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Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals

Danton Matheus de Souza1, Caroline Knoner Monteiro1, Lisabelle Mariano Rossato1

  • 1Universidade de São Paulo. São Paulo, São Paulo, Brazil.

Revista Brasileira De Enfermagem
|January 15, 2025
PubMed

Insights

Neonatal pain management in a Brazilian NICU showed significant underdocumentation, with few infants receiving reassessment after painful procedures. This highlights a gap in care that may hinder neonatal well-being and sustainable development goals.

Area of Science:

  • Neonatal care
  • Pain management
  • Public health

Background:

  • Effective pain management is crucial for infant well-being in Neonatal Intensive Care Units (NICUs).
  • Neonatal well-being is linked to broader Sustainable Development Goals (SDGs).

Purpose of the Study:

  • To assess pain management practices for infants in a Neonatal Intensive Care Unit (NICU).
  • To examine the connection between neonatal pain management and the Sustainable Development Goals, focusing on neonatal well-being.

Main Methods:

  • A retrospective, quantitative documentary study.
  • Analysis of 386 medical records of infants hospitalized for over 24 hours in a Brazilian NICU (2019-2021).
  • Data subjected to descriptive and inferential statistical analysis.

Main Results:

  • All infants experienced painful procedures, yet only 13.7% had documented pain.
  • Pharmacological (fentanyl, 25.9%) and non-pharmacological (breastfeeding encouragement, 86%) interventions were utilized.
  • Pain reassessment occurred in only 2.8% of cases.

Conclusions:

  • A devaluation of neonatal pain management was observed.
  • Inadequate pain management practices may impede neonatal well-being and progress toward sustainable development.
Abstract

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