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A Preterm Rat Model for Pain Studies
Published on: February 9, 2024
Managing pain in newborns: A multidimensional approach
Marsha Campbell-Yeo Nnp-Bc1, Timothy Disher1, Souvik Mitra1
1Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario, Canada.
Insights
Effective infant pain management is crucial for newborn care. Untreated pain can lead to negative long-term outcomes, yet interventions remain underutilized, highlighting the need for better pain control strategies.
Area of Science:
- Neonatal care
- Pediatric pain management
- Neurodevelopmental outcomes
Background:
- Untreated infant pain has significant immediate and long-term adverse effects on physiological stability, pain processing, and neurodevelopment.
- Inadequate pain management during medical procedures is a major source of stress for parents of newborns.
- Effective infant pain management strategies are known but remain underutilized in clinical practice.
Purpose of the Study:
- To emphasize the critical need for effective pain prevention and management in newborns.
- To highlight the consequences of underutilized pain interventions in clinical settings.
- To advocate for the implementation of comprehensive pain management frameworks in healthcare facilities.
Main Methods:
- Review of existing literature on infant pain management.
- Analysis of the impact of untreated pain on infant development.
- Identification of barriers to the utilization of pain management interventions.
Main Results:
- Infant pain significantly impacts physiological and neurodevelopmental trajectories.
- Parental stress is high due to inadequate pain management during infant medical care.
- A gap exists between known effective pain management techniques and their clinical application.
Conclusions:
- Healthcare facilities must establish organization-wide pain management frameworks with dedicated resources.
- Comprehensive training, pain control strategies, and quality improvement measures are essential.
- Active parental engagement in shared decision-making is vital for optimal infant pain care.
Abstract:
Preventing and managing an infant's pain effectively is an essential component of newborn care. Experiencing untreated pain in early life has been associated with immediate negative effects and long-term adverse outcomes affecting physiological stability, pain processing and neurodevelopment. Inadequate pain management during medical procedures is consistently reported by parents as one of the most stressful aspects of having a baby. Despite known ways to effectively manage infant pain, these interventions remain underutilized in clinical practice. To ensure optimal outcomes, health care facilities should establish organization-wide pain management frameworks, with dedicated resources that include: comprehensive training for care providers, implementing pain prevention and control strategies, and quality improvement measures to minimize the number of painful procedures, assess and reassess pain appropriately, reduce procedural and surgery-related pain, and actively engage parents in shared decision-making and pain care.
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