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[Prevention and pain management in term and preterm infants]

Shaul Dollberg1, Orit Stolik-Dollberg

  • 1Department of Neonatology, Tel Aviv Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel.

Harefuah
|January 30, 2004
PubMed

Insights

Neonatal pain management is crucial, as inadequate analgesia during painful procedures can lead to lifelong adverse effects. Implementing pharmacological and non-pharmacological strategies, including for neonatal circumcision, is essential for infant well-being.

Area of Science:

  • Neonatalogy
  • Pediatric Pain Management
  • Medical Ethics

Context:

  • 6-10% of infants in neonatal intensive care units (NICUs) experience pain.
  • Repetitive painful procedures without adequate analgesia can cause long-term adverse consequences.
  • Neonatal circumcision is a common procedure often performed without sufficient pain relief.

Purpose:

  • To highlight the adverse effects of inadequate pain management in neonates.
  • To discuss pharmacological and non-pharmacological pain management strategies.
  • To advocate for the routine use of analgesia during neonatal circumcision.

Summary:

  • Pain in the neonatal period affects a significant percentage of infants requiring NICU care.
  • Opioid and non-opioid medications, alongside sensory environment modifications, are key to effective pain management.
  • Current practices often neglect analgesia for neonatal circumcision, which is considered unethical by major pediatric associations.

Impact:

  • Improved pain management can mitigate long-term negative health outcomes for neonates.
  • Implementing recommended analgesia strategies can enhance the quality of care in NICUs.
  • Promoting ethical pain management for procedures like circumcision is vital for infant welfare.

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