ArticlePaediatrics & child health2014
Paediatric pain management practice and policies across Alberta emergency departments.
Article in Paediatrics & child health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Pain Management of Pediatric Musculoskeletal Injury in the Emergency Department: A Systematic Review.Pain research & management · 2016Pooled it
- Oral administration of morphine versus ibuprofen to manage postfracture pain in children: a randomized trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Trial
- Pain Evaluation in the Paediatric Emergency Department: Differences in Ratings by Patients, Parents and Nurses.International journal of environmental research and public health · 2022Observational
- Knowledge, attitude, and associated factors toward pediatric pain management among nurses at the University of Gondar Comprehensive Specialized Hospital: A cross-sectional study.SAGE open medicine · 2022Article
- An assessment of the psychometric properties of the Stoplight Pain Scale in a Canadian paediatric emergency department.Paediatrics & child health · 2021Article
- A randomized trial of iPad distraction to reduce children's pain and distress during intravenous cannulation in the paediatric emergency department.Paediatrics & child health · 2021Article
- Practice Patterns and Assessment of Needs for Pediatric Pain Management in Alberta Emergency Departments.Open access emergency medicine : OAEM · 2021Article
- Article
- Increased morphine requirements are predictive of acute compartment syndrome in adults with tibia fractures.International orthopaedics · 2020Article
- Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures.Paediatrics & child health · 2019Review
- Article
- Study protocol for a randomised controlled trial of humanoid robot-based distraction for venipuncture pain in children.BMJ open · 2018Article
- [Pain therapy for children and adolescents with hemophilia : Recommendations by an expert panel].Schmerz (Berlin, Germany) · 2018Review
- Procedural pain in children: a qualitative study of caregiver experiences and information needs.BMC pediatrics · 2018Article
- Physicians' use of pain scale and treatment procedures among children and youth in emergency primary care - a cross sectional study.BMC emergency medicine · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany children requiring acute care receive suboptimal analgesia.
objectivesTo describe paediatric pain management practices and policies in emergency departments (EDs) in Alberta.
methodsA descriptive survey was distributed to each of the EDs in Alberta.
resultsA response rate of 67% (72 of 108) was obtained. Seventy-one percent (42 of 59) of EDs reported the use of a pain tool, 29.3% (17 of 58) reported mandatory pain documentation and 16.7% (10 of 60) had nurse-initiated pain protocols. Topical anesthetics were reported to be used for intravenous line insertion by 70.4% of respondents (38 of 54) and for lumbar puncture (LP) by 30.8% (12 of 39). According to respondents, infiltrated anesthetic was used for LP by 69.2% (27 of 39) of respondents, and oral sucrose was used infrequently for urinary catheterization (one of 46 [2.2%]), intravenous line insertion (zero of 54 [0%]) and LP (one of 39 [2.6%]).
conclusionsFew Alberta EDs use policies and protocols to manage paediatric pain. Noninvasive methods to limit procedural pain are underutilized. Canadian paediatricians must advocate for improved analgesia to narrow this knowledge-to-practice gap.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.