The influence of pain, agitation, and their management on the immature brain

C McPherson, SP Miller, M El-Dib, AN Massaro… - Pediatric …, 2020 - nature.com
Preterm infants are exposed to frequent painful procedures and agitating stimuli over the
many weeks of their hospitalization in the neonatal intensive care unit (NICU). The adverse …

Practical approaches to sedation and analgesia in the newborn

C McPherson, CM Ortinau, Z Vesoulis - Journal of Perinatology, 2021 - nature.com
The prevention, assessment, and treatment of neonatal pain and agitation continues to
challenge clinicians and researchers. Substantial progress has been made in the past three …

A systematic review of clinical practice guidelines for acute procedural pain on neonates

C Balice-Bourgois, M Zumstein-Shaha… - The Clinical journal …, 2020 - journals.lww.com
Objectives: During hospitalization in neonatal intensive care units, neonates are exposed to
many painful procedures within a stressful environment. To date, many evidence-based …

Institutional and regional variation in opioid prescribing for hospitalized infants in the US

OA Keane, S Ourshalimian, A Lakshmanan… - JAMA Network …, 2024 - jamanetwork.com
Importance High-risk infants, defined as newborns with substantial neonatal-perinatal
morbidities, often undergo multiple procedures and require prolonged intubation, resulting …

Opioids for newborn infants receiving mechanical ventilation

R Bellù, O Romantsik, C Nava… - Cochrane Database …, 2021 - cochranelibrary.com
Background Mechanical ventilation is a potentially painful and discomforting intervention
that is widely used in neonatal intensive care. Newborn infants demonstrate increased …

Pharmacologic analgesia and sedation in neonates

C McPherson, RE Grunau - Clinics in Perinatology, 2022 - perinatology.theclinics.com
The past 4 decades have witnessed enormous leaps in understanding of the acute and long-
term impacts of neonatal pain and stress. Healthy infants experience roughly 12 skin …

Surfactant delivery strategies to prevent bronchopulmonary dysplasia

A Kribs, KD Roberts, D Trevisanuto, C O'Donnell… - Seminars in …, 2023 - Elsevier
Bronchopulmonary dysplasia (BPD) is one of the most devastating morbidities of preterm
infants. Antenatal factors like growth restriction and inflammation are risk factors for its …

Less invasive surfactant administration: a word of caution

D De Luca, S Shankar-Aguilera… - The Lancet Child & …, 2020 - thelancet.com
Surfactant is a cornerstone of neonatal critical care, and the presumed less (or minimally)
invasive techniques for its administration have been proposed to reduce invasiveness of …

Evaluation and treatment of pain in fetuses, neonates and children

S Mencía, C Alonso, C Pallás-Alonso, J López-Herce… - Children, 2022 - mdpi.com
The perception of pain is individual and differs between children and adults. The structures
required to feel pain are developed at 24 weeks of gestation. However, pain assessment is …

Alternative routes of surfactant application–An update

A Kribs, KD Roberts, D Trevisanuto, O Colm… - Seminars in Fetal and …, 2023 - Elsevier
Non-invasive modes of respiratory support have been shown to be the preferable way of
primary respiratory support of preterm infants with respiratory distress syndrome (RDS). The …