Consenso sobre el abordaje diagnóstico y terapéutico del dolor y el estrés en el recién nacido

Translated title of the contribution: Consensus on the diagnostic and therapeutic approach to pain and stress in the newborn

María De Lourdes Lemus-Varela, Augusto Sola, Sergio Golombek, Hernando Baquero, Daniel Borbonet, Carmen Dávila-Aliaga, Teresa Del Moral, Gabriel Lara-Flores, María Victoria Lima-Rogel, Freddy Neira-Safi, Diego Natta, Ada Oviedo-Barrantes, Susana Rodríguez

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Pain and stress experienced by the newborn have not been addressed adequately. Infants in neonatal intensive care units often undergo painful and stressful invasive procedures, and inappropriate treatment increases morbidity and mortality. At the 5th Clinical Consensus of the Ibero-American Society of Neonatology, 32 neonatologists from the region were invited to establish recommendations for the diagnosis and treatment of neonatal pain and stress. Key themes were explored based on the best scientific evidence available in indexed databases. All attendees participated actively in a meeting in Santiago, Chile, with the objective of reaching a consensus on recommendations and conclusions. Pain and neonatal stress affect neurological development and long-term behavior and require timely diagnosis and appropriate management and treatment, including the use of drugs with an appropriate balance between effectiveness and toxicity. The Consensus emphasized the importance of assessing pain in the newborn from a multidimensional viewpoint, and provided recommendations on the indications and limitations for an individualized pharmacological therapy. The use of analgesics has precise indications but also important limitations; there is a lack of randomized studies in newborns, and adverse effects need to be considered. Nonpharmacological measures to mitigate pain were proposed. Stress management should begin in the delivery room, including maternal contact, stimulus reduction and the implementation of intervention reduction protocols. Recommendations for improving clinical practices related to neonatal pain and stress are presented.

Translated title of the contributionConsensus on the diagnostic and therapeutic approach to pain and stress in the newborn
Original languageSpanish
Pages (from-to)348-354
Number of pages7
JournalRevista Panamericana de Salud Publica/Pan American Journal of Public Health
Volume36
Issue number5
StatePublished - Jan 1 2014

Keywords

  • Analgesia
  • Infant, newborn
  • Pain
  • Pain management
  • Stress, physiological

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    De Lourdes Lemus-Varela, M., Sola, A., Golombek, S., Baquero, H., Borbonet, D., Dávila-Aliaga, C., Del Moral, T., Lara-Flores, G., Lima-Rogel, M. V., Neira-Safi, F., Natta, D., Oviedo-Barrantes, A., & Rodríguez, S. (2014). Consenso sobre el abordaje diagnóstico y terapéutico del dolor y el estrés en el recién nacido. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 36(5), 348-354.