
• Kharasch S, Saxe G, Zuckerman B. Pain treatment: opportunities and challenges. Arch Ped Adolesc Med 2003;157:1054-6.
• Romano E. Anestesia generale e speciale. Utet Editore 1997. Analgesia postoperatoria, pag 379-391. Il dolore da procedure
• Brauss B, Green SM. Procedural sedation and analgesia in children. Lancet 2006;367 (9512):766-80.
• Franck L, Gilbert R. Reducing pain during blood sampling in infants. Clin Evid 2002;7: 352-66.
Corrispondenza: barbi@burlo.trieste.it