Related Experiment Video
Updated: Aug 2, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Opioid analgesia for infants in the neonatal intensive care unit
1Neonatal Intensive Care Unit, Research Institute, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada. anna.taddio@sickkids.ca
Insights
Opioid analgesics are recommended for neonatal pain management, offering relief from pain and suffering. Careful administration and monitoring can minimize adverse effects in newborns.
Area of Science:
- Neonatal care
- Pain management
- Pharmacology
Background:
- Ethical imperative to alleviate pain and suffering in newborn infants.
- Opioids effectively blunt physiological pain responses and prevent consequences of unmanaged pain.
- Existing data support the use of opioid analgesics in neonates.
Purpose of the Study:
- To review the evidence supporting opioid analgesic use in neonates.
- To discuss the management of adverse effects associated with neonatal opioid exposure.
- To identify areas for future research in neonatal pain management.
Main Methods:
- Literature review of studies on opioid analgesics in neonatal pain.
- Analysis of data on efficacy and adverse effects.
- Discussion of administration techniques and monitoring strategies.
Main Results:
- Opioid analgesics are effective in managing neonatal pain.
- Adverse effects are possible but can be mitigated through proper administration and monitoring.
- Further research is required to optimize opioid use and understand long-term effects.
Conclusions:
- Clinical use of opioid analgesics is recommended for neonatal pain.
- Minimizing adverse effects requires careful drug administration and close patient observation.
- Long-term effects of neonatal opioid exposure necessitate further investigation.
Abstract:
There is an ethical obligation to relieve the pain and suffering in newborn infants. Opioids have been demonstrated to blunt the physiologic effects of pain and may prevent some of the clinical consequences of unmanaged pain. There are sufficient data to recommend the clinical use of opioid analgesics for the treatment of pain in the neonate. Neonates exposed to opioid analgesics can experience adverse effects. Adverse effects can be minimized by the use of various drug administration techniques and close monitoring. Further research is needed to determine how to optimize their effects. Data on the long-term effects of neonatal opioid exposure are warranted.
More Related Videos
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
06:46Implantation of Electroencephalogram and Electrocardiogram Telemetry Devices in Neonatal Rabbit Kits
Published on: February 28, 2025
Related Concept Videos
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Analgesia and Pain Management
Opioid Analgesics: Morphine and Other Natural Cogeners
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Parenteral Anesthetics: Overview
Drug Dosing: Infants and Children