Consensus statement for the prevention and management of pain in the newborn

K. J.S. Anand, Albert Aynsley-Green, Eduardo Bancalari, Franca Benini, G. David Champion, Kenneth D. Craig, Tomasz S. Dangel, Elisabeth Fournier-Charrière, Linda S. Franck, Ruth Eckstein Grunau, Steen A. Hertel, Evelyne Jacqz-Aigrain, Gerhard Jorch, Benjamin I. Kopelman, Gideon Koren, Björn Larsson, Neil Marlow, Neil McIntosh, Arne Ohlsson, Gunnar OlssonFran Porter, Renate Richter, Bonnie Stevens, Anna Taddio

Research output: Contribution to journalArticlepeer-review

570 Scopus citations

Abstract

Objective: To develop evidence-based guidelines for preventing or treating neonatal pain and its adverse consequences. Compared with older children and adults, neonates are more sensitive to pain and vulnerable to its long-term effects. Despite the clinical importance of neonatal pain, current medical practices continue to expose infants to repetitive, acute, or prolonged pain. Design: Experts representing several different countries, professional disciplines, and practice settings used systematic reviews, data synthesis, and open discussion to develop a consensus on clinical practices that were supported by published evidence or were commonly used, the latter based on extrapolation of evidence from older age groups. A practical format was used to describe the analgesic management for specific invasive procedures and for ongoing pain in neonates. Results: Recognition of the sources of pain and routine assessments of neonatal pain should dictate the avoidance of recurrent painful stimuli and the use of specific environmental, behavioral, and pharmacological interventions. Individualized care plans and analgesic protocols for specific clinical situations, patients, and health care settings can be developed from these guidelines. By clearly outlining areas where evidence is not available, these guidelines may also stimulate further research. To use the recommended therapeutic approaches, clinicians must be familiar with their adverse effects and the potential for drug interactions. Conclusion: Management of pain must be considered an important component of the health care provided to all neonates, regardless of their gestational age or severity of illness.

Original languageEnglish (US)
Pages (from-to)173-180
Number of pages8
JournalArchives of Pediatrics and Adolescent Medicine
Volume155
Issue number2
DOIs
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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