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Updated: Aug 21, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
[Pain in newborns and children]
1Unità Operativa Terapia Intensiva Neonatale, Patologia Neonatale Az. Ospedaliera S. Camillo Forlanini, Roma.
Insights
Pain is a vital defense mechanism. Nurses in neonatal intensive care units (NICUs) use simple methods like massage and non-nutritive sucking to manage infant pain.
Area of Science:
- Pain management in neonatal intensive care units (NICUs).
- Pediatric pain assessment and control.
- Physiological and behavioral responses to pain in newborns.
Context:
- Pain is a critical defense mechanism indicating tissue damage.
- Pain control is a key indicator of quality pediatric care.
- Newborn infants exhibit distinct physiological and behavioral responses to pain.
Purpose:
- To highlight the importance of pain management in neonatal care.
- To outline methods for assessing pain in infants.
- To describe nursing interventions for alleviating acute pain in newborns.
Summary:
- Infants in the NICU react to pain through changes in vital signs, behavior, and autonomic responses.
- Pain assessment in children relies on history, behavioral observation, and vital signs.
- Nurses employ non-pharmacological interventions such as wrapping, non-nutritive sucking, massage, and tactile stimulation to manage infant pain.
Impact:
- Effective pain management improves the quality of care for newborns.
- Understanding infant pain responses aids in accurate assessment and timely intervention.
- Non-pharmacological methods offer a safe and effective approach to managing pain in vulnerable infants.
Abstract:
Pain is a mechanism of defense in response to damaged tissue in order to determine a response to remove the cause of damage. Attention to pain control is considered a quality index in the pediatric care newborn infants react to pain with changes in cardiac and respiratory rate, blood pressure, blood gas, grimace, palm sweating, crying, sleep/awake rythm. Measuring pain in child is based on: history of the child, changes in behaviour adn vital parameters. Being able to explain pain depends on cognitive and language ability of the child. The role of the nurse who attend the newborn infant in the neonatal intensive care unit is to help baby to cope with acute pain by means of simple manoeuvres like wrapping, non nutritive suction, massage, tactile stimulation.
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