Desde fines de 2019 en la Sociedad Uruguaya de Pediatría está trabajando el Comité para el Abordaje Multimodal del Dolor Pediátrico. Participan en él personal de la salud de distintas especialidades que se enfrentan diariamente a niños, niñas y adolescentes que padecen situaciones dolorosas de diversa índole.

Nuestro objetivo es hacer que el dolor pediátrico sea visible y comprendido, y para ello es necesario progresar en su conocimiento permitiendo que esos niños, niñas y adolescentes tengan una voz que sea escuchada.

En tal sentido, hemos desarrollado una campaña que busca presentar información y ayudar a entender la temática. Mediante una serie de placas informativas que estaremos compartiendo en redes sociales buscamos que toda la población, incluidos los equipos de salud, conozcan una realidad que muchas veces no es visibilizada, y de esa forma, entre todos lograr un cambio.

La campaña se podrá seguir en las cuentas de redes sociales de la SUP y quien quiera se podrá sumar con comentarios o consultas. La etiqueta que se va a utilizar será #MenosDolor. ¡Los invitamos a participar!

Comité para el Abordaje Multimodal del Dolor Pediátrico

SUP, abril 2021

Bibliografía consultada para esta campaña:

– Leyva Carmona M, Torres Luna R, et. Al. Documento de posicionamiento del GEEDP de la Asociación Española sobre el registro de dolor como quinta constante. An Pediatr 2019; 91 (1): 58.e1-58.e7

– Krauss, B. S., Calligaris, L., Green, S. M., & Barbi, E. (2016). Current concepts in management of pain in children in the emergency department. The Lancet, 387(10013), 83–92

– Perquin, C. W., Hazebroek-Kampschreur, A. A. J.., Hunfeld, J. A. M., Bohnen, A. M., van Suijlekom-Smit, L. W. A., Passchier, J., & van der Wouden, J. C. (2000). Pain in children and adolescents: a common experience. Pain, 87(1), 51–58.

– Benini F, Corsini I, Castagno E. et.al. Consensus on pediatric pain in the emergency room: the COOPER project, issued by 17 Italian scientific societies. Italian Journal of Pediatrics (2020) 46:101

– Guideline statement of procedure-related pain in children and adolescents. J. Paediatr Child Health 2006; 42 (supl I): SI – 29

– Hamilton JG. Needle phobia; a neglected diagnosis. J Fam Pract 1995; 41: 169-75

– Taddio A., Thivakaran S., Jamal A., et.al. Survey of the prevalence of immunization non-compliance due to needle fears in children and adults. Vaccine 2012; 30 (32): 4807-4812

– Taddio A., Chambers CT., Halperin SA., et.al. Inadequate pain management during childhood immunizations: the nerve of it. Clin Ther 2009; 31 (Suppl 2): S 152-67

– Taylor EM, Campbell F. Pain in hospitalized children: A prospective cross-sectional survey of pain prevalence, intensity,

– assessment and management in a Canadian pediatric teaching hospital. Pain Res Manage Vol 13 No 1 January/February 2008

– LaFond C, Hanrahan K. Pain in the Pediatric Intensive Care Unit: How and What Are We Doing? Am J Crit Care (2019) 28 (4): 265–273.

– Leyva Carmona M, Torres Luna R, et. Al. Documento de posicionamiento del GEEDP de la Asociación Española sobre el registro de dolor como quinta constante. An Pediatr 2019; 91 (1): 58.e1-58.e7

– Friedrichsdorf S, Goubert L. Pediatric pain treatment and prevention for hospitalized children. PAIN reports 5 (2020): e804: 1-13

– Briggsl, E. V., Carrl, E. C. J., & Whittakerl, M. S. (2011). Survey of undergraduate pain curricula for healthcare professionals in the United Kingdom. European Journal of Pain, 15(8), 789–795.

– Mezei, L., & Murinson, B. B. (2011). Pain Education in North American Medical Schools. The Journal of Pain, 12(12), 1199–1208.

– Beth B. Murinson, Vitaly Gordin, Susie Flynn, Larry C. Driver, Rollin M. Gallagher, Martin Grabois, and the Medical Student Education Sub-committee of the American Academy of Pain Medicine. Recommendations for a new curriculum in pain medicine for

– medical students: Towards a career distinguished by competence and compassion. Pain Med. 2013 March ; 14(3): 345–350

– Pavlin D. Janet MD, Chen C., Penazola D., et.al. Pain as a factor complicating recovery and discharge after ambulatory surgery. Anesthesia & Analgesia. September 2002 (95) Issue 3: 627-634

– Zaragoza F, Landa I, et.al. Dolor postoperatorio en España: Primer Documento de Consenso. Julio 2005

– Fortier MA, Chou J, Maurer EL, Kain ZN. Acute to chronic postoperative pain in children: preliminary findings. J Pediatr Surg. September 2011; 46 (9): 1700-1705

– Page MG, Stinson J, Campbell F, et.al. Identification of pain-related psychological risk factors for the development and maintenance of pediatric chronic postsurgical pain. J Pain Res. 2013; (6): 167-180

– Rabbits JA, et.al. Trajectories of postsurgical pain in children: risk factors and impact of late pain recovery on long term health outcomes after major surgery. Pain 2015. 156 (1): 2383-9

