Clinical Pediatric Emergency Medicine
Volume 8, Issue 4 , Pages 240-247 , December 2007

Nonpharmacologic Pain Management Strategies in the Pediatric Emergency Department

  • Kim Anderson Khan, PsyD

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Kim Anderson Khan, PsyD, Jane B Pettit Pain and Palliative Care Center, 9000 W. Wisconsin Ave, PO Box 1997, MS 792, Milwaukee, WI 53201.
  • ,
  • Steven J. Weisman, MD

References 

  1. Drendel AM, Brousseau DC, Gorelick MH. Pain assessment for pediatric patients in the emergency department. Pediatrics. 2006;117:1511–1518
  2. Zempsky WT, Cravero JP American Academy of Pediatrics Committee on Pediatric Emergency Medicine, and Section on Anesthesiology and Pain Medicine. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics. 2004;114:1348–1356
  3. Chan L, Russell TJ, Robak N. Parental perception of the adequacy of pain control in their child after discharge from the emergency department. Pediatr Emerg Care. 1998;14:251–253
  4. Dahlquist LM, Gil KM, Armstrong FD, et al. Preparing children for medical examinations: the importance of previous medical experience. Health Psychol. 1986;5:249–259
  5. Frank NC, Blount RL, Smith AJ, et al. Parent and staff behavior, previous child medical experience, and maternal anxiety as they relate to child procedural distress and coping. J Pediatr Psychol. 1995;20:277–289
  6. Taddio A, Goldbach M, Ipp M, et al. Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet. 1995;345:291–292
  7. Weisman SJ, Bernstein B, Schechter NL. Consequences of inadequate analgesia during painful procedures in children. Arch Pediatr Adolesc Med. 1998;152:147–149
  8. Ruda MA, Ling QD, Hohmann AG, et al. Altered nociceptive neuronal circuits after neonatal peripheral inflammation. Science. 2000;289:628–631
  9. Selbst SM, Fein JA. Sedation and analgesia. In:  Fleisher GR,  Ludwig S,  Henretig FM, et al. editor. Textbook of pediatric emergency medicine. 5th ed.. Philadelphia (Pa): Lippincott Williams & Wilkins; 2006;p. 63–79
  10. McGrath PA. Psychological aspects of pain perception. Arch Oral Biol. 1994;39(suppl):55–62
  11. Committee on Psychosocial Aspects of Child and Family HealthTask Force on Pain in Infants, Children, and Adolescents . The assessment and management of acute pain in infants, children, and adolescents. Pediatrics. 2001;108:793–797
  12. Powers SW. Empirically supported treatments in pediatric psychology: procedure-related pain. J Pediatr Psychol. 1999;24:131–145
  13. Janicke DM, Finney JW. Empirically supported treatments in pediatric psychology: recurrent abdominal pain. J Pediatr Psychol. 1999;24:115–128
  14. Kendall PC. Treating anxiety disorders in children: results of a randomized clinical trial. J Consult Clin Psychol. 1994;62:100–110
  15. Callahan JM. Nonpharmacologic aids in pain management. In:  Dieckmann RA,  Fiser DH,  Selbst SM editor. Illustrated textbook of pediatric emergency and critical care procedures. St. Louis (Mo): Mosby-Year Book; 1997;p. 72–73
  16. Cardona L. Behavioral approaches to pain and anxiety in the pediatric patient. Child Adolesc Psychiatr Clin. 1994;3:449–464
  17. Suls J, Wan CK. Effects of sensory and procedural information on coping with stressful medical procedures and pain: a meta-analysis. J Consult Clin Psych. 1989;57:372–379
  18. Kain ZN, Mayes LC, Caldwell-Andrews AA, et al. Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics. 2006;118:651–658
  19. Kain ZN, Caldwell-Andrews AA, Mayes LC, et al. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial. Anesthesiology. 2007;106:65–74
