Literature DB >> 32933620

[Expert consensus on neonatal pain assessment and analgesia management (2020 edition)].

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Abstract

Compared with adults, neonates tend to have stronger and more persistent biological perception of pain. They may have the memory for pain and the negative effects caused by pain may exist for a long time. Therefore, standardized pain management can reduce or prevent the adverse effect of pain on body and mind and promote the rehabilitation process. In order to further deepen the understanding of pain management and standardize the analgesic measures for neonates, the Neonatologist Branch of Chinese Medical Association and Editorial Board of Chinese Journal of Contemporary Pediatrics have developed an expert consensus based on the clinical evidence in China and overseas and with reference to clinical experience from the following aspects: evaluation of neonatal pain and methods and techniques of pain management. It is recommended to adopt a step-by-step analgesic management for neonates. For mild pain stimulation, it is effective to relieve the pain by gentle touch and non-nutritive sucking combined with sucrose feeding. For moderate pain, selection of appropriate trocar needle and skilled puncture are important to reduce the pain, and in addition, the application of local anesthetics at the site of puncture also has a good effect. For severe pain, intravenous sedative drugs are often required, but no consistent evidence has been obtained so far.

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Mesh:

Year:  2020        PMID: 32933620      PMCID: PMC7499443     

Source DB:  PubMed          Journal:  Zhongguo Dang Dai Er Ke Za Zhi        ISSN: 1008-8830


  38 in total

1.  GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology.

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2.  Comparison of the analgesic effect of oral sucrose and/or music in preterm neonates: A double-blind randomized clinical trial.

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3.  Using non-nutritive sucking and oral glucose solution with neonates to relieve pain: a randomised controlled trial.

Authors:  Mei-Fang Liu; Kuan-Chia Lin; Yi-Hung Chou; Tzu-Ying Lee
Journal:  J Clin Nurs       Date:  2010-04-07       Impact factor: 3.036

4.  Gabapentin for pain, movement disorders, and irritability in neonates and infants.

Authors:  Jennifer C Burnsed; Kristen Heinan; Lisa Letzkus; Santina Zanelli
Journal:  Dev Med Child Neurol       Date:  2019-07-25       Impact factor: 5.449

5.  Sucrose analgesia: identifying potentially better practices.

Authors:  Linda Lefrak; Kelly Burch; Rheta Caravantes; Kim Knoerlein; Nancy DeNolf; Jill Duncan; Frances Hampton; Celeste Johnston; Debbie Lockey; Cassandra Martin-Walters; Debra McLendon; Melinda Porter; Cliff Richardson; Cathy Robinson; Krystyna Toczylowski
Journal:  Pediatrics       Date:  2006-11       Impact factor: 7.124

6.  Effect of repeated doses of sucrose during heel stick procedure in preterm neonates.

Authors:  C C Johnston; R Stremler; L Horton; A Friedman
Journal:  Biol Neonate       Date:  1999-03

7.  Effects of fentanyl for pain control and neuroprotection in very preterm newborns on mechanical ventilation.

Authors:  Jie Qiu; Li Zhao; Yang Yang; Jing-Han Zhang; Yun Feng; Rui Cheng
Journal:  J Matern Fetal Neonatal Med       Date:  2018-05-15

8.  The effectiveness of music on pain among preterm infants in the neonatal intensive care unit: a systematic review.

Authors:  Tarja Pölkki; Anne Korhonen
Journal:  JBI Libr Syst Rev       Date:  2012

Review 9.  The influence of pain, agitation, and their management on the immature brain.

Authors:  Christopher McPherson; Steven P Miller; Mohamed El-Dib; An N Massaro; Terrie E Inder
Journal:  Pediatr Res       Date:  2020-01-02       Impact factor: 3.953

Review 10.  A Review of Non-Pharmacological Treatments for Pain Management in Newborn Infants.

Authors:  Avneet K Mangat; Ju-Lee Oei; Kerry Chen; Im Quah-Smith; Georg M Schmölzer
Journal:  Children (Basel)       Date:  2018-09-20
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  3 in total

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Journal:  Zhongguo Dang Dai Er Ke Za Zhi       Date:  2021-12-15

Review 2.  Efficacy and safety of non-pharmacological interventions for neonatal pain: an overview of systematic reviews.

Authors:  Qiao Shen; Zixuan Huang; Hongyao Leng; Xufei Luo; Xianlan Zheng
Journal:  BMJ Open       Date:  2022-09-28       Impact factor: 3.006

3.  A protocol to develop a standard guideline for neonatal pain management.

Authors:  Qiao Shen; Hongyao Leng; Yuan Shi; Yaolong Chen; Xianlan Zheng
Journal:  Transl Pediatr       Date:  2021-06
  3 in total

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