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2014 ; 41
(4
): 895-924
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Pain management in newborns
#MMPMID25459780
Hall RW
; Anand KJ
Clin Perinatol
2014[Dec]; 41
(4
): 895-924
PMID25459780
show ga
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.