Tag Archives: Analgesia

Waving your hands around is not analgesic! Who’d have thought…

Really, who’d have thought it was worth testing. I have a lot of respect for several of the authors of this trial, but I can’t for the life of me understand why they did this study. Celeste Johnston, Marsha Campbell-Yeo, … Continue reading

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Pain, still bad for you

Roofthooft DWE, Simons SHP, Anand KJS, Tibboel D, van Dijk M: Eight years later, are we still hurting newborn infants. Neonatology 2014, 105(3):218-226. The answer is yes, but much less! In this study from a single hospital in Rotterdam with … Continue reading

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Does being ventilated hurt? It depends who you ask

Ruth Guinsburg is a neonatologist in Sao Paulo who has been super-productive, especially in the area of pain control in the newborn. Her latest is an interesting comparison of how caregivers and parents rate pain in infants on ventilators. Elias … Continue reading

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Drug approval in neonates; what to do? and what is this dexmedetty stuff?

Most of the drugs that we routinely use in neonatology do not have a specific license for neonatal use. This is true I think in every jurisdiction around the world, the USA, Canada, Australia, and Europe, but I don’t know … Continue reading

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Preterm twins seem to care for one another

There has been a lot of talk about co-bedding twins in the NICU, but relatively little research. I was involved in an RCT of co-bedding in preterm twins, looking at responses to painful stimuli (67 pars of twins were recruited). … Continue reading

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More Pain

One comment on a previous post was about pain control for, among other things, nasogastric tube insertion. Lo and behold a new publication (Ravishankar A, Thawani R, Dewan P, Das S, Kashyap A, Batra P, Faridi MMA: Oral dextrose for … Continue reading

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Pain research in the newborn, what is ethical?

Annie Janvier’s comment on my recent post made we wonder what are the ethical limits of pain research in the newborn. Let me start with an adult analogy, if a researcher wanted to investigate the efficacy of a new analgesic … Continue reading

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Pain hurts

In 2010 a paper published in the Lancet called into question the use of sucrose as an analgesic for heelsticks. (I will use the US term as I think most people understand that it refers to lancing the heel of … Continue reading

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Premedication for Intubation

There are several studies of what premedication should be used for intubation of the newborn. An analgesic or anesthetic agent should be given in to reduce pain, which also reduces the adverse physiologic consequences of the intubation. Several studies of … Continue reading

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Opioids and Cerebral Development in the Newborn

An extremely interesting “ratling” study from the latest “Neonatology” (Dührsen L, Simons SHP, Dzietko M, Genz K, Bendix I, Boos V, Sifringer M, Tibboel D, Felderhoff-Mueser U: Effects of repetitive exposure to pain and morphine treatment on the neonatal rat … Continue reading

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