Encyclopedia of Pain

2007 Edition

Acute Pain Management in Infants

  • Rebecca Pillai Riddell
  • Bonnie J. Stevens
Reference work entry
DOI: https://doi.org/10.1007/978-3-540-29805-2_71

Synonyms

Infant pain treatment; Infant Pain Reduction/Therapy/Treatment; infant pain therapy; Pain Management in Infants

Definition

Infant pain management is defined as any strategy or technique administered to an infant experiencing pain with the intention of lessening pain sensation and / or perception. Pain management strategies include the drugs described in the essay  pain management, pharmacotherapy and varied nonpharmacological (contextual, psychological and physical) interventions described in this essay. Pain management during infancy has been almost exclusively focused on acute procedural (including post-operative) pain (although recent work is beginning to focus on assessment and treatment in prolonged and chronic pain), thus the emphasis throughout this essay will be on pain reduction strategies for acute procedural pain.

Characteristics

Developmental and Caregiver Considerations

A sensitive appreciation of infants in pain and their complete reliance on their caregivers is...

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References

  1. 1.
    Als H, Lawhon G, Duffy FH et al. (1994) Individualized developmental care for the very low-birth-weight preterm infant. Medical and neurofunctional effects. JAMA 272:853–858Google Scholar
  2. 2.
    Anand KJS and International Evidence-Based Group for Neonatal Pain (2001) Concensus statement for the prevention and management of pain in the newborn. Arch Pedistr Adolesc Med 155:173–180Google Scholar
  3. 3.
    Bellieni CV, Bagnoli F, Perrone S et al. (2002) Effect of multisensory stimulation on analgesia in term neonates: A randomized controlled trial. Pediat Res 51:460–463Google Scholar
  4. 4.
    Bo LK, Callaghan P (2000) Soothing pain-elicited distress in Chinese neonates. Pediatrics 105:49Google Scholar
  5. 5.
    Cohen LL (2002) Reducing infant immunization distress through distraction. Health Psychol 21:207–211Google Scholar
  6. 6.
    Derrickson JG, Neef NA, Cataldo MF (1993) Effects of signaling invasive procedures on a hospitalized infant's affective behaviors. J Appl Behav Anal 26:133–134Google Scholar
  7. 7.
    Gibbins S, Stevens B (2001) Mechanisms of sucrose and non-nutritive sucking in procedural pain management in infants. Pain Res Manag 6: 21–28Google Scholar
  8. 8.
    Johnston CC, Stevens B, Pinelli J et al. (2003) Kangaroo care is effective in diminishing pain response in preterm neonates. Arch Pediatr Adolesc Med 157:1084–1088Google Scholar
  9. 9.
    Joint Fetus and Newborn Committee of the Canadian Paediatric Society and American Academy of Pediatrics (2000) Prevention and Management of Pain and Stress in the Neonate Pediatrics105, pp 454–461Google Scholar
  10. 10.
    Kurtis PS, DeSilva HN, Bernstein BA et al. (1999) A comparison of the mogen and gomco clamps in combination with dorsal penile nerve block in minimizing the pain of neonatal circumcision. Pediatrics 103:E23Google Scholar
  11. 11.
    Ors R, Ozek E, Baysoy G et al. (1999) Comparison of sucrose and human milk on pain response in newborns. European J Pediatrics 158:63–66Google Scholar
  12. 12.
    Pasero C (2004) Pain relief for neonates. Am J Nurs 104:44–47Google Scholar
  13. 13.
    Shah V, Ohlsson A (2004) Venepuncture versus heel lance for blood sampling in term neonates. Cochrane Database of Systematic Reviews 4Google Scholar
  14. 14.
    Simons SHP, van Dijk M, Anand KS et al. (2003) Do we still hurt newborn babies?: A prospective study of procedural pain and analgesia in neonates. Arch Pediatr Adolesc Med 157:1058–1064Google Scholar
  15. 15.
    Stevens B, Johnston C, Franck L et al. (1999) The efficacy of developmentally sensitive interventions and sucrose for relieving procedural pain in very low birth weight neonates. Nurs Res 48:35–43Google Scholar
  16. 16.
    Stevens B, Petryshen P, Hawkins J et al. (1996) Developmental versus conventional care: A comparison of clinical outcomes for very low birth weight infants. Can J Nurs Res 28:97–113Google Scholar
  17. 17.
    Stevens B, Yamada J, Ohlsson A (2004) Sucrose for analgesia in newborn infants undergoing painful procedures (Updated Cochrane review). The Cochrane Library 3Google Scholar
  18. 18.
    Sweet SD, McGrath PJ, Symons D (1999) The roles of child reactivity and parenting context in infant pain response. Pain 80:655–661Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Rebecca Pillai Riddell
    • 1
  • Bonnie J. Stevens
    • 2
  1. 1.York University and The Hospital for Sick KidsTorontoONCanada
  2. 2.University of Toronto and The Hospital for Sick ChildrenTorontoONCanada