A Guide to Pain Assessment and Management in the Neonate

被引:4
|
作者
Witt, Norina [1 ]
Coynor, Seth [1 ]
Edwards, Christopher [2 ,3 ]
Bradshaw, Hans [2 ]
机构
[1] Univ Arizona, Dept Pediat, PO Box 245073, Tucson, AZ 85724 USA
[2] Univ Arizona, Dept Pediat & Emergency Med, Box 245057, Tucson, AZ 85724 USA
[3] Univ Arizona, Coll Pharm, Banner Univ Med Ctr, Dept Pharm Serv, PO Box 210202, Tucson, AZ USA
来源
关键词
Neonatal; Pain management; Glucose and sucrose; Breastfeeding; Topical and local anesthetics; Acetaminophen; Morphine; Fentanyl; Ketamine;
D O I
10.1007/s40138-016-0089-y
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Newborn infants experience acute pain with various medical procedures. Evidence demonstrates that controlling pain in the newborn period is beneficial, improving physiologic, behavioral, and hormonal outcomes. Multiple validated scoring systems exist to assess pain in a neonate; however, there is no standardized or universal approach for pain management. Healthcare facilities should establish a neonatal pain control program. The first step is to minimize the total number of painful iatrogenic events when possible. If a procedure cannot be avoided, a tiered approach to manage pain using environmental, non-pharmacologic, and pharmacologic modalities is recommended. This systematic approach should decrease acute neonatal pain, poor outcomes, and provider and parent dissatisfaction.
引用
收藏
页码:1 / 10
页数:10
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