sábado, 5 de mayo de 2012

Dolor neuropático en niños


El dolor agudo y crónico continua siendo un serio problema de salud en la edad pediátrica. Hoy en día sabemos que los infantes perciben el dolor desde antes del nacimiento, en su breve edad de recien nacidos y durante toda su edad pediatrica hasta la adolescencia. Cuando el dolor no es tratado o su manejo es inapropiado se producen efectos deletéreos en estos pequeños pacientes.
Con este interesante artículo sobre dolor neuropático en niños iniciamos una revisión del tema de dolor en pediatría que esperamos sea de su interes.


Acute and chronic pain remains a serious health problem in childhood. We now know that infants perceive pain before birth, in his short age of newborns and throughout pediatric age through adolescence. When pain is not treated or is inappropriate handling deleterious effects occur in these small patients.
With this interesting article on neuropathic pain in children we will review the issue of pediatric pain. We hope the articles will be of your interest. 
Dolor neuropático en niños: consideraciones especiales 
Neuropathic pain in children: Special considerations.
Walco GA, Dworkin RH, Krane EJ, LeBel AA, Treede RD.
Department of Anesthesiology & Pain Medicine, Seattle Children's Hospital, WA 98105, USA. gawalco@u.washington.edu
Mayo Clin Proc. 2010 Mar;85(3 Suppl):S33-41.
Abstract
Neuropathic pain is relatively uncommon in children. Although some syndromes closely resemble those found in adults, the incidence and course of the condition can vary substantially in children, depending on developmental status and contextual factors. There are some neuropathic pain syndromes that are rare and relatively unique to the pediatric population. This article discusses the array of neuropathic pain conditions in children and available treatment strategies. Data are limited by small numbers and few randomized controlled trials. Research and clinical implications are discussed.
pdf/mayoclinproc_85_3_Suppl_004.pdf  
Atentamente
Dr. Enrique Hernández-Cortez
Anestesiología y Medicina del Dolor

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