Arch Argent Pediatr. 2019 Oct;117(5):S180-S19. doi: 10.5546/aap.2019.S180.
The recognition of the existence of pain in infants hospitalized in the Neonatal Intensive Care Units makes it necessary to reach consensus on prevention, assessment and treatment strategies. Acute pain produces adverse changes in the short term and chronic pain alters the response systems to stress and impacts on neurodevelopment. The objective of this pain management agreement is to unify criteria of attention of these patients in different situations that generate pain and stress that they face during their hospitalization. There are validated scales to assess pain and guide appropriate strategies for its approach that include measures of comprehensive or nonpharmacological care and pharmacological care that we will review.
认识到新生儿重症监护病房住院婴儿存在疼痛,就有必要在预防、评估和治疗策略上达成共识。急性疼痛在短期内会产生不良变化,慢性疼痛会改变应激反应系统并影响神经发育。这份疼痛管理协议的目的是统一针对这些患者在住院期间面临的不同疼痛和应激情况的护理标准。有经过验证的量表来评估疼痛并指导相应的合适策略,这些策略包括综合或非药物护理措施以及我们将予以回顾的药物护理措施。