Resources in the "Pharmacologic Management" Category

Pain After Surgery in Children and Infants

Fact Sheet (3 pages) from International Association for the Study of Pain: 2017 Global Year Against Pain After Surgery. Available in several languages:

Prevention and Treatment of Opioid and Benzodiazepine Withdrawal – Guideline

“The purpose of this guideline is to ensure that patients who are at risk of developing withdrawal symptoms can be weaned off opioids and benzodiazepines in a timely fashion. It is appropriate that when discontinuing opioids and benzodiazepines, practitioners are cognizant of the potential as well as the clinical effects of withdrawal.” 14 pages with […]

Pain Management – Clinical Practice Guideline

“The purpose of this Clinical Practice Guideline (CPG) is to optimize the prevention, assessment and management of pain in children at SickKids. The document has been developed by an interdisciplinary group of stakeholders and has been circulated widely. The focus population for this CPG is all SickKids patients (inpatient, ambulatory and Emergency). Pain can be […]

Guidelines for Pain Assessment and Management for Neonates

Assessment and management of pain in the Neonatal Intensive Care Unit (7 pages with 9 references) Clinical practice recommendations with review of evidence.

Comfort Menu

A checklist or menu that parents and children can fill out to inform their health care providers of preferred options for pain management.

Topical Anesthetics

This document contains a list of the topical anesthetics available at Connecticut Children’s as well as instructions on their proper use.

Patient Controlled Analgesia (PCA)

Guidelines from Connecticut Children’s on the appropriate use and setting for PCA. Helps determine which children are appropriate candidates, and how to order and set up PCA pump. Includes recommended assessment and monitoring plan.

Connecticut Children’s Pain Ordering Guideline

Connecticut Children’s Hospital guidelines for pain treatment and pharmacological management. Clear examples of appropriate pain management orders and delivery as well as examples of unclear orders to avoid.

Analgesic Dosing Guide – CCMC

Drug and dose information for many common analgesics. Includes IV and oral doses, as well as differences for children who are 50 kg.

RxFiles: Pediatric Pain: Treatment Considerations, Q&As

Regularly updated information on pediatric analgesics and topical anesthetics, highly condensed into three pages including an extensive list of references. Brief sections on assessment and non-pharmacological interventions for procedural pain; dosage guidelines for analgesics and topical anesthetics; tips for specific acute pain situations. HONCode standard.