When is pre-medication before painful interventions generally NOT warranted in pediatrics?

Pre-medication before painful interventions is generally not warranted in pediatrics when the situation does not involve significant discomfort or anxiety. Pre-medication is often reserved for interventions that are known to cause notable pain or distress.

In the context of routine vaccinations, these are typically considered minor and are often performed using techniques such as distraction or comfort measures rather than medication. Similarly, while minor surgical procedures and dental work can be uncomfortable, they are often managed effectively without the need for pre-medication.

The emphasis is on balancing the need for pain relief with the potential risks and benefits of medication in a pediatric population. Therefore, for routine vaccinations, there may be adequate alternatives to manage pain or anxiety that do not require pre-medication, making it unnecessary in these scenarios.