  20. Benson H, Rosner BA, Marzetta BR, et al. Decreased blood pressure in borderline hypertensive subjects who practiced meditation. J Chronic Dis. 1974;27:163–169
  21. Walco GA, Varni JW, Ilowite NT. Cognitive-behavioral pain management in children with juvenile rheumatoid arthritis. Pediatrics. 1992;89:1075–1079
  22. Blount RL, Piira T, Cohen LL. Management of pediatric pain and distress due to medical procedures. In:  Roberts MC editors. Handbook of pediatric psychology. 3rd ed. New York (NY): Guilford Press; 2003;p. 216–233
  23. McGrath PA. Intervention and management. In:  Bush JP,  Harkins SW editor. Children in pain: clinical and research issues from a developmental perspective. New York (NY): Springer-Verlag; 1991;p. 83–115
  24. Sinha M, Christopher NC, Fenn R, et al. Evaluation of nonpharmacologic methods of pain and anxiety management for laceration repair in the pediatric emergency department. Pediatrics. 2006;117:1162–1168
  25. Menegazzi JJ, Paris PM, Kersteen CH, et al. A randomized, controlled trial of the use of music during laceration repair. Ann Emerg Med. 1991;20:348–350
  26. Fowler-Kerry S, Lander JR. Management of injection pain in children. Pain. 1987;30:169–175
  27. Blount RL, Bachanas PJ, Powers SW, et al. Training children to cope and parents to coach them during routine immunizations: effects on child, parent, and staff behaviors. Behav Ther. 1992;23:689–705
  28. Blount RL, Piira T, Cohen LL, et al. Pediatric procedural pain. Behav Modif. 2006;30:1–23
  29. Gil KM, Edens JL, Wilson JJ, et al. Coping strategies and laboratory pain in children with sickle cell disease. Ann Behav Med. 1997;19:22–29
  30. Gil KM, Anthony KK, Carson JW, et al. Daily coping practice predicts treatment effects in children with sickle cell disease. J Pediatr Psychol. 2001;26:163–173
  31. Coldwell SE, Kaakko T, Gaertner-Makihara AB, et al. Temporal information reduces children's pain reports during a multiple trial cold pressor procedure. Behav Ther 2002;33:45-63.
  32. Spiegel H, Spiegel D. Trance and treatment: clinical uses of hypnosis. 2nd ed. New York (NY): Basic Books; 2004;
  33. Frischholz EJ, Spiegel D. Hypnosis is not therapy. Bull Br Soc Exp Clin Hypn. 1983;6:3–8
  34. Zeltzer LK, Tsao JC, Stelling C, et al. A phase I study on the feasibility and acceptability of an acupuncture/hypnosis intervention for chronic pediatric pain. J Pain Symptom Manag. 2002;24:437–446
  35. Varni JW, Blount RL, Waldron SA, et al. Management of pain and distress. In:  Roberts MC editors. Handbook of pediatric psychology. 2nd ed. New York (NY): Guilford Press; 1995;p. 105–123
  36. Kuttner L. Management of young children's acute pain and anxiety during invasive medical procedures. Pediatrician. 1989;16:39–44
  37. Kuttner L, Bowman M, Teasdale M. Psychological treatment of distress, pain and anxiety for young children with cancer. J Dev Behav Pediatr. 1988;9:374–381
  38. Kuttner L. Managing pain in children. Changing treatment of headaches. Can Fam Physician. 1993;39:563–568
  39. Milling LS, Constantino CA. Clinical hypnosis with children: first steps toward empirical support. Int J Clin Exp Hyp. 2000;48:113–137
  40. Saadat H, Kain ZN. Hypnosis as a therapeutic tool in pediatrics. Pediatrics. 2007;120:179–181
  41. Kuttner L. A child in pain: how to help, what to do. Point Roberts (Wash): Hartly & Marks Publishers; 1996;
  42. Erikson EH. The life cycle completed. New York (NY): W. W. Norton; 1997;
  43. Schechter NL, Zeltzer LK. Pediatric pain: new directions from a developmental perspective. J Dev Behav Pediatr. 1999;20:209–210
