TY - JOUR
T1 - Prevention and management of procedural pain in the neonate
T2 - An update
AU - Watterberg, Kristi L.
AU - Cummings, James J.
AU - Benitz, William E.
AU - Eichenwald, Eric C.
AU - Poindexter, Brenda B.
AU - Stewart, Dan L.
AU - Aucott, Susan W.
AU - Goldsmith, Jay P.
AU - Puopolo, Karen M.
AU - Wang, Kasper S.
AU - Tobias, Joseph D.
AU - Agarwal, Rita
AU - Anderso, Corrie T.M.
AU - Hardy, Courtney A.
AU - Honkanen, Anita
AU - Rehman, Mohamed A.
AU - Bannister, Carolyn F.
N1 - Publisher Copyright:
Copyright © 2016 by the American Academy of Pediatrics.
PY - 2016/2
Y1 - 2016/2
N2 - The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also because repeated painful exposures have the potential for deleterious consequences. Neonates at greatest risk of neurodevelopmental impairment as a result of preterm birth (ie, the smallest and sickest) are also those most likely to be exposed to the greatest number of painful stimuli in the NICU. Although there are major gaps in knowledge regarding the most effective way to prevent and relieve pain in neonates, proven and safe therapies are currently underused for routine minor, yet painful procedures. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.
AB - The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also because repeated painful exposures have the potential for deleterious consequences. Neonates at greatest risk of neurodevelopmental impairment as a result of preterm birth (ie, the smallest and sickest) are also those most likely to be exposed to the greatest number of painful stimuli in the NICU. Although there are major gaps in knowledge regarding the most effective way to prevent and relieve pain in neonates, proven and safe therapies are currently underused for routine minor, yet painful procedures. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.
UR - http://www.scopus.com/inward/record.url?scp=84958719995&partnerID=8YFLogxK
U2 - 10.1542/peds.2015-4271
DO - 10.1542/peds.2015-4271
M3 - Review article
C2 - 26810788
AN - SCOPUS:84958719995
SN - 0031-4005
VL - 137
JO - Pediatrics
JF - Pediatrics
IS - 2
M1 - e20154271
ER -