Paediatric pain management practice and policies across Alberta emergency departments. Issue 4 (1st April 2014)

• Record Type: Journal Article
• Authors: Ali, Samina; Chambers, Andrea L; Johnson, David W; Craig, William R; Newton, Amanda S; Vandermeer, Ben; Curtis, Sarah J
• Is Part Of: Paediatrics & Child Health. Volume 19:Issue 4(2014)
• Page Start: 190
• Page End: 194
• Publication Date: 2014-04-01
• Subjects: Analgesia -- Emergency -- Pain -- Paediatrics -- Survey; Pediatrics -- Periodicals; Children -- Health and hygiene -- Periodicals; 618.92
• DOI: 10.1093/pch/19.4.190
• Languages: English
• ISSNs: 1205-7088

Abstract

Abstract: BACKGROUND: Many children requiring acute care receive suboptimal analgesia. OBJECTIVES: To describe paediatric pain management practices and policies in emergency departments (EDs) in Alberta. METHODS: A descriptive survey was distributed to each of the EDs in Alberta. RESULTS: A 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%]). CONCLUSIONS: Few 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.