Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures

Last modified by Paula Robeson on 2019/11/29 14:59

Common medical procedures to assess and treat patients can cause significant pain and distress. Clinicians should have a basic approach for minimizing pain and distress in children, particularly for frequently used diagnostic and therapeutic procedures.

This webinar will discuss the Canadian Paediatric Society position statement, Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures, co authored by Evelyne D. Trottier, Marie-Joëlle Doré-Bergeron, Laurel Chauvin-Kimoff, Krista Baerg, Samina Ali, Acute Care Committee, Hospital Paediatrics Section, Community Paediatrics Section, and Paediatric Emergency Medicine Section. This statement focuses on infants (beyond the neonatal period), children and youth who are undergoing common, minor but painful medical procedures. Simple, evidence-based strategies for managing pain and distress are reviewed, with guidance for integrating them into clinical practice as an essential part of health care. Health professionals are encouraged to use minimally invasive approaches, and when painful procedures are unavoidable, to combine simple pain and distress-minimizing strategies to improve the patient, parent, and health care provider experience. Health administrators are encouraged to create institutional policies; improve education and access to guidelines; create child- and youth-friendly environments; ensure the availability of appropriate staff, equipment, and pharmacological agents; and perform quality audits to ensure pain management is optimal.

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Evelyne D. Trottier, MD, FRCPC pédiatrie, urgence pédiatrique, is a Pediatric Emergency Physician at CHU Sainte-Justine, Montreal and a Clinical Assistant Professor at Université de Montréal. She trained in paediatrics and paediatric emergency medicine at CHU Sainte-Justine (Université de Montréal), and completed a fellowship in paediatric emergency medicine, in traumatology, at the Royal Children’s Hospital Melbourne, Australia. Her primary interests are procedural pain management and knowledge translation. She is working on different studies on pain and distress management and is working on multidisciplinary pain management teams at CHU Sainte-Justine in the ED (EAU: Équipe d’Analgésie à l’Urgence) and in the hospital (tout doux [for procedural pain management] https://www.chusj.org/fr/soins-services/D/Douleur/Confort, DrépaNoPain [for patients with sickle cell disease]). She is responsible for the development of clinical practice guidelines for the paediatric emergency department on the website http://www.urgencehsj.ca/protocoles/ and is a member of the CPS Acute Care Committee since 2016. She participated on the pain creation of procedural pain management toolkits project of Children's Healthcare Canada (formerly CAPHC) https://ken.childrenshealthcarecanada.ca/xwiki/bin/view/Paediatric+Pain/Acute+Procedural+Pain%3A+Paediatric+Recommendations+and+Implementation+Toolkits

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Dr. Samina Ali is a pediatric emergency physician at the Stollery Children’s Hospital (Edmonton) and a Professor of Pediatrics and Emergency Medicine at the University of Alberta. She completed her medical school at McGill University, General Pediatrics Residency at Memorial University, and Pediatric Emergency Training at McGill, as well. Dr. Ali is a national award-winning researcher, mentor, and educator. She is currently an executive member of Pediatric Emergency Research Canada (PERC), the founding co-chair of PERC’s Pain Interest Group, and the Western Canadian hub lead for Solutions for Kids in Pain (SKIP), a national knowledge mobilization network. Her nationally-funded research program concerns better pain management for children in the emergency department, with a focus on responsible prescribing of opioid analgesia and the management of medical procedure-related pain. Samina was aslo the Co-Chair for the Paediatric Pain Community of Practice (CoP), which developed the pediatric pain toolkits found on on the Children's Healthcare Canada website: https://ken.childrenshealthcarecanada.ca/xwiki/bin/view/Paediatric+Pain/ 

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Created by Paula Robeson on 2019/10/30 19:18