Non-pharmacological therapies for pain management in paediatric intensive care units: a protocol for a scoping review

BMJ Open. 2024 Feb 12;14(2):e074952. doi: 10.1136/bmjopen-2023-074952.

Abstract

Introduction: In critically ill children, pain management is complex owing to cognitive development and the nature of hospitalisation in paediatric intensive therapy units. Although there are many protocols and guidelines for pain control via pharmacological interventions, non-pharmacological practices should also be explored and disseminated for their potential benefit.

Methods and analysis: A systematic literature search will be performed using the following databases: Academic Search Premier, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Excerpta Medica Database, Virtual Health Library, Medical Literature Analysis and Retrieval System Online, ScienceDirect, Scopus, Web of Science Core Collection, Theses from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Dart Europe, Open Access Theses and Dissertations and grey literature from Google Scholar. The research will consider quantitative and qualitative studies, mixed-method studies, systematic reviews, text articles, opinion articles, letters to editors and editorials in any language and from any database. The following will be eligible for inclusion: (1) newborns, infants, children and adolescents; and (2) non-pharmacological therapies used for pain in paediatric intensive care.

Ethics and dissemination: This study does not require ethical approval. The results of this research will be disseminated through social media channels and podcasts about pain in children.

Trial registration number: This protocol has been registered with the Open Science Framework (DOI 10.17605/OSF.IO/DZHKT).

Keywords: COMPLEMENTARY MEDICINE; PAIN MANAGEMENT; Paediatric anaesthesia; Paediatric intensive & critical care.

MeSH terms

  • Adolescent
  • Child
  • Hospitalization
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Pediatric*
  • Pain
  • Pain Management*
  • Qualitative Research
  • Research Design
  • Review Literature as Topic