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procedural pain
Management:
neonates [1]
- nonpharmacological strategies for short-term mild-moderately painful procedures (lance, IV catheter insertion)
- swaddling
- nonnutritive sucking
- breast-feeding [2]
- skin-to-skin care
- oral sucrose or glucose safe & effective for mild to moderately painful procedures (immunizations) either alone or with nonpharmacological strategies [1]
- pharmacologic treatments
- topical anesthetics (tetracaine gel, EMLA) decrease pain during venipuncture & insertion of venous & arterial lines
- opioids, benzodiazepines) may be used for more painful procedures
- pain management recommended for circumcision & nonemergency intubation
General
pain [odyn-]
References
- Stein MT
AAP Updates Recommendations for Managing Procedural Pain in
Neonates.
Physician's First Watch, Jan 25, 2016
David G. Fairchild, MD, MPH, Editor-in-Chief
Massachusetts Medical Society
http://www.jwatch.org
- Harrison D, Larocque C, Bueno M et al
Sweet Solutions to Reduce Procedural Pain in Neonates:
A Meta-analysis
Pediatrics Dec 2016, e20160955
PMID: 27986905
- Harrison D, Reszel J, Bueno M, Sampson M et al
Breastfeeding for procedural pain in infants beyond the
neonatal period.
Cochrane Database Syst Rev. 2016 Oct 28;10:CD011248. Review.
PMID: 27792244