  44. Terndrup TE, D' Agostino J. Pain control, analgesia, and sedation. In:  Barkin RM,  Caputo GL,  Jaffe DM, et al. editor. Pediatric emergency medicine: concepts and clinical practice. 2nd ed. St. Louis (Mo): Mosby-Year Book; 1997;p. 48–83
  45. Seidel JS, Henderson DP. Caring for children: approach to the pediatric patient in the emergency department. In:  Barkin RM,  Caputo GL,  Jaffe DM, et al. editor. Pediatric emergency medicine: concepts and clinical practice. 2nd ed. St. Louis (Mo): Mosby-Year Book; 1997;p. 1–7
  46. Horowitz L, Kassam-Adams N, Bergstein J. Mental health aspects of emergency medical services for children: summary of a consensus conference. Acad Emerg Med. 2001;8:1187–1196
  47. Goodenough B, Kampel L, Champion GD, et al. An investigation of the placebo effect and age-related factors in the report of needle pain from venipuncture in children. Pain. 1997;72:383–391
  48. Bauchner H, Vinci R, Waring C. Pediatric procedures: do parents want to watch?. Pediatrics. 1989;84:907–909
  49. Bauchner H, Waring C, Vinci R. Parental presence during procedures in an emergency room: results from 50 observations. Pediatrics. 1991;87:544–548
  50. Kain ZN, Mayes LC, Caramico LA, et al. Parental presence during induction of anesthesia: a randomized controlled trial. Anesthesiology. 1996;84:1060–1067
  51. Kain Z, Mayes L, Wang S, et al. Parental presence and a sedative premedicant for children undergoing surgery: a hierarchical study. Anesthesiology. 2000;92:939–946
  52. Blount RL, Cohen LL, Frank NC, et al. The Child-Adult Medical Procedure Interaction Scale—Revised: an assessment of validity. J Pediatr Psychol. 1997;22:73–88
  53. Chambers CT, Craig KD, Bennett SM. The impact of maternal behavior on children's pain experience: an experimental analysis. J Pediatr Psychol. 2002;27:293–301
  54. Cohen LL, Blount RL, Panopoulos G. Nurse coaching and cartoon distraction: an effective and practical intervention to reduce child, parent, and nurse distress during immunizations. J Pediatr Psychol. 1997;22:355–370
  55. Kain ZN, Caldwell-Andrews AA, Mayes LC. Parental presence during induction of anesthesia: physiological effects on parents. Anesthesiology. 2003;98:58–64
  56. Blount RL, Landolf-Fritsche B, Powers SW, et al. Differences between high and low coping children and between parent and staff behaviors during painful medical procedures. J Pediatr Psychol. 1991;16:795–809
  57. Jay SM, Ozolins M, Elliott CH, et al. Assessment of children's distress during painful medical procedures. Health Psychol. 1983;2:133–147
  58. Jacobsen PB, Manne SL, Gorfinkle K, et al. Analysis of child and parent behavior during painful medical procedures. Health Psychol. 1990;9:559–576
  59. Blount RL, Corbin SM, Sturges JW, et al. The relationship between adults' behavior and child coping and distress during BMA/LP procedures: a sequential analysis. Behav Ther. 1989;20:585–601
  60. Piira T, von Baeyer CL. Commentary: parents' role in helping children cope with painful procedures. Pediatr Pain Lett. 2001;5(2):13–15
  61. Caldwell-Andrews AA, Blount RL, Mayes LC, et al. Behavioral interaction in the perioperative environment: a new conceptual framework and the development of the perioperative Child-Adult Medical Procedure Interaction Scale. Anesthesiology. 2005;103:1130–1135
  62. Kain Z, Caldwell-Anderson A, Maranets I, et al. Predicting which child-parent pair will benefit from parental presence during induction of anesthesia: a decision-making approach. Anesth Analg. 2006;102:81–84

PII: S1522-8401(07)00061-4

doi: 10.1016/j.cpem.2007.08.008

Clinical Pediatric Emergency Medicine
Volume 8, Issue 4 , Pages 240-247 , December 2007