Focus
Il dolore del neonato
NEONATAL PAIN
C.V. Bellieni, L. Iantorno, G. Buonocore
Maggio 2010 - pagg. 289 -301
Abstract
Neonatal pain is still today inadequately treated. This flaw is due to several reasons,
among which the difficulty to consider newborns as patients like others and to understand
their language. Newborns feel pain and it is our duty to prevent, recognize and
treat it. More than 30 scales have been developed to evaluate pain, but a gold standard
has not been found. We have good therapeutic instruments for pain treatment. It is
necessary to use adequate analgesia also for minor invasive procedures: in the last few
years the use of non-pharmacological analgesia has made big progress, e.g. instillation
of sweet solution or performing sensorial saturation. However, in neonatal analgesia, attention
should be paid not only to the use of analgesia, but also to doctors’ and parents’
suffering.
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA 2008;300:60-70.
2. Lago P, Guadagni A, Merazzi D, Ancora G, Bellieni CV, Cavazza A; Pain Study Group of the Italian Society of Neonatology. Pain management in the neonatal intensive care unit: a national survey in Italy. Paediatr Anaesth 2005;15:925-31.
3. Harrison D, Loughnan P, Johnston L. Pain assessment and procedural pain management practices in neonatal units in Australia. J Paediatr Child Health 2006;42:6-9.
4. Beyer JE, De Good DE, Ashley LC, Russell GA. Patterns of post operative analgesic use with adults and children following cardiac surgery. Pain 1983;17:71-81.
5. Bellieni C. Pain definitions revised: newborns not only feel pain, they also suffer. Ethics Med 2005;21:5-9.
6. Symington A, Pinelli J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database Syst Rev 2006;(2):CD001814.
7. Bellieni CV, Cordelli DM, Caliani C, et al. Inter-observer reliability of two pain scales for newborns. Early Hum Dev 2007;83:549-52.
8. Annequin D, Tourniaire B, Gatbois, Lombart B, Martret P. L’essentiel de l’évaluation de la douleur et de la prescription antalgique en pédiatrie. Pédiadol 2006; http://www.pediadol. org/article.php3?id_ar-ticle=180# EDIN.
9. http://www.cebp.nl/vault_public/filesystem/? ID=1295.
10. Bellieni CV, Sisto R, Cordelli DM, Buonocore G. Cry features reflect pain intensity in term newborns: an alarm threshold. Pediatr Res 2004;55:142-6.
11. Bellieni C, Maffei M, Ancora G, et al. Is the ABC pain scale reliable for premature babies? Acta Paediatr 2007;96:1008-10.
12. Lago P, Garetti E, Merazzi D, et al.; Pain Study Group of the Italian Society of Neonatology. Guidelines for procedural pain in the newborn. Acta Paediatr 2009;98:932-9.
13. Marchetti F, Barbi E. Prevenire il dolore da prelievo del neonato. Medico e Bambino 2002;21:581-3.
14. Carbajal R, Veerapen S, Couderc S, Jugie M, Ville Y. Analgesic effect of breast feeding in term neonates: randomised controlled trial. BMJ 2003;326:13.
15. Bellieni CV, Bagnoli F, Perrone S, et al. Effect of multisensory stimulation on analgesia in term neonates: a randomised controlled trial. Pediatr Res 2002;51:460-3.
16. Bellieni CV, Buonocore G, Nenci A, Franci N, Cordelli DM, Bagnoli F. Sensorial saturation: an effective analgesic tool for heelprick in preterm infants: a prospective randomized trial. Biol Neonate 2001;80:15-8.
17. Barr P. Relationship of neonatologists’ end-of-life decisions to their personal fear of death. Arch Dis Child Fetal Neonatal Ed 2007; 92:F104-7.
Corrispondenza: bellieni@unisi.it