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Interventional Procedures for Chronic Pain in Children and Adolescents: A Review of the Current Evidence
Authors:Ravi D Shah MD  Dario Cappiello MD  Santhanam Suresh MD
Institution:1. Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A;2. Department of Anesthesiology, Pain and Intensive Care Medicine, University School of Medicine Campus Bio‐Medico of Rome, Rome, Italy
Abstract:This review discusses the role of interventional procedures in the treatment of chronic pain in children and adolescents. Due to lack of scientific evidence, significant controversy surrounds the utility of invasive techniques for managing pediatric chronic pain states. Interventional procedures are a widely accepted modality for pain management in adults. The use of such techniques in children is supported only by case reports, case series, and very few randomized controlled studies. In addition, the potential for severe complications leaves open a debate on the safety of these invasive procedures, which must be confirmed by more extensive and accurate prospective studies.
Keywords:pediatric pain  nerve block  interventional pain procedures  evidence‐based medicine  review
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