Pain, opioid tolerance and sensitisation to nociception in the neonate

Anna Taddio1, Joel Katz

  • 1Department of Population Health Sciences, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada. anna.taddio@sickkids.ca

Insights

Opioid analgesics manage newborn infant pain from procedures and conditions. Careful administration minimizes side effects, and untreated pain may cause lasting behavioral issues, suggesting opioids offer long-term benefits.

Area of Science:

  • Neonatal care
  • Pediatric pain management
  • Pharmacology

Background:

  • Pain is frequent in newborns.
  • Opioid analgesics are increasingly used for neonatal pain.
  • Opioid adverse effects include respiratory depression and hypotension.

Purpose of the Study:

  • To review the use of opioid analgesics in neonates.
  • To discuss minimizing adverse effects.
  • To explore the long-term implications of pain and analgesia.

Main Methods:

  • Literature review of studies on neonatal pain and opioid use.
  • Analysis of adverse effect mitigation strategies.
  • Examination of research on long-term pain behavioral outcomes.

Main Results:

  • Opioids effectively manage neonatal pain from various sources.
  • Specific administration techniques and monitoring reduce opioid risks.
  • Untreated pain can lead to persistent negative behavioral changes in infants.

Conclusions:

  • Opioid analgesics play a crucial role in managing neonatal pain.
  • Risk management is essential for safe opioid use in infants.
  • Addressing neonatal pain may prevent long-term behavioral consequences.

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