Published online November 1, 2006
PEDIATRICS Vol. 118 No. 5 November 2006, pp. 2231-2241 (doi:10.1542/peds.2006-2277)
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POLICY STATEMENT

Prevention and Management of Pain in the Neonate: An Update

American Academy of Pediatrics, Committee on Fetus and Newborn and Section on Surgery, Canadian Paediatric Society and Fetus and Newborn Committee

The prevention of pain in neonates should be the goal of all caregivers, 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 our 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. Every health care facility caring for neonates should implement an effective pain-prevention program, which includes strategies for routinely assessing pain, minimizing the number of painful procedures performed, effectively using pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and eliminating pain associated with surgery and other major procedures.

Key Words: pain • neonates

Abbreviations: IVH—intraventricular hemorrhage • PVL—periventricular leukomalacia • ROP—retinopathy of prematurity


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The following policy statement has been revised:

Prevention and Management of Pain and Stress in the Neonate
and
Pediatrics 105: 454-461. [Full Text]



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eLetters:

Read all eLetters

Ketorolac and renal compromise in Neonates
prabhakar devavaram
Pediatrics Online, 3 Nov 2006 [Full text]
additional data on non-opioid analgesics in neonates
karel allegaert, et al.
Pediatrics Online, 8 Nov 2006 [Full text]
Comment on “Prevention and Management of Pain in the Neonate: An Update”
Roberto Bellu', et al.
Pediatrics Online, 22 Nov 2006 [Full text]
Additional information
Cindy L Castaldi
Pediatrics Online, 16 Jan 2008 [Full text]