title: Complex pain consultations in the pediatric intensive care unit.
abstract: The assessment and management of pain in children is not always easy and it is clearly more difficult in the critical care setting. Pain management is further complicated in this vulnerable population by the nature of their critical condition, the complexity and multidimensionality of their illness or injuries, and the intensity of emotions in this environment. A variety of pain syndromes are encountered in the pediatric intensive care unit, and the staff there may not be familiar with or comfortable managing these cases. Pain assessment and treatment can be more appropriately managed when guided by the experts of a multidisciplinary pediatric pain service.
authors.affiliation: Department of Anesthesiology and Perioperative Medicine, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon 97239-3098, USA. turnerh@ohsu.edu
authors.forename: Helen N
authors.initials: HN
authors.lastname: Turner
mesh_terms: D000293:Adolescent; D000698:Analgesia / Q000379:methods* / Q000451:nursing; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use; D001064:Appendicitis / Q000150:complications; D002648:Child; D003422:Critical Care / Q000379:methods*; D004334:Drug Administration Schedule; D004361:Drug Tolerance; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D009104:Multiple Trauma / Q000150:complications; D009720:Nurse Clinicians / Q000458:organization & administration; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D010146:Pain / Q000175:diagnosis* / Q000209:etiology; D059408:Pain Management; D010147:Pain Measurement / Q000379:methods* / Q000451:nursing; D010348:Patient Care Team / Q000458:organization & administration; D012128:Respiratory Distress Syndrome / Q000150:complications; D013375:Substance Withdrawal Syndrome / Q000209:etiology / Q000517:prevention & control
chemical_list: D000701:Analgesics, Opioid