Understanding Chronic Post-Surgical Pain in Children: A Multidimensional Approach

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What a Pain

Konrad Jacobs and Glyn Williams

17 episodes

7 months ago

Glyn and Konrad have had the pleasure of working and collaborating with, being taught by and having access to the academic output of many talented and interesting individuals working within, and outside, the speciality. In the podcasts we want to have informal conversations with many varied and diverse individuals who have, and continue to, shape, develop and lead the field. We also hope to discuss chronic pain with patients and their parents, as well as clinicians working with them. We want them to help us explain the many different aspects that contribute to this complex presentation of pain that we all see. In addition we will see if we can get to know them a bit, what makes them tick and how their experiences have shaped them.

Glyn Williams - Consultant in Paediatric Anaesthesia and Pain Management; Clinical lead, pain management service, Great Ormond Street Hospital for Children NHS Foundation Trust

Konrad Jacobs - Consultant Clinical Psychologist; Lead, Oxford Centre for Children and Young People in Pain; Oxford University Hospitals

Follow Konrad on Twitter: @konradjacobs

Hosted on Acast. See acast.com/privacy for more information.

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Glyn and Konrad have had the pleasure of working and collaborating with, being taught by and having access to the academic output of many talented and interesting individuals working within, and outside, the speciality. In the podcasts we want to have informal conversations with many varied and diverse individuals who have, and continue to, shape, develop and lead the field. We also hope to discuss chronic pain with patients and their parents, as well as clinicians working with them. We want them to help us explain the many different aspects that contribute to this complex presentation of pain that we all see. In addition we will see if we can get to know them a bit, what makes them tick and how their experiences have shaped them.

Glyn Williams - Consultant in Paediatric Anaesthesia and Pain Management; Clinical lead, pain management service, Great Ormond Street Hospital for Children NHS Foundation Trust

Konrad Jacobs - Consultant Clinical Psychologist; Lead, Oxford Centre for Children and Young People in Pain; Oxford University Hospitals

Follow Konrad on Twitter: @konradjacobs

Hosted on Acast. See acast.com/privacy for more information.

Health & Fitness

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Understanding Chronic Post-Surgical Pain in Children: A Multidimensional Approach

What a Pain

48 minutes 58 seconds

1 year ago

Understanding Chronic Post-Surgical Pain in Children: A Multidimensional Approach

Understanding Chronic Post-Surgical Pain in Children: A Multidimensional Approach

Chronic pain after surgery is a significant issue that can profoundly impact the lives of children and their families. In this insightful episode of the "What a Pain" podcast, Dr. Fiona Campbell, an anesthesiologist and pain specialist from The Hospital for Sick Children in Toronto, shares her expertise on persistent post-surgical pain in pediatric patients.

Through engaging discussions, Dr. Campbell explores the prevalence and risk factors associated with chronic post-surgical pain, shedding light on the often-overlooked psychological aspects of this condition. She emphasizes the importance of recognizing chronic pain as a distinct diagnosis, reducing stigma, and promoting a holistic approach to pain management.

Key topics covered in this episode include:

The alarming prevalence of chronic post-surgical pain in children and the intriguing increase in prevalence over time after surgery.
Psychological risk factors, such as pre-existing anxiety and parental catastrophising, that can contribute to the development of persistent pain.
The role of validation, reframing negative pain experiences, and fostering resilience in mitigating chronic pain.
Strategies for prevention and early intervention, including preoperative psychological screening and multidisciplinary collaboration.
The use of analogies and metaphors to help children and families understand the complexities of chronic pain.
The future of post-surgical pain: will we ever be without it?

Whether you are a healthcare professional, a patient, or a family member navigating the challenges of chronic post-surgical pain, this podcast offers invaluable insights and practical strategies. Join Dr. Campbell as she delves into the multidimensional nature of this condition.

Articles mentioned by Professor Campbell:

Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, Cohen M, Evers S, Finnerup NB, First MB, Giamberardino MA, Kaasa S, Kosek E, Lavand'homme P, Nicholas M, Perrot S, Scholz J, Schug S, Smith BH, Svensson P, Vlaeyen JWS, Wang SJ. A classification of chronic pain for ICD-11. Pain. 2015 Jun;156(6):1003-1007.
Coakley R, Schechter N. Chronic pain is like… The clinical use of analogy and metaphor in the treatment of chronic pain in children. Pediatric Pain Letter 2013;15(1):1-8. www.childpain.org/ppl

Article discussed by Konrad:

Kitschen A, Wahidie D, Meyer D, Rau LM, Ruhe AK, Wager J, Zernikow B, Sauerland D. Cost-of-illness and Economic Evaluation of Interventions in Children and Adolescents With Chronic Pain: A Systematic Review. Clin J Pain. 2024 May 1;40(5):306-319.

Authors:

Dr Glyn Williams is a Consultant paediatric anaesthetist and lead for the pain management service at Great Ormond Street Hospital, London.

Dr Konrad Jacobs is a Consultant clinical psychologist and rehabilitation lead for the Oxford Centre for Children and Young People in Pain. Twitter: @konradjacobs

Contact

Please email Glyn and Konrad with comments and feedback: whatapainpodcast@gmail.com

Follow Konrad on twitter: @konradjacobs

Hosted on Acast. See acast.com/privacy for more information.