– Zunino C.a, Notejane M.b , Bernadá M.c, Rodríguez L.d, Vanoli N.d, Rojas M.d, Benech L.d, Mimbacas I.d. Dolor en niños y adolescentes hospitalizados en un centro de referencia. Rev Chil de pediatr. 2018; 89(1): 67-73

– Moraes M., Zunino C., Duarte V., Bernada M., et.al. Evaluación de dolor en niños hospitalizados en servicios de salud públicos y privados de Uruguay. Arch Pediatr Urug 2016; 87 (3): 198-209

– Friedrichsdorf S., Postier A., Eull D., et.al. Pain outcomes in a US Children´s hospital: a prospective cross-sectional survey. Hospital Pediatrics 2015. 5(1): 18-26

– Friedrichsdorf S, Eull D, Weidner C. Children Are Actually Afraid of Needle Pokes. And their Parents too. Journal of the Things We already knew. 2016: (1): 1-518

– Taddio A, Ipp M, Thivakaran S, et. al. Survey of the prevalence of immunization non-compliance due to needle fears in children and adults. Vaccine 2012; 30(32): 4807-12

– Friedrichsdorf S, Eull D, Weidner Ch. A children´s comfort promise: how we can do everything possible to prevent and treat pain in children using quality improvement strategies? Pediatric Pain Letter 2016; 18 (3): 26-30

– Taddio A, Chambers CT, Halperin SA, et. al. Inadequate pain management during childhood immunizations: the nerve of it. Clin Ther 2009; 31 (Suppl 2): SI 52-67

– Taddio A, Appleton M, Bortolussi R, Chambers CT, et.al. Reducing the pain of childhood vaccination: an evidence -based clinical practice guideline. CMAJ: Canadian Medical Association journal 2010 Dec 14; 182 (18) E843-55

– Palermo TM, Wilson AC, et. Al. Behavioral and psychological factors associated with insomnia in adolescents with chronic pain. Pain 2011.Jan; 152 (1): 89-94

– Tegethoff M., et.al. Comorbidity of mental disorders and chronic pain: Chronology of onset in adolescents of a national representative cohort. J Pain, 2015. 16 (10): 1054-56

– Noel M., Groenewlad CB., Palermo T., et.al. Chronic pain in adolescence and internalizing mental health disorders: a nationally representative study. PAIN; June 2019. Vol 157 – Issue 6: 1333-38

– Eccleston C, Fisher E, Palermo T, Chambers C, et. al. Delivering transformative action in paediatric pain: A Lancet Child & Adolescent Health Commission. Lancet Child and Adoles Health 2021; 5: 47-87

– Carbajal R., Rousset A., Danan C., Coquery S., et.al. Epidemiology and treatment of painful procedures in neonates in intensive care units. The Journal of the American Medical Association 2008; 157, 1058-64

– Roofthooft DW, Simons SH, Anand KJ, et.al. Eight years later, are we still hurting newborn infants? Neonatology; 2014; 105 (3): 218-226

– Carbajal R., Eriksson M., Boyle E., et.al. Sedation and analgesia practice in neonatal intensive care units (EUROPAIN): results from a prospective cohort study. Lancet Respir Med 2015; 3: 796-812

– Kanwaljeet JS, Anand KJ, Eriksson M., et. al. Assessment of continuous pain in newborns admitted to NICU´s in 18 European countries. Acta Pediatrica 2017 Aug;106(8):1248-1259

– Walker SM, Long-term Effects of Neonatal Pain, Seminars in Fetal and Neonatal Medicine, https://doi.org/10.1016/j.siny.2019.04.005

– Ranger M, Chau CMY, Garg A, Woodward TS, Beg MF, et al. Neonatal Pain-Related Stress Predicts Cortical Thickness at Age 7 Years in Children Born Very Preterm. 2013;PLoS ONE 8(10): e76702.

– Valeri BO, Holsti L, Linhares MB. Neonatal pain and developmental outcomes in children born preterm: a systematic review. Clin J Pain. 2015 Apr;31(4):355-62.

– Cecil M Y Chau;, Manon Ranger; Mark Bichin; Min Tae M Park; Robert S C Amaral;, Mallar Chakravarty, Kenneth Poskitt , Anne R Synnes, Steven P Miller , Ruth E Grunau. Hippocampus, Amygdala, and Thalamus Volumes in Very Preterm Children at 8 Years: Neonatal Pain and Genetic Variation. 2019;Behav Neurosci.13:51

– Holsti L, Grunau RE, Oberlander TF, et.al. Specific newborn individualized developmental care ands assessment program. Movements are associated with acute pain in preterm infants in the NICU. Pediatrics 2004. July; 114 (1): 65-72

– Vinall J, Miller SP, et.al. Neonatal pain in relation to postnatal growth in infants born very preterm. Pain 2012; 153 (7): 1374-81

– Fauerbach, J. A. et al. Psychological distress after major burn injury. Psychosom. Med.2007; 69:473–482.

– Friedrichsdorf, S. J. & Postier, A. C. Recent advances in pain treatment for children with serious illness. Pain Manag.2019;(9): 583–596

– Griggs, C., Goverman, J., Bittner, E. A. & Levi, B. Sedation and Pain Management in Burn Patients. Clin. Plast. Surg.2017;(44): 535–540