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Previous Volume 331:541-544 August 25, 1994 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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It has long been recognized that patients receive less relief from pain than they should^1,2. A recent review concluded that pain can be relieved effectively in 90 percent of patients but is not relieved effectively in 80 percent of patients³. The tendency toward undermedication for pain is even more pronounced in children than in adults⁴. There are large discrepancies between the amounts of postoperative analgesia ordered for and administered to adults and those ordered for and administered to children who have the same diagnoses and have undergone the same procedures^5,6.

Interest in pain control in children . . . [Full Text of this Article]

The Revisionist Justification

The Comparative Justification

The Pragmatic Justification

Conclusions

Address reprint requests to Dr. Walco at the Tomorrows Children's Institute, Hackensack Medical Center, 30 Prospect Ave., Hackensack, NJ 07601.

References

This article has been cited by other articles:

• Taylor, B. J., Robbins, J. M., Gold, J. I., Logsdon, T. R., Bird, T. M., Anand, K. J. S. (2006). Assessing Postoperative Pain in Neonates: A Multicenter Observational Study. Pediatrics 118: e992-e1000 [Abstract] [Full Text]  
• Armstrong, F. D. (2005). Analgesia for Children With Acute Abdominal Pain: A Cautious Move to Improved Pain Management. Pediatrics 116: 1018-1019 [Full Text]  
• Berde, C. B., Sethna, N. F. (2002). Analgesics for the Treatment of Pain in Children. NEJM 347: 1094-1103 [Full Text]  
• Committee on Psychosocial Aspects of Child and Fam, , Task Force on Pain in Infants, Children, and Adole, (2001). The Assessment and Management of Acute Pain in Infants, Children, and Adolescents. Pediatrics 108: 793-797 [Abstract] [Full Text]  
• NEWTON, C. W., MULNIX, N., BAER, L., BOVEE, T. (1999). Plain and Buffered Lidocaine for Neonatal Circumcision. Obstet Gynecol 93: 350-352 [Abstract] [Full Text]  
• Kennedy, R. M., Porter, F. L., Miller, J. P., Jaffe, D. M. (1998). Comparison of Fentanyl/Midazolam With Ketamine/Midazolam for Pediatric Orthopedic Emergencies. Pediatrics 102: 956-963 [Abstract] [Full Text]  
• Cohen Reis, E., Holubkov, R. (1997). Vapocoolant Spray Is Equally Effective as EMLA Cream in Reducing Immunization Pain in School-aged Children. Pediatrics 100: e5-e5 [Abstract] [Full Text]  
• Bowman, L. C. (1996). Cognitive Behavioral Pain and Anxiety Interventions in Pediatric Oncology Centers and Bone Marrow Transplant Units. Journal of Pediatric Oncology Nursing 13: 13-14