Johnston Céleste
McGill University Hunts Point NS Canada.
IWK Health Centre Halifax NS Canada.
Paediatr Neonatal Pain. 2020 Jun 12;2(2):33-39. doi: 10.1002/pne2.12020. eCollection 2020 Jun.
From 1980 into present day, 2020, the evolution of neonatal pain research is told as a journey by one researcher, Celeste Johnston. At the beginning of her work, there was essentially no interest or work in the area. She was fortunate to be led into the area by a clinical problem: how to determine the amount of pain babies in the NICU were experiencing. That question resulted in over three decades of work with neonates. Measuring pain was the first challenge and is one that remains a focus of current research. Initially, the only choices for treating pain in neonates were either opioids or anesthetics, each with problems. Research on sweet taste and more recently on skin-to-skin contact has offered effective and safe options for procedural pain. Although progress has been made in the incidence of pain management in infants, it still is far less than it could be. Steps along the way of measurement, treatment, and knowledge utilization are chronicled by this researcher.
从1980年到如今的2020年，新生儿疼痛研究的发展历程由一位研究人员塞莱斯特·约翰斯顿娓娓道来。在她刚开始这项工作时，该领域基本上无人关注，也没有相关研究。她很幸运，因一个临床问题而涉足这个领域：如何确定新生儿重症监护病房（NICU）里的婴儿所经历的疼痛程度。这个问题促使她对新生儿进行了长达三十多年的研究。测量疼痛是首要挑战，并且至今仍是当前研究的重点。最初，治疗新生儿疼痛的唯一选择是阿片类药物或麻醉剂，而这两种方法都存在问题。对甜味以及最近对皮肤接触的研究为程序性疼痛提供了有效且安全的选择。尽管在婴儿疼痛管理的发生率方面已经取得了进展，但仍远未达到应有的水平。这位研究人员记录了在测量、治疗和知识应用过程中的各个步骤。
