Lasting impact of general anaesthesia on the brain: mechanisms and relevance

L Vutskits, Z Xie - Nature Reviews Neuroscience, 2016 - nature.com
General anaesthesia is usually considered to safely induce a reversible brain state allowing
the performance of surgery under optimal conditions. An increasing number of clinical and …

Early neonatal pain—a review of clinical and experimental implications on painful conditions later in life

MD Williams, BDX Lascelles - Frontiers in pediatrics, 2020 - frontiersin.org
Modern health care has brought our society innumerable benefits but has also introduced
the experience of pain very early in life. For example, it is now routine care for newborns to …

Early procedural pain is associated with regionally-specific alterations in thalamic development in preterm neonates

EG Duerden, RE Grunau, T Guo, J Foong… - Journal of …, 2018 - Soc Neuroscience
Very preterm human neonates are exposed to numerous invasive procedures as part of life-
saving care. Evidence suggests that repetitive neonatal procedural pain precedes long-term …

Procedural pain and brain development in premature newborns

S Brummelte, RE Grunau, V Chau, KJ Poskitt… - Annals of …, 2012 - Wiley Online Library
Objective: Preterm infants are exposed to multiple painful procedures in the neonatal
intensive care unit (NICU) during a period of rapid brain development. Our aim was to …

[HTML][HTML] Neonatal pain in very preterm infants: long-term effects on brain, neurodevelopment and pain reactivity

RE Grunau - Rambam Maimonides medical journal, 2013 - ncbi.nlm.nih.gov
Abstract Effects of early life psychosocial adversity have received a great deal of attention,
such as maternal separation in experimental animal models and abuse/neglect in young …

Impact of repeated procedural pain-related stress in infants born very preterm

J Vinall, RE Grunau - Pediatric research, 2014 - nature.com
The majority of infants born very preterm (24–32 wk gestational age) now survive; however,
long-term neurodevelopmental and behavioral problems remain a concern. As part of their …

Ketamine anesthesia during the first week of life can cause long-lasting cognitive deficits in rhesus monkeys

MG Paule, M Li, RR Allen, F Liu, X Zou… - Neurotoxicology and …, 2011 - Elsevier
Previously our laboratory has shown that ketamine exposure (24h of clinically relevant
anesthesia) causes significant increases in neuronal cell death in perinatal rhesus monkeys …

Neonatal pain, parenting stress and interaction, in relation to cognitive and motor development at 8 and 18 months in preterm infants

RE Grunau, MF Whitfield, J Petrie-Thomas, AR Synnes… - Pain, 2009 - Elsevier
Procedural pain in the neonatal intensive care unit triggers a cascade of physiological,
behavioral and hormonal disruptions which may contribute to altered neurodevelopment in …

Neonatal pain-related stress predicts cortical thickness at age 7 years in children born very preterm

M Ranger, CMY Chau, A Garg, TS Woodward, MF Beg… - PloS one, 2013 - journals.plos.org
Background Altered brain development is evident in children born very preterm (24–32
weeks gestational age), including reduction in gray and white matter volumes, and thinner …

Early repetitive pain in preterm infants in relation to the developing brain

M Ranger, RE Grunau - Pain management, 2014 - Taylor & Francis
Infants born preterm (< 37 weeks of gestation) are particularly vulnerable to procedural
stress and pain exposure during neonatal intensive care, at a time of rapid and complex …