Prevention and management of procedural pain in the neonate: An update

Kristi L. Watterberg; James J. Cummings; William E. Benitz; Eric C. Eichenwald; Brenda B. Poindexter; Dan L. Stewart; Susan W Aucott; Jay P. Goldsmith; Karen M. Puopolo; Kasper S. Wang; Joseph D. Tobias; Rita Agarwal; Corrie T.M. Anderso; Courtney A. Hardy; Anita Honkanen; Mohamed A. Rehman; Carolyn F. Bannister

doi:10.1542/peds.2015-4271

Prevention and management of procedural pain in the neonate: An update

Kristi L. Watterberg, James J. Cummings, William E. Benitz, Eric C. Eichenwald, Brenda B. Poindexter, Dan L. Stewart, Susan W Aucott, Jay P. Goldsmith, Karen M. Puopolo, Kasper S. Wang, Joseph D. Tobias, Rita Agarwal, Corrie T.M. Anderso, Courtney A. Hardy, Anita Honkanen, Mohamed A. Rehman, Carolyn F. Bannister

School of Medicine

Research output: Contribution to journal › Review article › peer-review

68 Scopus citations

Abstract

The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also 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 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. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.

Original language	English (US)
Article number	e20154271
Journal	Pediatrics
Volume	137
Issue number	2
DOIs	https://doi.org/10.1542/peds.2015-4271
State	Published - Feb 2016

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

Access to Document

10.1542/peds.2015-4271

Cite this

Watterberg, K. L., Cummings, J. J., Benitz, W. E., Eichenwald, E. C., Poindexter, B. B., Stewart, D. L., Aucott, S. W., Goldsmith, J. P., Puopolo, K. M., Wang, K. S., Tobias, J. D., Agarwal, R., Anderso, C. T. M., Hardy, C. A., Honkanen, A., Rehman, M. A., & Bannister, C. F. (2016). Prevention and management of procedural pain in the neonate: An update. Pediatrics, 137(2), Article e20154271. https://doi.org/10.1542/peds.2015-4271

Watterberg, KL, Cummings, JJ, Benitz, WE, Eichenwald, EC, Poindexter, BB, Stewart, DL, Aucott, SW, Goldsmith, JP, Puopolo, KM, Wang, KS, Tobias, JD, Agarwal, R, Anderso, CTM, Hardy, CA, Honkanen, A, Rehman, MA & Bannister, CF 2016, 'Prevention and management of procedural pain in the neonate: An update', Pediatrics, vol. 137, no. 2, e20154271. https://doi.org/10.1542/peds.2015-4271

@article{d2680239cede4e50aac0b58f927fa6b1,

title = "Prevention and management of procedural pain in the neonate: An update",

abstract = "The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also 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 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. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.",

author = "Watterberg, {Kristi L.} and Cummings, {James J.} and Benitz, {William E.} and Eichenwald, {Eric C.} and Poindexter, {Brenda B.} and Stewart, {Dan L.} and Aucott, {Susan W} and Goldsmith, {Jay P.} and Puopolo, {Karen M.} and Wang, {Kasper S.} and Tobias, {Joseph D.} and Rita Agarwal and Anderso, {Corrie T.M.} and Hardy, {Courtney A.} and Anita Honkanen and Rehman, {Mohamed A.} and Bannister, {Carolyn F.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2016 by the American Academy of Pediatrics.",

year = "2016",

month = feb,

doi = "10.1542/peds.2015-4271",

language = "English (US)",

volume = "137",

journal = "Pediatrics",

issn = "0031-4005",

publisher = "American Academy of Pediatrics",

number = "2",

}

TY - JOUR

T1 - Prevention and management of procedural pain in the neonate

T2 - An update

AU - Watterberg, Kristi L.

AU - Cummings, James J.

AU - Benitz, William E.

AU - Eichenwald, Eric C.

AU - Poindexter, Brenda B.

AU - Stewart, Dan L.

AU - Aucott, Susan W

AU - Goldsmith, Jay P.

AU - Puopolo, Karen M.

AU - Wang, Kasper S.

AU - Tobias, Joseph D.

AU - Agarwal, Rita

AU - Anderso, Corrie T.M.

AU - Hardy, Courtney A.

AU - Honkanen, Anita

AU - Rehman, Mohamed A.

AU - Bannister, Carolyn F.

PY - 2016/2

Y1 - 2016/2

N2 - The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also 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 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. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.

AB - The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also 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 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. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.

UR - http://www.scopus.com/inward/record.url?scp=84958719995&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958719995&partnerID=8YFLogxK

U2 - 10.1542/peds.2015-4271

DO - 10.1542/peds.2015-4271

M3 - Review article

C2 - 26810788

AN - SCOPUS:84958719995

SN - 0031-4005

VL - 137

JO - Pediatrics

JF - Pediatrics

IS - 2

M1 - e20154271

ER -

Prevention and management of procedural pain in the neonate: An update

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this