Navigation Links
Newborns in Intensive Care Often Exposed to Pain
Date:7/1/2008

May change pain processing in brain, affect development, researcher says

TUESDAY, July 1 (HealthDay News) -- Although tiny babies receiving intensive care must undergo numerous painful interventions, not enough is being done to reduce their discomfort, new research suggests.

Of the 42,413 painful procedures included in this study, only 2 percent of babies received pain medications, and just 18.2 percent received non-pharmacological pain therapy. That means about four out of five babies received no interventions to lessen their pain, according to the study, which was published in the July 2 issue of the Journal of the American Medical Association.

"We found that babies are exposed to a lot of painful and stressful procedures, mostly not treated with pain-relieving interventions," said study author Dr. Ricardo Carbajal, a professor of pediatrics and chief of the National Center of Resources to Fight Pain at Children's Hospital Armand Trousseau in Paris.

The authors explain that it's especially important to control pain in neonates -- babies from 1 to 4 weeks old -- because they're more sensitive to pain, and repeated or prolonged exposure may alter the way their brains process pain. It may also affect their long-term development and behavior, Carbajal added.

With funding from two nonprofit foundations -- Fondation CNP and Fondation de France -- Carbajal and his colleagues reviewed data from 430 neonates admitted to hospitals in the Paris area between September 2005 and January 2006.

The average gestational age of the babies was 33 weeks -- a full-term pregnancy is 40 weeks, so these infants were born almost two months early. The average intensive care unit stay was just over eight days, according to the study.

During that time, the 430 infants underwent more than 60,000 first-attempt procedures. Of these, 42,413 were painful, and 18,556 were stressful. The babies also underwent more than 11,000 supplemental attempt procedures, including 10,366 painful and 1,180 stressful procedures.

The average number of procedures was 141 per baby. The type of procedure varied from a heel stick to draw blood to having to insert a chest tube.

Carbajal said there are numerous factors why neonates aren't receiving enough pain relief. One is a concern about side effects from pharmacological interventions; another is unfamiliarity with pain relief management for newborns and a lack of standardized policies in this setting. He also said that pharmaceutical companies haven't developed analgesic products especially for neonates.

He recommended that procedures be done in combination whenever possible, and that minor procedures should be accompanied by non-pharmacological pain-reducing methods, such as providing oral sucrose or glucose and sucking. He said topical anesthetics can be used to reduce pain from needle punctures, though it's not sufficient for heel stick pain. For major procedures, he said, analgesia in combination in non-pharmacological therapy is needed.

Carbajal said this study's findings would likely be similar in other areas of the world where neonatal intensive care is available.

"For most neonates who undergo any sort of painful procedure, it would be worthwhile to have a combination of pharmacological and non-pharmacological interventions," said Dr. Santhanam Suresh, an anesthesiologist at Children's Memorial Hospital in Chicago.

Carbajal added that parents can act as advocates for optimal pain management for their babies by asking the health-care team to use approaches that "limit the intensity, frequency or duration of pain."

More information

To learn more about pain and pain relief for babies, read this information from the University of Michigan.



SOURCES: Ricardo Carbajal, M.D., Ph.D., professor, pediatrics, and chief, National Center of Resources to Fight Pain, Children's Hospital Armand Trousseau, Paris; Santhanam Suresh, M.D., attending staff anesthesiologist, Children's Memorial Hospital, director, research, co-director, pain management service, and associate professor, anesthesia and pediatrics, Feinberg School of Medicine, Northwestern University, Chicago; July 2, 2008, Journal of the American Medical Association


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Group B Strep: A Threat to Newborns That Doesnt Have to Be
2. Survival of newborns with abdominal holes differs according to hospital, Hopkins research shows
3. Elective Caesareans Raise Risk of Breathing Problems in Newborns
4. Wisconsin First State in Nation to Screen Newborns for Bubble Boy Disease
5. Better access to cool caps improves outcomes, lowers cost of treating asphyxia in newborns
6. Simple test accurately predicts risk of serious jaundice in newborns
7. Unintended Errors Leave Many Newborns Vulnerable
8. Three New States Join Efforts to Screen Newborns for Cystic Fibrosis
9. Incubators Affect Newborns Heart Rates
10. Group B Strep Down Among Newborns, Up Among Adults
11. Alabama Begins Mandatory Screening of Newborns for Cystic Fibrosis
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Newborns in Intensive Care Often Exposed to Pain 
(Date:10/13/2017)... NY (PRWEB) , ... October 13, 2017 , ... Ellevate ... people in business to advocate for action towards gender equality at their inaugural Summit ... from around the globe, and reached a social audience of over 3 million. To ...
(Date:10/13/2017)... , ... October 13, 2017 , ... ... and Agile Software Development, has been awarded a contract by the Center for ... Agreement (BPA) aims to accelerate the enterprise use of Agile methodologies in a ...
(Date:10/12/2017)... San Francisco, CA (PRWEB) , ... October 12, ... ... and Dr. Cheng, are now treating sleep apnea using cutting-edge Oventus ... sleep apnea, a serious sleep disorder characterized by frequent cessation in breathing. Oral ...
(Date:10/12/2017)... ... October 12, 2017 , ... The American College of Medical Informatics (ACMI) ... FACMI, during the Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s ... Morris F. Collen, a pioneer in the field of medical informatics, this prestigious award ...
(Date:10/12/2017)... Malvern, PA (PRWEB) , ... October 12, 2017 , ... ... is the recipient of a 2017 Folio Magazine Eddie Digital Award for ‘Best ... New York City on October 11, 2017. , The annual award competition recognizes editorial ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... , Oct. 11, 2017  Caris Life Sciences ® ... fulfilling the promise of precision medicine, today announced that ... Caris, Precision Oncology Alliance™ (POA) as its 17 th ... the St. Jude Crosson Cancer Institute will help develop ... use of tumor profiling, making cancer treatment more precise ...
(Date:10/10/2017)... Oct. 10, 2017  NDS received FDA 510(k) clearance in May ... battery-powered display stand specifically designed for endoscopy environments. An innovative secondary ... a clinical solution to support the improvement of patient outcomes, procedural ... ... ...
(Date:10/5/2017)... , Oct. 5, 2017  In response ... of Oral and Maxillofacial Surgeons (AAOMS) released prescribing ... – to be used as a first-line therapy ... Recognizing the ... AAOMS White Paper "Opioid Prescribing: Acute and Postoperative ...
Breaking Medicine Technology: