Basics pp 173-184 | Cite as

Acute Pain Service: Clinical Assessment and Standard of Care

  • Joëlle Desparmet
Part of the Anaesthesia, Intensive Care and Pain in Neonates and Children book series (AICPNC)


Acute pain has long been underestimated and undertreated in children and this is still true in some medical centres. The implementation of acute pain services in pediatric settings has lead to increased understanding and better management of pain in this group of patients. The role of an acute pain service (APS) is to assess pain, provide adequate and safe analgesia by monitoring the effects and treating the side effects of analgesic therapy, to provide information and education about pain, and to perform research in the field of pain and its management. An APS identifies patients at risk of complications, establishes monitoring and treatment guidelines and is available around the clock to intervene. Additionally an APS improves pain management by assessing and treating pain in a timely manner and by raising awareness of the need for adequate analgesia for all patients throughout the hospital. Pain should be considered as the fifth vital sign along with heart rate, respiratory rate, blood pressure and temperature. Pain relief is a basic human right and no one should be left to suffer.


Inguinal Hernia Repair Epidural Morphine Strabismus Surgery Adequate Analgesia Ureteral Reimplantation 
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Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Joëlle Desparmet
    • 1
  1. 1.Acute and Chronic Pain Service (Pediatric)Montreal Children’s HospitalMontrealCanada

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