Agarwal Vrinda, Upadhyay Jaya, Sahu Nency, Parihar Rashmi, Agarwal Pawan, Sharma Dhananjaya
Junior Resident, Department of Neonatology, SS Hospital, NSCB Government Medical College, Jabalpur, MP, India.
Associate Professor and Head, Department of Neonatology, SS Hospital, NSCB Government Medical College, Jabalpur, MP, India.
Trop Doct. 2025 Jan;55(1):11-14. doi: 10.1177/00494755241288292. Epub 2024 Oct 8.
This descriptive survey assessed knowledge, attitude and practice regarding analgesic prescription practices in neonates. A web-based questionnaire was developed and circulated to 150 physicians working in public and private neonatal intensive care units, of whom 87% were aware of neonatal pain perception; however, only 57.3% had any definite pain management policy. Some 66% were aware of a pain assessment tool in neonates, yet none had used it, though 80% used analgesics in their neonatal intensive care unit but only 44.3% were satisfied with the subsequent pain management. The most commonly used agents were midazolam and fentanyl. A total of 55% thought that opioid analgesia should not be used in neonates and morphine was used by only 5%; however, there seemed a general acceptance of opioid use since 86% used fentanyl as an analgesic. Non-pharmacological methods were used by 81%. Pain treatment in neonatal intensive care units is thus suboptimal and requires more attention.
这项描述性调查评估了新生儿镇痛处方实践方面的知识、态度和做法。开发了一份基于网络的问卷，并分发给在公立和私立新生儿重症监护病房工作的150名医生，其中87%的人了解新生儿疼痛感知；然而，只有57.3%的人有明确的疼痛管理政策。约66%的人知道新生儿疼痛评估工具，但无人使用过，尽管80%的人在其新生儿重症监护病房使用镇痛药，但只有44.3%的人对随后的疼痛管理感到满意。最常用的药物是咪达唑仑和芬太尼。共有55%的人认为新生儿不应使用阿片类镇痛药，只有5%的人使用吗啡；然而，由于86%的人使用芬太尼作为镇痛药，似乎对阿片类药物的使用普遍接受。81%的人使用非药物方法。因此，新生儿重症监护病房的疼痛治疗并不理想，需要更多关注。
