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Notes:
Volume 4 Journal of Pediatric Care
ISSN: 2471-805X
Page 17
JOINT EVENT
August 06-07, 2018 Madrid, Spain
&
2nd Edition of International Conference on Adolescent Health & Medicine
18th International Conference on Pediatrics Health
Pediatrics Health 2018
&
Adolescent Health 2018
August 06-07, 2018
Dmytro Dmytriiev, J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C3-011
Neonatal pain: Assessment and treatment
Dmytro Dmytriiev
Vinnitsa National Medical University, Ukraine
Effective management of procedural and postoperative pain in neonates is required to minimize acute physiological and
behavioral distress and may also improve acute and long-term outcomes. Pain management in the neonatal ICU remains
challenging for many clinicians and in many complex care circumstances. Neonates frequently experience pain as a result of
diagnostic or therapeutic interventions or as a result of a disease process. Neonates cannot verbalise their pain experience and
depend on others to recognise, assess and manage their pain. Neonates may suffer immediate or long-term consequences of
unrelieved pain. Accurate assessment of pain is essential to provide adequate management. Observation scales, which include
physiological and behavioural responses to pain, are available to aid consistent pain management. Painful stimuli activate
nociceptive pathways, from the periphery to the cortex, in neonates and behavioral responses form the basis for validated pain
assessment tools. However, there is an increasing awareness of the need to not only reduce acute behavioral responses to pain
in neonates, but also to protect the developing nervous system from persistent sensitization of pain pathways and potential
damaging effects of altered neural activity on central nervous system development. Analgesic requirements are influenced by
age-related changes in both pharmacokinetic and pharmacodynamic response, and increasing data are available to guide safe
and effective dosing with opioids and paracetamol. Regional analgesic techniques provide effective perioperative analgesia,
but higher complication rates in neonates emphasize the importance of monitoring and choice of the most appropriate drug
and dose. There have been significant improvements in the understanding and management of neonatal pain, but additional
research evidence will further reduce the need to extrapolate data from older age groups.
Recent Publications
1. Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric
Anaesthesiology (ESPA Pain Management Ladder Initiative)Paediatric Anaesthesia 2018 | journal-article DOI:
10.1111/pan.13373.
Biography
Dr. Dmytro has completed his PhD at the age of 24 years from Vinnitsa national medical University and postdoctoral studies from Odessa National medical
university. Now I am a chief PICU Vinnitsa national medical university and Vinnitsa regional children hospital, a chief – editor Pain Medicine Journar (http://
). I have published more than 200 papers (Ukranian journal) in more 15 reputed journals. ESPA ACORN Member (representative ESPA
member –Ukraine). Reviever US-Medical Science Journal.