- Pediatric Pain Management Techniques
- Anesthesia and Pain Management
- Infant Development and Preterm Care
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Opioid Use
- Gastrointestinal motility and disorders
- Family and Patient Care in Intensive Care Units
- Infant Health and Development
- Musculoskeletal pain and rehabilitation
- Child Nutrition and Feeding Issues
- Hemoglobinopathies and Related Disorders
- Airway Management and Intubation Techniques
- Pain Management and Placebo Effect
- Pharmacological Effects and Toxicity Studies
- Psychosomatic Disorders and Their Treatments
- Dental Anxiety and Anesthesia Techniques
- Intramuscular injections and effects
- Pharmaceutical studies and practices
- Pain Mechanisms and Treatments
- Anesthesia and Sedative Agents
- Child and Adolescent Health
- Iron Metabolism and Disorders
- Gastroesophageal reflux and treatments
- Pediatric health and respiratory diseases
- Diet and metabolism studies
Boston Children's Hospital
2014-2024
Harvard University
2012-2024
Pain and Rehabilitation Medicine
2019
Boston Children's Museum
2014-2018
Center for Pain and the Brain
2014-2018
Boston University
2017
Christie's
2015
Simons Foundation
2015
Keele University
2015
University of Saskatchewan
2010
<h3>Objective</h3> To explore the effect of inadequate analgesia for painful procedures (bone marrow aspiration, lumbar puncture, or both) on pain subsequent procedures. <h3>Design</h3> A cohort patients with cancer who had participated in a placebo-controlled, randomized study that documented efficacy oral transmucosal fentanyl citrate rated associated performed open-label fentanyl. <h3>Participants</h3> Twenty-one children undergoing diagnostic been participants previous study....
A chart review was conducted of the records 90 children and adults, randomly selected matched for sex diagnosis, to investigate analgesic usage. Four diagnostic categories (hernias, appendectomies, burns, fractured femurs) at two hospitals were examined. Results revealed that adults received an average 2.2 doses narcotics per day, whereas 1.1 (P = .0001). Significant differences in dosing noted between categories. Diagnoses associated with a longer hospital stay showed greater discrepancy...
It has long been recognized that patients receive less relief from pain than they should1,2. A recent review concluded can be relieved effectively in 90 percent of but is not 80 patients3. The tendency toward undermedication for even more pronounced children adults4. There are large discrepancies between the amounts postoperative analgesia ordered and administered to adults those who have same diagnoses undergone procedures5,6.Interest control .
The ideal goal of pain management for pediatric procedures is to make the procedure comfortable child and his or her parents. Success will be manifested by who not afraid subsequent merely a can held still procedures. This often difficult achieve entirely, but at least an attempt it should considered as evidence adequate standard care. orientation this section developmental one, with specific recommendations five age categories: 0 6 months age, 2 years 5 12 ≥12 age. Initially, we discuss...
Sixty-five families were enlisted in a study exploring factors associated with distress behavior 5-year-old children receiving diphtheria-tetanus-pertussis immunizations. At home visit 1 month before the immunization, following measures obtained: (1) Behavioral Style Questionnaire, measure of temperament; (2) parental self-reports medically related attributes (eg, "good patient"); (3) attitudes toward pain and responsiveness to their child's pain; (4) prediction at upcoming immunization. The...
Moderate to severe chronic pain is a problem for 1.7 million children, costing $19.5 billion dollars annually in the United States alone. Risk-stratified care known improve outcomes adults with pain. However, no tool exists stratify youth who present complaints appropriate interventions. The Pediatric Pain Screening Tool (PPST) presented here assesses prognostic factors associated adverse among and defines risk groups inform efficient treatment decision making. Youth (n = 321, ages 8-18,...
Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder of unknown etiology. Although relatively common in children, how this condition affects brain structure and function pediatric population remains unclear. Here, we investigate changes adolescents with IBS healthy controls. Imaging was performed Siemens 3 Tesla Trio Tim MRI scanner equipped 32-channel head coil. A high-resolution T1-weighted anatomical scan acquired followed by T2-weighted scan. We used...
Physicians' attitudes toward pain in children were assessed an attempt to explain why adults are administered more analgesics than while the hospital. A survey was conducted of all pediatricians, family practitioners, and surgeons Hartford. Fifty-seven percent sample responded (112/195). Seventy-five felt that experienced adult-like by age 2. Thirty-eight physicians somewhat or significantly concerned about risk addiction when using narcotics their young patients. Pediatricians likely...
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