Tag Archives: pain

When good journals print nonsense. (And good doctors too).

It is hard to believe the drivel some people are prepared to countenance just because it is supposed to be very old drivel. Chen KL, et al. Acupuncture in the neonatal intensive care unit-using ancient medicine to help today’s babies: … Continue reading

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Many unethical pain studies in newborns

Carlo Bellieni and Celeste Johnston (Conflict of Interest flag, I have collaborated with both of them) have just reviewed a couple of recent years research of analgesic interventions in the newborn. Of 46 randomized studies of painful procedures, 70% had … Continue reading

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Pain is bad for you, sucrose makes it better (even if you are a rat).

I rarely discuss animal research in this blog, but occasionally something striking stimulates a new post. I have discussed sucrose not that long ago, in particular I emphasized the over-interpretation of a secondary analysis of a non-randomized comparison of very … Continue reading

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Echocardiography is painless

Lavoie PM, et al. Oral glucose during targeted neonatal echocardiography: is it useful? Archives of Disease in Childhood – Fetal and Neonatal Edition. 2015. Echocardiography can sometimes disturb unstable babies. In this randomized controlled trial the investigators wanted to see … Continue reading

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Doing research using Youtube

When my kids went to have their immunizations we took some sucrose solution with us to the hospital (don’t ask me how we came to have sucrose solution, its a secret) and were ready to either have the immunizations done … Continue reading

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High Flow Nasal Cannulae: poor man’s CPAP?

The title is how I sometimes refer to HFNC, but one could ask whether that is all there is to high flow, is it just another way to deliver CPAP, but with no control, or knowledge, of the pressure delivered? … 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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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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