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Neonatal Pain Management

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Perinatal Palliative Care

Abstract

As our knowledge of the effects of pain on the developing brain has changed over the last several decades, so too has the recognition and management of pain in neonates. Despite its challenges in a nonverbal population, assessing neonatal pain, particularly in the neonatal intensive care unit, is now standard of care. In addition, while appropriately treating pain is recommended, when and how best to apply both non-pharmacologic and pharmacologic treatment strategies remains challenging. This chapter will review the neonatal pain experience, provide guidance on pain assessment, discuss pharmacologic and non-pharmacologic pain management, and highlight challenges that exist when balancing the risks associated with untreated pain and untoward effects from pharmacologic therapies.

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Authors and Affiliations

  1. Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA

    Jeffrey M. Meyers

  2. Division of Neonatology, Golisano Children’s Hospital, University of Rochester Medical Center, Department of Pediatrics, Rochester, NY, USA

    Jeffrey M. Meyers

  3. Department of Pharmacy, University of Rochester Medical Center, Golisano Children’s Hospital, Rochester, NY, USA

    Andrew S. Decker

  4. Department of Child Life, Golisano Children’s Hospital, University of Rochester Medical Center, Rochester, NY, USA

    Chris Tryon

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  1. Jeffrey M. Meyers
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  2. Andrew S. Decker
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  3. Chris Tryon
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Correspondence to Jeffrey M. Meyers .

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Editors and Affiliations

  1. Strong Memorial Hospital, University of Rochester, Rochester, NY, USA

    Erin M. Denney-Koelsch

  2. School of Nursing, Saint Louis University, Saint Louis, MO, USA

    Denise Côté-Arsenault

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Meyers, J.M., Decker, A.S., Tryon, C. (2020). Neonatal Pain Management. In: Denney-Koelsch, E., Côté-Arsenault, D. (eds) Perinatal Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-030-34751-2_8

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