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Pain perception in NICU: a pilot questionnaire.

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  • 1a Department of Paediatrics, Obstetrics and Reproductive Medicine , University of Siena , Siena , Italy.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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Summary

Neonatal pain management remains suboptimal despite international guidelines. Many caregivers recognize pain treatment importance, yet underuse analgesia and lack pain assessment tools in neonatal intensive care units (NICUs).

Keywords:
PainPremature Infant Pain Profileanalgesiaheel pricknewbornquestionnaire

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Area of Science:

  • Neonatal care
  • Pain management
  • Clinical research

Background:

  • Neonatal pain management has advanced, but under-treatment persists.
  • International guidelines exist, yet their implementation is inconsistent.
  • Optimizing pain management in neonatal intensive care units (NICUs) is crucial.

Purpose of the Study:

  • To assess current neonatal pain management and prevention practices.
  • To identify gaps in analgesia use and pain assessment in Italian NICUs.
  • To evaluate caregiver perspectives on neonatal pain treatment importance.

Main Methods:

  • A questionnaire was administered to 140 medical and paramedical personnel in five Italian NICUs.
  • The survey covered demographics, pain management strategies, and prevention methods.
  • Data on analgesia use for procedures like heel prick, venipuncture, and lumbar puncture were collected.

Main Results:

  • Non-pharmacological methods were used by 60-64% for heel prick/venipuncture; topical analgesia was less common (13-35%).
  • 30% of cases for heel prick/venipuncture received no analgesia.
  • Despite 65% rating pain treatment importance highly, 39% reported no pain scales were used in their departments.

Conclusions:

  • Pain management in the studied NICUs is not optimal, reflecting a global trend.
  • There is a need for increased focus on pain prevention, assessment, and treatment in neonates.
  • Further attention to implementing guidelines and utilizing pain assessment tools is required.