Pain Management in Pediatrics: What the IR has to Offer.

Autores de IIS La Fe

• Fernanda Maria Gomez Alcaide

  Autor

• Jose Joaquin Martinez Rodrigo

  Autor

• Maximiliano Lloret Larrea

  Autor

• Raúl García Marcos

  Autor

• 

  Luis Martí Bonmatí

  Autor

Grupos

• Investigacion Biomédica en Imagen (GIBI 2-30)

Abstract

Pediatric pain management presents unique challenges due to the intrinsic characteristics of children such as their developmental stages, communication barriers, and varying pain perceptions. Life-limiting conditions affecting children are a growing medical concern, requiring a comprehensive, multidisciplinary approach to improve quality of life or ensure a dignified end of life. Interventional radiology (IR) plays a critical role in this strategy, similar to its role in adult care. Not only life-limiting conditions pose a challenge in pediatric chronic pain management, but also other benign chronic diseases (e.g., cystic fibrosis, muscular dystrophy, neurodegenerative disorders, metabolic disorders). This review focuses on specific IR strategies for pediatric pain management, including ablation, embolization/chemoembolization, and nerve blocks. It emphasizes the importance of tailored approaches for pediatric patients, considering genetic disorders and oncological diseases, which may require a diverse range of IR treatments. The aim is to provide a summary of these interventional techniques and highlight the unique considerations necessary for effective pediatric pain management.

© 2024. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

Keywords

• Ablation; Child; Children; Interventional radiology; Pain