Journal
CLINICS IN PERINATOLOGY
Volume 41, Issue 4, Pages 895-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2014.08.010
Keywords
Analgesia; Sedation; Pain; Stress; NICU; Infant-newborn
Categories
Funding
- NIGMS IDeA Program award [P30 GM110702]
- European Economic Commission - FP7 Programme
- Oxnard Foundation
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As a standard of care for preterm/term newborns effective pain management may improve their clinical and neurodevelopmental outcomes. Neonatal pain is assessed using context-specific, validated, and objective pain methods, despite the limitations of currently available tools. Therapeutic approaches reducing invasive procedures and using pharmacologic, behavioral, or environmental measures are used to manage neonatal pain. Nonpharmacologic approaches like kangaroo care, facilitated tucking, non-nutritive sucking, sucrose, and others can be used for procedural pain or adjunctive therapy. Local/topical anesthetics, opioids, NSAIDs/acetaminophen and other sedative/anesthetic agents can be incorporated into NICU protocols for managing moderate/severe pain or distress in all newborns.
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