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Neonatal analgesic prescription practices in central India: A cross-sectional survey

Vrinda Agarwal1, Jaya Upadhyay2, Nency Sahu3

  • 1Junior Resident, Department of Neonatology, SS Hospital, NSCB Government Medical College, Jabalpur, MP, India.

Tropical Doctor
|October 8, 2024
PubMed

Insights

Neonatal pain management is suboptimal, with many physicians unaware of pain policies or assessment tools. Despite analgesic use, satisfaction remains low, highlighting a need for improved neonatal pain control strategies.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pharmacology
  • Clinical Practice Research

Background:

  • Effective pain management in neonatal intensive care units (NICUs) is crucial for infant well-being.
  • Current analgesic prescription practices in neonates require thorough assessment.
  • Understanding physician knowledge, attitudes, and practices is key to improving neonatal pain control.

Purpose of the Study:

  • To evaluate the current knowledge, attitudes, and practices of physicians regarding analgesic prescription in neonates.
  • To identify gaps in pain management policies and the use of assessment tools in NICUs.
  • To assess the satisfaction levels with existing pain management strategies in neonatal care.

Main Methods:

  • A descriptive survey utilizing a web-based questionnaire.
  • Data collected from 150 physicians in public and private neonatal intensive care units.
  • Assessment of awareness, policy implementation, tool utilization, and analgesic use.

Main Results:

  • 87% of physicians recognized neonatal pain perception, but only 57.3% had a pain management policy.
  • 66% were aware of pain assessment tools, yet none were utilized; 80% used analgesics with 44.3% satisfaction.
  • Fentanyl was widely used (86%), contrasting with low morphine use (5%) despite 55% opposing neonatal opioid use.

Conclusions:

  • Pain treatment in neonatal intensive care units is suboptimal.
  • There is a significant gap between awareness of pain assessment tools and their actual implementation.
  • Improved strategies and attention are needed to enhance neonatal pain management practices.

Keywords:
Analgesiaintensive carenewbornopioidpain

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