[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-638690-105":59,"doc-detail-638690-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","introduction-to-pediatric-pain-pediatric-pain-management","Introduction to Pediatric Pain - Pediatric Pain Management","","Introduction to Pediatric Pain provides a structured overview of pediatric pain management with key foundational concepts. It defines pain as a multidimensional, subjective sensory and emotional experience linked to tissue damage, then explains major qualitative terms such as allodynia, hyperesthesia, hypoesthesia, hyperalgesia, hypoalgesia, paresthesia, dysesthesia, and hyperpathia. The guide introduces pathophysiologic classification (nociceptive, neuropathic, functional) and details nociceptive somatic versus visceral mechanisms, including nociceptors, receptor types, and nociceptive versus non-nociceptive axon fiber characteristics.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/introduction-to-pediatric-pain-pediatric-pain-management/638690/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/introduction-to-pediatric-pain-pediatric-pain-management/638690.png","ImageObject",300,407,{"name":92,"@type":93},"cimolpedes","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How is pain defined in pediatric pain management materials?","Question",{"text":112,"@type":113},"Pain is described as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or expressed in terms of such damage. It is multidimensional and always subjective.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the pathophysiologic classification of pediatric pain?",{"text":117,"@type":113},"The material classifies pain into nociceptive, neuropathic, and functional categories. It also breaks nociceptive pain down into somatic and visceral types.",{"name":119,"@type":110,"acceptedAnswer":120},"What distinguishes somatic from visceral nociceptive pain?",{"text":121,"@type":113},"Somatic nociceptive pain arises from activation of nociceptors on tissue surfaces or deep tissues such as skin, mucosal surfaces, bone, joints, muscles, and connective tissue. Visceral nociceptive pain involves nociceptors in thoracic and abdominal viscera triggered by infection, distension, stretch, compression, or disruption.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},638690,1792695420,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":129,"read_time":144,"preview_page_count":4},962094243610,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Introduction to Pediatric Pain  \nPEDIATRIC PAIN MANAGEMENT  \nArdin S. Berger, D.O.  \nDepartment of Anesthesiology & Pain Management Version 1, revised 10/2/19  \nContents  \n▪ Definitions  \n▪ Classification › Pathophysiologic  \n• Nociceptive  \n• Neuropathic  \n• Functional › Duration  \n• Acute  \n• Chronic  \n▪ Evaluation  \n▪ Qualifiers  \n▪ Quantification  \n› Pain Scales  \n▪ Neonatal Pain  \nDefinitions  \n▪ Pain: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”  \n-The International Association for the Study of Pain (IASP)› Multidimensional in nature  \n› Always a subjective experience  \nDefinitions  \n▪ Allodynia  \n› Pain due to a stimulus that normally does not provoke pain  \n▪ Hyperesthesia  \n› Increased sensitivity to stimulation  \n▪ Hypoesthesia  \n› Decreased sensitivity to stimulation  \n▪ Hyperalgesia  \n› Increased pain response to a normally painful stimulus  \n▪ Hypoalgesia  \n› Diminished pain response to a normally painful stimulus  \n▪ Paresthesia  \n› Abnormal sensation to a stimulus that is normally not unpleasant such as tingling, pricking or numbness; spontaneous or evoked  \n▪ Dysesthesia  \n› Unpleasant sensation; spontaneous or evoked  \n▪ Hyperpathia  \n› Exaggerated response to repeated painful stimuli; often continues after the painful stimuli is discontinued and described as radiating  \nPathophysiological Classification  \n▪ Nociceptive › Somatic › Visceral  \n▪ Neuropathic  \n▪ Functional  \nNociceptive Pain  \n▪ Adaptive, transient pain in response to noxious stimuli  \n▪ Leads to activation of specific pain receptors,“nociceptors”› Respond to heat, cold, vibration, stretch, and chemical stimulation › Sensitive to noxious stimuli  \n▪ Divided into two groups based on pain location and nociceptor activation › Somatic Pain  \n› Visceral Pain  \nNociceptive Pain, Cont.  \n▪ Somatic Pain  \n› Activation of nociceptors located on tissue surfaces or deep tissues  \n• Skin, mucosal surfaces  \n• Bone, joint, muscle, connective tissue › Cuts, sprains secondary to tissue disruption › Muscle cramps due to poor oxygenation  \n▪ Visceral Pain  \n› Activation of nociceptors located on thoracic and abdominal viscera › Infection, distension (fluid, gas), stretch, compression, disruption (solid tumors)  \nNociceptors  \n▪ Key Mechanoreceptors  \n› Ruffini Ending,“bulbous corpuscle”  \n• Slow-adapting, tonic receptor that produces a train of action potentials proportional to the intensity of stimulus  \n• Sustained pressure › Meissner Corpuscle,“tactile corpuscle”  \n• Rapidly-acting, encapsulated, unmyelinated nerve endings; hairless skin regions  \n• Low-frequency vibrations (10-50Hz) and light, discriminatory touch  \n› Pacinian Corpuscle,“lamellar corpuscle”  \n• Rapidly-adapting receptors  \n• High-frequency vibration (250Hz)  \n• Transient, deep pressure › Merkel Disk  \n• Slow-acting, unencapsulated nerve endings  \n• Present in the basal epidermal layer  \n• Light, discriminative touch  \n▪ Key Thermoreceptors (cold)› Krause Endings,“bulboid corpuscles”  \n• Conjunctiva, lips, tongue, penis, clitoris Image by: Boundless Biology  \nNociceptive Axons  \n▪ Two primary nerve fibers types involved in nociception › A-delta: thinly myelinated  \n• 2-40 meters per second  \n• Primary neurotransmitter: glutamate  \n• Sharp, cold sensations › C-fibers: unmyelinated fibers  \n• \u003C2 meters per second  \n• Primary neurotransmitter: substance P  \n• Protopathic pain,“Second pain”  \n• Burning, warm sensations  \nNon-Nociceptive Axons  \n▪ Non-Nociceptive Nerve Fibers › A-alpha  \n• 80-120 meters per second  \n• Muscle spindle motor and skeletal muscle  \n• Largest, fastest sensory nerves  \n• Golgi and Ruffini receptors, muscle spindle afferents  \n• Muscle tension, length, velocity, proprioception › A-beta  \n• 40-50 meters per second  \n• Touch, pressure, vibration, flutter  \n• Pacinian corpuscles › A-gamma  \n• Motor fibers to muscle spindle › Beta  \n• Pre-ganglionic sympathetic","cbCaikXypGIU7xsJ","https://ap.wps.com/l/cbCaikXypGIU7xsJ","pdf",1481335,44,"English","# Definitions\n## Key pain terms\n# Pathophysiological classification\n## Nociceptive, neuropathic, functional\n# Nociceptive pain\n## Somatic pain\n## Visceral pain\n# Nociceptors and receptors\n## Mechanoreceptors\n## Thermoreceptors\n# Nerve fibers and axons\n## Nociceptive axons\n## Non-nociceptive axons","[{\"question\":\"How is pain defined in pediatric pain management materials?\",\"answer\":\"Pain is described as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or expressed in terms of such damage. It is multidimensional and always subjective.\"},{\"question\":\"What is the pathophysiologic classification of pediatric pain?\",\"answer\":\"The material classifies pain into nociceptive, neuropathic, and functional categories. It also breaks nociceptive pain down into somatic and visceral types.\"},{\"question\":\"What distinguishes somatic from visceral nociceptive pain?\",\"answer\":\"Somatic nociceptive pain arises from activation of nociceptors on tissue surfaces or deep tissues such as skin, mucosal surfaces, bone, joints, muscles, and connective tissue. Visceral nociceptive pain involves nociceptors in thoracic and abdominal viscera triggered by infection, distension, stretch, compression, or disruption.\"}]","Introduction to Pediatric Pain - Pediatric Pain Management | PDF",111]