SciELO - Scientific Electronic Library Online

 
vol.87 issue4Is there a lack of pediatricians in Uruguay?: Study of supply and demand of pediatricians in 2012-2025Consultation of children in need of palliative care to the Pereira Rossell Hospital Center’s, Pediatric Emergency Department 2014-2015 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Related links

Share


Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249

Abstract

NOTEJANE, Martín; LE PERA, Valeria  and  BERNADA, Mercedes. Knowledge related to pain management in children: Survey to postgraduate students and residents. Arch. Pediatr. Urug. [online]. 2016, vol.87, n.4, pp.323-331. ISSN 0004-0584.

Introduction: pain is a public health problem at all ages. Children are at particular risk of receiving insufficient treatment. A survey to resident doctors at Maciel Hospital showed that 75% of them did not know the analgesic ladder from the World Health Organization (WHO) and 67% did not prescribe morphine when indicated. Objective: to describe the level of knowledge of postgraduate and resident doctors who care for children, considering the WHO principles for pain treatment and their expressed analgesic prescription practice. Methodology: A descriptive, transversal and anonymous survey was performed. Results: 131 doctors answered the survey; 98% declared they treat children in pain, 43% do it frequently; 70% stated that they knew the WHO analgesic ladder; 76% correctly identified drugs belonging to the first step and 4% the ones of the second. Regarding morphine: 61% never prescribed it, the most frequent reason for not doing it was: 'it was not necessary': 49%; correctly reported not having a maximum dose: 48%; expressed correct interval dose: 44%; reported 2 adjuvant drugs: 28%; having read one article related to pain in the last 3 years: 39%. Conclusions: deficits in the following areas were found: lack of knowledge of drugs to treat severe pain; adjuvant drugs; morphine pharmacological and pharmacokinetic properties, more than half of the interviewees never prescribed morphine. Limited reading regarding this frequent health problem was found.

Keywords : PAIN MANAGEMENT; CHILD.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License