Abstract
Procedural pain is an important aspect of care in pediatrics, and particularly in pediatric oncology where children often consider this to be the most painful experience during their illness. Best recommended practice to control procedural pain includes both sedative-analgesic administration and non-pharmacological treatments, practiced in an adequate and pleasant setting by skilled staff. A nationwide survey has been conducted among the Italian Centers of Pediatric Hematology-Oncology to register operators' awareness on procedural pain, state of the art procedural pain management, operators' opinions about pain control in their center, and possible barriers impeding sedation-analgesia administration. Based on indications in the literature, we discuss the results of the survey to highlight critical issues and suggest future directions for improvement. Future objectives will be to overcome differences depending on size, improve operators' beliefs about the complexity of pain experience, and promote a global approach to procedural pain.
Highlights
Pediatric patients often refer to invasive procedures as the most painful episodes they experienced during the course of their malig-It had been demonstrated that the beliefs of healthcare providers influence the number of interventions performed in order to control children's pain.[12]
In 2010, we developed a nationwide survey among centers belonging to the Italian
Benini F, Trapanotto M, Callegaro L, et al Sedation and analgesia for invasive diagnostic and therapeutic procedures: 13 years at the Pain Service of the Padua Pediatric Department
Summary
No significant differences were seen regarding bone marrow biopsy; this confirms that invasiveness influences the perceived painfulness of the procedure
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