Pain in Neonates and Infants

Overview

Little attention has in the past been given to physiological or pathological responses of the infant to stimuli that produce pain in older individuals. All that has changed. Drs. Anand and McGrath have joined in writing and editing this collection of chapters on many aspects of nociception and the responses within the central nervous system, behavioral responses, endocrine, cardiovascular and immune functions. The question of the benefits of some pain to communicate the presence of a potentially dangerous event ...

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Overview

Little attention has in the past been given to physiological or pathological responses of the infant to stimuli that produce pain in older individuals. All that has changed. Drs. Anand and McGrath have joined in writing and editing this collection of chapters on many aspects of nociception and the responses within the central nervous system, behavioral responses, endocrine, cardiovascular and immune functions. The question of the benefits of some pain to communicate the presence of a potentially dangerous event is the subject of a thoughtful discussion in Chapter 4. Nociception may trigger appropriate physiological responses. However, severe responses may in themselves be deleterious as documented by the improved outlook when they are blocked during surgery. The principles and pharmacotherapy with systemic analgesic drugs (especially opioids) is given extensive and informative consideration in Chapters 5 and 6. Regional and topical anesthesia in newborn infants is thoroughly covered in Chapter 7. A welcome addition to the discussions in first chapters of the book, is the report of experienced neonatal nurses on individualized supportive care to reduce pain and stress in neonatal intensive care units. They provide a critical review of studies of behaviors of preterm and sick infants, which they augment with a description of current practices. The remaining topics that serve to broaden the perspective of those caring for infants are indicated by the chapter titles: "Moral and ethical issues in clinical practice", "Research design and research ethics", "Social and legal issues", and finally, "Future directions" by the editors.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Susan W. Aucott, MD (Johns Hopkins University School of Medicine)
Description: This is an extensive review of the issues related to pain in neonates. It covers a multifaceted approach from the anatomic and physiologic development of pain sensation to the environmental and ethical consequences. The first edition was published in 1993.
Purpose: The editors strive to provide a multidisciplinary approach by reviewing what is currently known about the science and practice of pain in neonates and to stimulate new directions for study. This consolidation of the multifaceted aspects of the topic provides a useful resource for understanding, evaluating, and treating pain in newborns. This textbook meets the objectives by providing a diverse and complete array of the complex issues.
Audience: The target audience is "physicians, nurses, pharmacists, psychologists and physical and behavioral therapists." The complexity of the material varies from chapter to chapter, with some heavily oriented in basic science and others more clinically oriented. The editors and contributors appear well versed on the subject.
Features: The unique feature is the complete coverage provided from many disciplines involved in understanding, assessing, and treating pain in neonates. Aspects ranging from the anatomic and physiologic development of pain sensation, to modalities of assessing pain, to the pharmacologic, behavioral and environmental treatment of pain are covered. This book also raises many questions in areas not yet well studied, including long- term effects of pain on development and the ethical implications for society.
Assessment: This is a uniquely comprehensive textbook on the subject of pain in neonates, and is an excellent resource for all healthcare professionals working with newborns. Large strides in the understanding and treatment of neonates have occurred, and this second edition thoroughly reviews these new advances.

4 Stars! from Doody
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Product Details

Table of Contents

Preface to the First Edition, by M.E. Avery. Dedication. Acknowledgements. List of contributors. 1. An overview of neonatal pain (B.J. Stevens, K.J.S. Anand). 2. Development of the peripheral and spinal pain system (M. Fitzgerald). 3. Development of supraspinal pain processing (V. Coskun, K.J.S. Anand). 4. Long-term consequences of pain in human neonates (R.E. Grunau). 5. Behavioral and neuroendocrine consequences of neonatal stress (P.M. Plotsky, C.C. Bradley, K.J.S. Anand). 6. Pain assessment in neonates (B. Stevens, C. Johnston, S. Gibbins). 7. Pharmacokinetics and pharmacodynamics of analgesic drugs (K.T. Olkkola, K. Hamunen). 8. Systemic analgesic therapy (K.J.S. Anand, G. Menon, U. Narsinghani, N. McIntosh). 9. Regional anesthesia and analgesia (N.F. Sethna, J.L. Koh). 10. Environmental and behavioral strategies to prevent and manage neonatal pain (L.S. Franck, g. Lawhon). 11. Fetal pain and stress (N. Modi, V. Glover). 12. The ethics of pain control in neonates and infants (G.A. Walco, R.C. Cassidy). 13. Neonatal pain in a social context (P.J. McGrath, A.M. Unruh). 14. Evidence-based decision making, systematic reviews and the Cochrane collaboration: implications for neonatal analgesia (A. Ohlsson, A. Taddio, A.R. Jadad, B.J. Stevens). Subject index.

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