Pain in Children

  • Giovanni Cucchiaro

The systematic approach to management of acute and chronic pain in children is a relatively new concept [1]. One reason for the neglect of pain management in children in general, and in neonates in particular is that pain is quite difficult to assess, and even more challenging when its victims are very young or preverbal. Another reason is historical, as old anatomy studies proposed that the brain's key development finished within the first few years of life. At the time, this view led the medical community to believe that since the central nervous system of the neonate and child was not fully developed, and that neonates were not capable of perceiving pain. This often resulted in conducting invasive procedures without analgesic or anesthesia [1, 2, 3, 4].

Anatomical studies and experimental evidence published in the seventies and eighties confirmed that the neuronal pathways responsible for pain transmission are already present in neonates [5, 6], and that the cerebral cortex is also...


Chronic Pain Neuropathic Pain Trigeminal Neuralgia Complex Regional Pain Syndrome Chronic Abdominal Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Giovanni Cucchiaro
    • 1
  1. 1.Department of Anesthesia and Critical Care MedicineThe Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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