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Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Neurobiology of pain in children: an overview
Alberto Loizzo1, Stefano Loizzo, Anna Capasso
1Istituto Superiore di Sanita', Roma.
Insights
Assessing infant pain is challenging due to subjective experiences and persistent myths. This review explores theories on pain development in newborns and infants, crucial for effective pain management.
Area of Science:
- Pediatrics
- Pain Management
- Neonatology
Background:
- Pain assessment in newborns and infants is complex due to its subjective nature.
- Historically, myths about infant pain perception and management hindered adequate care.
- Misconceptions regarding pain quantification, treatment efficacy, and medication side effects persisted.
Purpose of the Study:
- To review and describe various theories on pain pathogenesis in pediatric populations.
- To address the challenges and historical myths surrounding infant pain evaluation.
- To provide a foundation for understanding pain mechanisms in neonates and infants.
Main Methods:
- Literature review of existing theories on pain pathogenesis in children.
- Analysis of historical perspectives and persistent myths in infant pain assessment.
- Synthesis of current understanding regarding pain perception in neonates and infants.
Main Results:
- Several myths regarding infant pain perception, assessment, and treatment have historically influenced clinical practice.
- Understanding pain pathogenesis is critical for accurate assessment and effective management.
- The subjective nature of pain necessitates robust theoretical frameworks for interpretation.
Conclusions:
- Overcoming myths and improving pain assessment are vital for infant well-being.
- A deeper understanding of pain pathogenesis in neonates and infants is essential for advancing clinical practice.
- This review highlights the need for evidence-based approaches to pediatric pain management.
Abstract:
The evaluation of pain in the newborn and the infant is difficult because pain is mainly a subjective phenomenon. Until a few years ago, several myths persisted. First, the myth that children, especially infants, do not feel pain the way adults do, therefore there is no untoward consequences for them. Second, lack of assessment and reassessment for the presence of pain. Third, misunderstanding of how to conceptualise and quantify a subjective experience. Fourth, lack of knowledge of pain treatment. Fifth, the notion that addressing pain in children takes too much time and effort, in ultimate analysis resulting in wasting time. Sixth, fears of hidden -and not easy to diagnose or prevent- adverse effects of analgesic medications, including respiratory depression and addiction. Finally, from a conceptual point of view, high thresholds of pain in neonates and infants were considered to be present by natural character, and useful in protecting infant from pain during birth and transit through the narrow vaginal channel.The present review is focused on the description of different theories on the pain pathogenesis in children.
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