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. 2019 Oct;117(5):S180-S19.
doi: 10.5546/aap.2019.S180.

[Pain management in Neonatology]

[Article in Spanish]
Grupo de Trabajo de Dolor en Neonatología, Comité de Estudios Feto-Neonatales (CEFEN)
Collaborators, Affiliations
Free article

[Pain management in Neonatology]

[Article in Spanish]
Grupo de Trabajo de Dolor en Neonatología, Comité de Estudios Feto-Neonatales (CEFEN). Arch Argent Pediatr. 2019 Oct.
Free article

Abstract
in English, Spanish

The recognition of the existence of pain in infants hospitalized in the Neonatal Intensive Care Units makes it necessary to reach consensus on prevention, assessment and treatment strategies. Acute pain produces adverse changes in the short term and chronic pain alters the response systems to stress and impacts on neurodevelopment. The objective of this pain management agreement is to unify criteria of attention of these patients in different situations that generate pain and stress that they face during their hospitalization. There are validated scales to assess pain and guide appropriate strategies for its approach that include measures of comprehensive or nonpharmacological care and pharmacological care that we will review.

El reconocimiento de la existencia del dolor en los neonatos internados en las unidades de cuidados intensivos neonatales hace necesario consensuar estrategias de prevención, evaluación y tratamiento. El dolor agudo produce cambios adversos a corto plazo y el dolor crónico altera los sistemas de respuesta ante el estrés e impacta en el neurodesarrollo. El objetivo de este acuerdo de manejo de dolor es unificar criterios de atención de estos pacientes frente a las diferentes situaciones generadoras de dolor y estrés a las que se enfrentan durante la internación. Existen escalas validadas para evaluar el dolor y guiar las estrategias adecuadas para su abordaje, que incluyen medidas de cuidado integral o no farmacológicas y medidas farmacológicas, que revisaremos.

Keywords: analgesia; infant; newborn; pain; pain assessment.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Grunau RE, Haley DW, Whitfield MF, Weinberg J, et al. Altered basal cortisol levels at 3, 6, 8 and 18 months in preterm infants born at extremely low gestational age. J Pediatr. 2007; 150(2):151-6.\n
    1. Beggs S, Fitzgerald M. Development of peripheral and spinal nociceptive systems. In: Anand KJS, Stevens BJ, McGrath PJ, (eds.). Pain in Neonates and Infants: Pain Research and Clinical Management. 3rd ed. Toronto, Canada: Elsevier; 2007.Págs.11-24.
    1. Grunau RE, Holsti L, Haley DW, Oberlander T, et al. Neonatal procedural pain exposure predicts lower cortisol and behavior reactivity in preterm infants in the NICU. Pain. 2005; 113(3):293-300.
    1. Walker SM, Franck LS, Fitzgerald M, Myles J, et al. Longterm impact of neonatal intensive care and surgery on somatosensory perception in children born extremely preterm. Pain. 2009; 141:79-87.
    1. Dinerstein NA, Brundi M. El dolor en el Recién Nacido Prematuro. Rev Hosp Mat Inf Ramón Sardá. 1998; 17:146-54.

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