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Related Experiment Video

Updated: Jul 19, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

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Published on: January 27, 2010

Assessing postoperative pain in neonates: a multicenter observational study.

Bonnie J Taylor1, James M Robbins, Jeffrey I Gold

  • 1Department of Pediatrics, University of Arkansas for Medical Sciences College of Medicine and Arkansas Children's Hospital Research Institute, Little Rock, Arkansas 72202, USA.

Pediatrics
|October 4, 2006
PubMed
Summary

Postoperative pain management in neonates varied greatly across hospitals. Emphasizing physician pain assessment is crucial for improving pain control in newborns after surgery.

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Published on: July 4, 2018

Area of Science:

  • Neonatal care
  • Pediatric surgery
  • Pain management

Background:

  • Postoperative pain assessment and management in neonates is critical for optimal outcomes.
  • Current practices exhibit significant variability, necessitating targeted improvements.

Purpose of the Study:

  • To evaluate current practices in postoperative pain assessment and management for neonates.
  • To identify areas for enhancement in clinical practice for neonatal pain control.

Main Methods:

  • A multicenter observational study involving 250 neonates across 10 NICUs.
  • Data collected included demographics, surgical procedures, pain assessments, and interventions over 72 hours post-surgery.
  • Descriptive and logistic-regression analyses were performed.

Main Results:

  • Significant variability in pain assessment documentation and scales used across hospitals.
  • Physician pain assessment (documented in 9% of cases) was the sole significant predictor of analgesic use.
  • Opioid and benzodiazepine use was higher in major vs. minor surgery; a small percentage received no analgesia.

Conclusions:

  • Wide variation in neonatal postoperative pain assessment and management documentation exists.
  • Physician pain assessment requires greater emphasis.
  • Developing evidence-based guidelines and staff education are essential for improved neonatal pain control.