Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review

Assessment and management of pain for pediatric patients receiving stem cell transplants can be challenging for a health care team. Diagnostic evaluation and interventions vary between institutions and individual provider practices. In this review, we investigate and describe approaches to pain mana...

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Main Authors: Avis Harden, Kimberly Kresta, Nelda Itzep
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/2/139
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author Avis Harden
Kimberly Kresta
Nelda Itzep
author_facet Avis Harden
Kimberly Kresta
Nelda Itzep
author_sort Avis Harden
collection DOAJ
description Assessment and management of pain for pediatric patients receiving stem cell transplants can be challenging for a health care team. Diagnostic evaluation and interventions vary between institutions and individual provider practices. In this review, we investigate and describe approaches to pain management for the most common sources of pain in pediatric patients undergoing stem cell transplants. Mucositis pain, abdominal pain, and hemorrhagic cystitis emerged as the most frequent sources of acute pain in children during conditioning and transplantation periods. Furthermore, psychosocial distress and psychological pain or distress constitute significant components of the total pain experienced by children undergoing stem cell transplantation. We will expand upon appropriate usage and escalation of opioids, as well as complementary interventions and timely initiation of interventions, in order to help control pain in these clinical syndromes.
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spelling doaj.art-cd39d1c3934d4afd85adf0b628c8d6a02023-11-23T19:18:04ZengMDPI AGChildren2227-90672022-01-019213910.3390/children9020139Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A ReviewAvis Harden0Kimberly Kresta1Nelda Itzep2Pediatric Hospice and Palliative Medicine, Department of Pediatrics, University of Texas at MD Anderson Cancer Center, Houston, TX 77030, USAPediatric Hospice and Palliative Medicine, Department of Pediatrics, University of Texas at MD Anderson Cancer Center, Houston, TX 77030, USAPediatric Hospice and Palliative Medicine, Department of Pediatrics, University of Texas at MD Anderson Cancer Center, Houston, TX 77030, USAAssessment and management of pain for pediatric patients receiving stem cell transplants can be challenging for a health care team. Diagnostic evaluation and interventions vary between institutions and individual provider practices. In this review, we investigate and describe approaches to pain management for the most common sources of pain in pediatric patients undergoing stem cell transplants. Mucositis pain, abdominal pain, and hemorrhagic cystitis emerged as the most frequent sources of acute pain in children during conditioning and transplantation periods. Furthermore, psychosocial distress and psychological pain or distress constitute significant components of the total pain experienced by children undergoing stem cell transplantation. We will expand upon appropriate usage and escalation of opioids, as well as complementary interventions and timely initiation of interventions, in order to help control pain in these clinical syndromes.https://www.mdpi.com/2227-9067/9/2/139painstem cell transplantpalliativemucositis
spellingShingle Avis Harden
Kimberly Kresta
Nelda Itzep
Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review
Children
pain
stem cell transplant
palliative
mucositis
title Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review
title_full Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review
title_fullStr Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review
title_full_unstemmed Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review
title_short Addressing Common Pain Syndromes in Pediatric Stem Cell Transplant: A Review
title_sort addressing common pain syndromes in pediatric stem cell transplant a review
topic pain
stem cell transplant
palliative
mucositis
url https://www.mdpi.com/2227-9067/9/2/139
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