RT Journal Article
T1 Evaluation and treatment of pain in fetuses, neonates and children
A1 Mencía Bartolomé, Santiago
A1 Alonso, Clara
A1 Pallas Alonso, Carmen Rosa
A1 López-Herce Cid, Jesús
AB Este artículo, publicado en la revista Children, se centra en un tema de crucial importancia: la evaluación y el tratamiento del dolor en niños. La percepción del dolor es una experiencia subjetiva que puede variar significativamente a lo largo de la vida, y su manejo adecuado en la infancia es fundamental para el desarrollo físico y emocional del niño.
AB The perception of pain is individual and differs between children and adults. The structures required to feel pain are developed at 24 weeks of gestation. However, pain assessment is complicated, especially in neonates, infants and preschool-age children. Clinical scales adapted to age are the most used methods for assessing and monitoring the degree of pain in children. They evaluate several behavioral and/or physiological parameters related to pain. Some monitors detect the physiological changes that occur in association with painful stimuli, but they do not yet have a clear clinical use. Multimodal analgesia is recommended for pain treatment with non-pharmacological and pharmacological interventions. It is necessary to establish pharmacotherapeutic protocols for analgesia adjusted to the acute or chronic, type and intensity of pain, as well as age. The most used analgesics in children are paracetamol, ibuprofen, dipyrone, opioids (morphine and fentanyl) and local anesthetics. Patient-controlled analgesia is an adequate alternative for adolescent and older children in specific situations, such as after surgery. In patients with severe or persistent pain, it is very important to consult with specific pain services.
PB MDPI
SN 2227-9067
YR 2022
FD 2022
LK https://hdl.handle.net/20.500.14352/114406
UL https://hdl.handle.net/20.500.14352/114406
LA eng
NO Mencía S, Alonso C, Pallás-Alonso C, López-Herce J, Maternal And Child Health And Development Network Ii Samid Ii. Evaluation and Treatment of Pain in Fetuses, Neonates and Children. Children (Basel). 2022 Nov 3;9(11):1688. doi: 10.3390/children9111688. PMID: 36360416; PMCID: PMC9689143.
NO Fondos FEDER
NO European Commission
NO Ministerio de Ciencia e Innovación (España)
NO Instituto de Salud Carlos III (España)
DS Docta Complutense
RD 29 jun 2025