The purpose of this text is to provide not only the science and current knowledge of pediatric pain management but a rationale for intervention. The book is ground-breaking in that it provides pearls for the recognition and management of multiple childhood chronic pain syndromes. Also, uncommon yet confounding issues such as pain management for epidermolysis bullosa are adequately addressed. Concerns unique to pediatric patients are reviewed. While there are no firm standards in pediatric chronic pain, a care plan is offered to help guide practitioners when possible.
The book will consist of 24 chapters, many co-written by a physician and a psychologist. Chapter 1 covers the history of pediatric chronic pain, the advancement pediatric pain as a clinical subspecialty, development of pediatric pain clinics, and characterization of the common pain syndromes. Chapters 2-4 cover, respectively, the research on early pain exposure and neuroplasticity, theories on the common adolescent pain syndromes, and the demographics of chronic pain in children. Chapters 5-16 discuss approaches to assessment and intervention for specific pediatric and adolescent pain syndromes. Chapters 17-23 address interventional techniques such as therapeutic blocks, neurablation, implantable systems, physical therapy, complementary therapy, and pharmacology including opioid tolerance. The final chapter discusses the role of the nurse practitioner in pediatric chronic pain.
This book not only presents the science and current knowledge of pediatric pain management, it also offers a rationale for intervention. It details many pearls for the recognition and management of multiple childhood chronic pain syndromes.
1.The Epidemiology of Pediatric Chronic Pain
2. Research on Impact of Early Pain Exposure and Neuroplasticity
3. Theories on the Common Adolescent Pain Syndromes
4. Demographics of Chronic Pain in Children
5. Assessment Tools in Chronic Pain: Specificity and Validity
6. Psychological Assessment and Longitudinal Impact of Chronic Pain
7. Clinical Management of Musculoskeletal Pain Syndromes
8. Clinical Management of Functional Abdominal Pain
9. Chronic and Recurrent Pelvic Pain
10. Etiologies and Clinical Management of Headache
11. Sickle cell disease
12. Palliative Care: Throughout the Continuum
13. Cancer –related Pain in Childhood
14. Radiological Imaging in Pediatric Pain
15. Interventional Techniques in Pediatric Chronic Pain
16. Physical Therapy
17. Complementary Therapy in Children
18. Complementary Therapy in Children
19. Pharmacology of Pediatric Chronic Pain Management
20. Opioid Tolerance
21. Opioid tapers
22. The Role of the Nurse Practitioner in Pediatric Chronic Pain.
From the reviews:
“The first 11 chapters describe conditions of chronic pain in children, and further 12 chapters review ways of management. This is a book on topics not described in detail in textbooks, but encountered in the general praxis of general pediatricians and several specialties. Also of interest for pediatric psychologists and psychiatrists.” (Pediatric Endocrinology Reviews (PER), Vol. 10 (2), 2013)
“The audience includes pediatric anesthesiologists and any pediatric clinicians who are involved with pain management of children. It can serve as a reference for students, residents, and fellows. The book is exhaustive, offering a balanced and practical overview of pediatric management by academic, experienced faculty. The spectrum of coverage and relationship of pathophysiology to diagnosis and management are very impressive. … This is a well-written and very useful book for clinicians involved in pediatric pain management.” (Rajasekharan Warrier, Doody’s Book Reviews, August, 2012)
“The book lays the groundwork for understanding chronic conditions such as headache, functional abdominal pain, pelvic pain, and cancer-related pain. … most useful for readers in the pediatric primary care setting or for those interested in initiating pediatric pain management programs. … This thoughtfully written book provides useful insights for clinicians treating pediatric as well as adult patients with chronic pain syndromes. … an outstanding textbook that provides a foundation of knowledge for the assessment and management of chronic pain in the pediatric population.” (Devi E. Nampiaparampil, Journal of the American Medical Association, Vol. 306 (14), 2011)
Dr. Brenda C. McClain is the director of Pediatric Pain Management Services at Yale New Haven Children’s Hospital. She is a member of the International Association for the Study of Pain, the American Pain Society, and the American Board of Pain Medicine (ABPM). She is a national and international speaker on various topics within pediatric pain. Her current research is on the use of NMDA receptor antagonists in acute and chronic pediatric pain. She is a fellow of the American Academy of Pediatrics—Anesthesiology Section and is certified in pain management by the American Board of Anesthesiology and in pain medicine by the ABPM. Dr. Suresh is an Associate Professor of Anesthesiology and Pediatrics and is co-director of the Pain Program at Children’s Memorial Hospital of Chicago. Dr. Suresh is nationally renown for his expertise in regional anesthesia and has contributed to the popular NYSORA website on pediatric regional techniques. His current research is on neuroplasticity in relation to pediatric pain syndromes and their management.
Pediatric Chronic Pain Current Science and Integrative Practice Brenda McClain and Santhanam Suresh, editors
In contrast to the days when children were thought to experience less pain than adults, we now know that this is not the case and that prolonged exposure to pain may predispose children to chronic pain syndromes later in life. For these reasons, pain management has become an essential part of pediatric care. Pediatric Chronic Painreflects current advances in the field, offering the pediatric specialist a comprehensive evidence base for the understanding, accurate assessment, and developmentally appropriate treatment of pain in children, from neonates to adolescents. The work of respected physicians and psychologists, this practical guide provides definitive information on frequently encountered syndromes, assessment tools, a wide range of mainstream and complementary intervention strategies (with special attention to opioid tolerance and tapers), and palliative care. Its groundbreaking coverage:
- Reviews the epidemiology of chronic pain in children and the history of its management.
- Features in-depth discussion of pediatric musculoskeletal, abdominal, and pelvic pain syndromes, cancer, sickle cell anemia, and headaches.
- Includes a concise guide to radiological imaging and other assessment modalities
- Offers treatment rationales based on cutting-edge research.
- Examines the spectrum of interventive techniques, including therapeutic blocks, implantable systems, physical therapy, pharmacotherapy, and complementary methods.
- Clarifies the role of the nurse practitioner in managing chronic pain in children and adolescents
Pediatric Chronic Pain will be a trusted daily reference for child psychologists, psychiatrists, and neurologists; medical and health psychologists in pediatric/adolescent settings; pediatric surgeons; and pediatricians, especially those with subspecialty training in neurology, hematology-oncology, and rheumatology.
Science of chronic pain in children is balanced by practical care plans and algorithms
Rationales for treatment are guided by up-to-date reviews and exhaustive references
Highly comprehensive, including many “pearls” in the recognition and management of childhood chronic pain syndromes