To the question of analgesia support of children in traumatologists’ outpatient practice

BACKGROUND: The problem of adequate anesthesia in children with injuries at the prehospital stage do exists due to the lack of a universal approach to the assessment of pain syndrome intensity as well as to age restrictions for a number of medical preparations , and to difficulties in communication with young children.

AIM: To improve the quality of specialized outpatient emergency medical care for children with traumatic injuries.

METHODS: The present survey was conducted for one month, and 113 orthopedic traumatologists from children's trauma centers and emergency traumatologic and orthopedics departments of medical organizations subordinated to the Moscow Healthcare Department participated in it. Each participant was offered a questionnaire having 24 thematic sections on analgesics application in their outpatient practice at various stages of prehospital care for children with mild and moderate traumatic injuries. At the same time, in a number of sections, several answers could be selected by a participant.

RESULTS: The obtained results demonstrated that there is no any unified systematic approach to the pain management after mild and moderate injuries in children. Analgesia techniques at the outpatient stage are paid not enough attention. Many doctors are ready to give a detailed consultation on how to relief pain at home, but in some cases, parents themselves decide on how to do it, though they do not have necessary knowledge.

CONCLUSION: To develop indications for anesthesia support requires the implementation of specialized pain assessment scales differentiated by age groups, development of methodological recommendations and standards for analgesics application at the prehospital stage with comprehensive information on existing forms and age-related features of effective and safe medical preparations of recent generations.