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Spinal Pain
Anesthesia and Pain Medicine 2007;2(1):4-8.
Published online January 30, 2007.
Experience of the Pediatric Patients Consulted to Pain Center
Hyo Min Lee, Chul Joong Lee, Mi Geum Lee, Ji Yon Jo, Yun Suk Choi, Mae Hwa Kang, Yong Chul Kim, Sung Eun Sim, Sang Chul Lee
1Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.
2Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
3Department of Anesthesiology and Pain Medicine, Seoul Municipal Boramae Hospital, Seoul, Korea.
The aim of this study was to investigate the management of pediatric patients who were referred to the pain center. METHODS: The data was collected based on 32 pediatric patients referred to the pain center from March 2002 to August 2006. The number of patients each year, gender distribution, age, requested departments, clinical causes of consultation, and the pain management before and after the consultation were analyzed retrospectively. RESULTS: 32 pediatric patients (19 males and 13 females), aged 3- 17 years, were enrolled in this study. Fifty-six percent of patients were in adolescence. The major need for the consultation was cancer pain (50.0%), myofascial pain syndrome (10.0%) and central pain (10.0%). Before the consultation, 62.1% of the patients were managed by opioid-based medications of which 26.1% were managed by only partial agonists and 29.6% were managed by only PRN. At the pain center, opioid-based medication was also the main treatment. CONCLUSIONS: The number of pediatric patients referred to the pain center has increased. Under this condition, the pain physician should be concerned about pediatric pain patients and their management.
Key Words: consultation, pain center, pediatric pain
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