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PEDIATRICS Vol. 118 No. 5 November 2006, pp. 2231-2241 (doi:10.1542/peds.2006-2277)
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POLICY STATEMENT |
Prevention and Management of Pain in the Neonate: An Update
American Academy of Pediatrics, Committee on Fetus and Newborn and Section on Surgery, Canadian Paediatric Society and Fetus and Newborn CommitteeThe prevention of pain in neonates should be the goal of all caregivers, because repeated painful exposures have the potential for deleterious consequences. Neonates at greatest risk of neurodevelopmental impairment as a result of preterm birth (ie, the smallest and sickest) are also those most likely to be exposed to the greatest number of painful stimuli in the NICU. Although there are major gaps in our knowledge regarding the most effective way to prevent and relieve pain in neonates, proven and safe therapies are currently underused for routine minor yet painful procedures. Every health care facility caring for neonates should implement an effective pain-prevention program, which includes strategies for routinely assessing pain, minimizing the number of painful procedures performed, effectively using pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and eliminating pain associated with surgery and other major procedures.
Key Words: pain • neonates
Abbreviations: IVH—intraventricular hemorrhage • PVL—periventricular leukomalacia • ROP—retinopathy of prematurity
The following policy statement has been revised:
- Prevention and Management of Pain and Stress in the Neonate
- Committee on Fetus and Newborn, Committee on Drugs, Section on Anesthesiology, Section on Surgery Canadian Paediatric Society, Fetus and Newborn Committee
Pediatrics 2000 105: 454-461.[Abstract] [Full Text] [PDF]
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