Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Dolori senza dottori: la gestione del dolore nei bambini con gravi deficit cognitivi

Pain management in children with severe cognitive impairments

Marta Massaro1, Giuliana Pisciotta1, Patrizia Vallon2, Egidio Barbi3, Alessandro Ventura1

1Clinica Pediatrica, Università di Trieste
2Anestesia e Rianimazione, 3Pronto Soccorso Pediatrico, IRCCS Pediatrico “Burlo Garofolo”, Trieste

Maggio 2012 - pagg. 307 -313

Abstract
Pain is a frequent and relevant problem in children with severe cognitive impairments, but it is often underrated and therefore undertreated. A good pain management for these patients requires the use of specific validated pain scales, in order to detect its presence and level. Also, it is important to treat the chronic conditions (such as spasticity, gastrooesofageal reflux, constipation, osteopenia) that can represent important causes of pain, and to prevent procedural pain, since these children are frequently exposed to invasive medical procedures.
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Corrispondenza: massaro.marta@gmail.com