Treatment of pain in the neonatal intensive care unit

作者: Bonnie Stevens , Sharyn Gibbins , Linda Sturla Franck

DOI: 10.1016/S0031-3955(05)70230-3

关键词:

摘要: In the past decade, interest in pain infants hospitalized neonatal ICU (NICU) has increased dramatically. This emerged from a rapidly expanding body of evidence that (1) supports infants' neuroanatomic, neurochemical, and functional ability to respond painful stimuli (2) emphasizes immediate long-term consequences pain. Infants' responses have provided basis for development comprehensive assessment measures can be used evaluating effectiveness pain-management strategies, yet optimal approach assessing remains elusive. elusiveness perpetuates inconsistency implementation pharmacologic, environmental, behavioral pain-reducing strategies. Ideally, health professionals would like eliminate through prevention procedures conditions; however, this strategy may not always possible settings which neonates are regularly exposed numerous stressful evaluate enhance their clinical status. Therefore, when or elimination is possible, more realistic goal aggressively intervene minimize its effects. requires early intervention anticipated before becomes intense. article reviews most recent research on treating NICU. Specifically, nature NICU, pharmacologic management environmental strategies discussed.

参考文章(104)
E. M. Blass, Milk-induced Hypoalgesia in Human Newborns Pediatrics. ,vol. 99, pp. 825- 829 ,(1997) , 10.1542/PEDS.99.6.825
Kristine Henderson, Navil F Sethna, Charles B Berde, Continuous caudal anesthesia for inguinal hernia repair in former pretern infants Journal of Clinical Anesthesia. ,vol. 5, pp. 129- 133 ,(1993) , 10.1016/0952-8180(93)90140-A
Rosemary Gates Campos, Soothing pain-elicited distress in infants with swaddling and pacifiers. Child Development. ,vol. 60, pp. 781- 792 ,(1989) , 10.1111/J.1467-8624.1989.TB03509.X
V. Shah, A. Taddio, A. Ohlsson, Randomised controlled trial of paracetamol for heel prick pain in neonates Archives of Disease in Childhood-fetal and Neonatal Edition. ,vol. 79, ,(1998) , 10.1136/FN.79.3.F209
Karen E. Corff, Linda Lutes, Ruth Seideman, Pankaja S. Venkataraman, Bernice Yates, Facilitated Tucking: A Nonpharmacologic Comfort Measure for Pain in Preterm Neonates Journal of Obstetric, Gynecologic, & Neonatal Nursing. ,vol. 24, pp. 143- 147 ,(1995) , 10.1111/J.1552-6909.1995.TB02456.X
L. A. Ramenghi, C. M. Wood, G. C. Griffith, M. I. Levene, Reduction of pain response in premature infants using intraoral sucrose. Archives of Disease in Childhood-fetal and Neonatal Edition. ,vol. 74, ,(1996) , 10.1136/FN.74.2.F126
Linda Sturla Franck, A National Survey of the Assessment and Treatment of Pain and Agitation in the Neonatal Intensive Care Unit Journal of Obstetric, Gynecologic & Neonatal Nursing. ,vol. 16, pp. 387- 393 ,(1987) , 10.1111/J.1552-6909.1987.TB01599.X
A. Taddio, A. Ohlsson, T. R. Einarson, B. Stevens, G. Koren, A Systematic Review of Lidocaine-Prilocaine Cream (EMLA) in the Treatment of Acute Pain in Neonates Pediatrics. ,vol. 101, ,(1998) , 10.1542/PEDS.101.2.E1
Richard J. Sperry, Peter L. Bailey, Mark V. Reichman, John C. Peterson, Peggy B. Petersen, Nathan L. Pace, Fentanyl and sufentanil increase intracranial pressure in head trauma patients. Anesthesiology. ,vol. 77, pp. 416- 420 ,(1992) , 10.1097/00000542-199209000-00002