Treatment of pain in neonates which is not satisfactory has both short-term and long-term side effects. After exposure to noxious or painful stimuli changes in behavioural, hormonal, and metabolic parameters as well as other physiological variables are observed. These factors may possibly be linked to an increased occurrence of postoperative complications and even deaths. Deeper anaesthesia reduced severe outcomes such as sepsis and mortality after surgery. Respiratory-distressed neonates receiving pain relief during tracheal suction and routine procedures improved their oxygenation. An increase in intracranial pressure after painful procedures which may result in severe intraventricular haemorrhage has been suggested in preterm infants. When circumcised boys had their vaccination months later, they showed a stronger pain response compared to infants who were not circumcised. This is possibly due to sensitisation.
Hanne Storm, The Capability of Skin Conductance to Monitor Pain Compared to Other Physiological Pain Assessment Tools in Children and Neonates
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Last date updated on June, 2014