 |
Safety profile
of morphine following surgery in neonates |
|
Breastfeeding
or breastmilk to alleviate procedural pain in neonates: a
systematic review |
|
Effects of Midazolam and Morphine on Cerebral Oxygenation and
Hemodynamics in Ventilated Premature Infants |
|
|
|
Cortical pain responses in the infant brain |
|
State of the science: procedural pain management in the neonate |
|
Another Breastfeeding Benefit: Pain Reliever for
Newborns |
|
Consistent management of repeated procedural pain with sucrose in
preterm neonates: Is it effective and safe for repeated use over
time? |
|
Study shows premature babies can feel pain |
|
Summary Proceedings From the Neonatal Pain-Control
Group |
|
Tetracaine
May Be Helpful for Analgesia in Neonates (requires Medscape
login) |
|
Fetal pain: a systematic multidisciplinary review of the evidence |
|
Pain reactivity in 2-month-old infants after prenatal and
postnatal serotonin reuptake inhibitor medication exposure |
|
The reliability and validity of the COMFORT scale as a
postoperative pain instrument in 0 to 3-year-old infants |
|
Morphine Does Not Provide Adequate Analgesia for Acute Procedural
Pain
Among Preterm Neonates |
|
Childhood Pain May Play Part In Chronic Adult Issues |
|
Oral hypertonic glucose spray: a practical alternative for
analgesia in the newborn |
|
Sedatives for opiate withdrawal in newborn infants |
|
Specific Newborn Individualized Developmental Care and Assessment
Program
 |
Movements
are associated with acute pain in preterm infants in the neonatal
intensive care unit |
|
|
NPAS - Neonatal
Pain, Agitation, and Sedation Scale
|
The
N-PASS is a valid and reliable clinical pain/agitation and
sedation tool for neonates. Nurses find the N-PASS easy and quick
to use clinically, facilitating documentation and management of
pain and sedation. |
|
|
Parental concern and distress about infant pain
|
Conclusions: Parents have unmet information needs about infant
pain and wish greater involvement in their infant’s pain care.
Parent concerns about infant pain may contribute to parental
stress. |
|
|
Prevention and management of pain and stress in the neonate
|
|
Consensus
Statement on Neonatal Pain |
|
Neonatal
Pain: The Evolution of an Idea |
|
Randomized
trial of analgesic effects of sucrose, glucose, and pacifiers in
term neonates
|
Both
sucrose solution and the sucking reflex act to relieve pain in
newborns. |
|
|
EMLA
Cream for Circumcision |
|
Effect
of neonatal circumcision on pain responses during vaccination in
boys |
|
Bladder
Retention of Urine as a Result of Continuous Intravenous Infusion of
Fentanyl: 2 Case Reports |
|
A Pictorial and Video Guide to Circumcision Without Pain
|
This is a superbly presented, thorough discussion
of the topic. You may need to login on
Medscape
and search for ID #: 453637 |
|
Their suggestion: "Using a multimodal approach to
pain prevention during a newborn circumcision might lead to the
following approach. The infant is premedicated with a 10- to
15-mg/kg dose of acetaminophen by mouth at least 30 minutes before
the procedure. He is placed on a padded circumcision chair with
his legs restrained in a comfortable, semiflexed position. His
arms are secured with a swaddled blanket technique and placed in a
flexed position with his hands placed near his face to allow for
self-comforting measures. He is under a radiant warmer so his
temperature is consistent and comfortable. His eyes are shielded
from any bright light. A pacifier along with some 25% sucrose
water is provided. His penis and groin are prepped with a warmed
anti-septic solution, and 0.5% or 1% lidocaine is administered
slowly in an SQRB (Fig 9). The circumcision is performed with a
Mogen clamp. When the circumcision is complete, the infant is
given to his parents, who will comfort and cuddle him, and he
receives additional oral doses of acetaminophen every 6 to 8
hours, for 24 hours." |
|
|
Oral Glucose
is Better than EMLA |
|
Age- and therapy-related effects on morphine requirements and
plasma concentrations of morphine and its metabolites in
postoperative infants |
|
Repeated neonatal pain influences maternal behavior, but not
stress responsiveness in rat offspring
|
These results suggest that repeated pain during the
first 2 weeks of life in the rat does not lead to significant
changes in stress responsiveness in 2-week-old pups, but we
suggest that changes in mother-pup interaction (increased
grooming) might act as a buffer on the cumulative effect of pain
on stress responsiveness. |
|
|
Crying of a newborn child: alarm signal or protocommunication?
Percept Mot Skills 2002 Dec;95:752-4 |
|
In praise of the epidural space for analgesia in neonates
Paediatr Anaesth 2002 Nov;12(9):836-7 |
|
Effect of postpartum anxiety on the colostral milk
beta-endorphin concentrations of breastfeeding mothers
|
These data indicate that the labour pain and the
vaginal delivery process play a central role in increasing
colostral opioid availability for the breastfed neonate;
peripartal maternal anxiety is a negative psychobiological
determinant in opioid galactopoiesis, and possibly in the
postnatal development of several related biological functions of
growing infants. |
|
|
Major Surgery Within the First 3 Months of Life and Subsequent
Biobehavioral Pain Responses to Immunization at Later Age: A Case
Comparison Study
|
Conclusions. Major surgery in combination with preemptive
analgesia within the first months of life does not alter pain
response to subsequent pain exposure in childhood. Greater
exposure to early hospitalization influences the pain responses
after prolonged time. These responses, however, diminish after a
prolonged period of nonexposure. |
|
|
Prevention and management of pain and stress in the neonate -
National Guideline Review |
|
Prevention and management of pain and stress in the neonate
- AAP Policy (pdf) |
|
Consensus
Statement on Neonatal Pain - International Evidence-Based
Group for Neonatal Pain (pdf) |
|
Low-dose Morphine Does
Not Cause Neurological Injury in Preterm Infants (pdf) |
|
Breastfeeding Is Analgesic in Healthy Newborns (pdf) |
|
Neonatal
Pain: The Evolution of an Idea |
|
Randomized
trial of analgesic effects of sucrose, glucose, and pacifiers in
term neonates
|
Both
sucrose solution and the sucking reflex act to relieve pain in
newborns. |
|
|
EMLA
Cream for Circumcision |
|
Effect
of neonatal circumcision on pain responses during vaccination in
boys |
|
Neonatal
Pain Management (an early review) |
|
Bladder
Retention of Urine as a Result of Continuous Intravenous Infusion of
Fentanyl: 2 Case Reports |
