Assessment and management of pain in neonates

B J Stevens1, L S Franck

  • 1The University of Toronto, Faculty of Nursing and Medicine, and The Hospital for Sick Children, Ontario, Canada. bonnie.stevens@utoronto.ca

Paediatric Drugs
|August 22, 2001
PubMed

Insights

Neonates can feel pain from birth. Healthcare professionals must manage infant pain, assessing its severity and duration to ensure effective treatment and prevent long-term effects.

Area of Science:

  • Neonatal care
  • Pediatric pain management
  • Infant neurobiology

Background:

  • Neonates possess the capacity to experience pain from birth.
  • Extensive neuroanatomical, neurochemical, and biobehavioral evidence supports this capability.
  • Untreated infant pain can lead to immediate and long-term adverse effects.

Purpose of the Study:

  • To highlight the mandate for healthcare professionals to manage infant pain.
  • To emphasize the importance of frequent pain assessment in neonates.
  • To identify the need for improved pain assessment tools for infants.

Main Methods:

  • Review of existing neuroscientific evidence on neonatal pain perception.
  • Analysis of current practices in infant pain assessment.
  • Identification of gaps in pain management strategies for neonates.

Main Results:

  • A robust body of evidence confirms neonatal pain capacity.
  • Current assessment tools are effective for acute pain but limited for chronic conditions.
  • Frequent pain assessment is crucial for evaluating intervention efficacy.

Conclusions:

  • Healthcare providers must prioritize pain prevention and management in neonates.
  • Existing measures effectively assess acute infant pain.
  • Development of new assessment tools for chronic and acute pain in neonates is necessary.

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