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Pain Scales in Neonates Receiving Mechanical Ventilation in Neonatal Intensive Care Units - Systematic Review

Hanna Popowicz1, Katarzyna Kwiecień-Jaguś2, Jolanta Olszewska1

  • 1Department of Obstetric and Gynaecological Nursing, Medical University of Gdansk, Gdansk, Poland.

Journal of Pain Research
|August 18, 2020
PubMed

Insights

Assessing pain in mechanically ventilated newborns is crucial. While no single scale is definitively superior, COMFORT and N-PASS show promise for general pain assessment and analgesia needs.

Area of Science:

  • Neonatal intensive care
  • Pain management
  • Mechanical ventilation

Background:

  • Increasing focus on pain prevention and monitoring across age groups.
  • Growing discussion on the necessity of analgesia for mechanically ventilated newborns.

Purpose of the Study:

  • To systematically review current research on pain scales for neonates on mechanical ventilation.
  • To analyze the effectiveness and credibility of various pain assessment tools in the Neonatal Intensive Care Unit (NICU).

Main Methods:

  • Systematic review of studies published between 2006-2019.
  • Searched Medline databases (PubMed, OVID, EBSCO, Web of Science, Cochrane Library) using relevant keywords.
  • Included 12 English-language articles with full access.

Main Results:

  • Varied opinions exist regarding the validity and reliability of different pain scales.
  • Healthcare professionals with practical experience expressed skepticism about the results derived from these scales.

Conclusions:

  • No single pain scale is definitively proven superior for all neonates on mechanical ventilation.
  • The COMFORT and N-PASS scales appear effective for pain assessment and guiding analgesic treatment in this population.
  • PIPP and CRIES scales are frequently recommended for acute and postoperative pain evaluation.
Abstract

Keywords:
NICUsnewbornpainscales

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