Pain management in neonates. N. Ambalavanan MD Oct 1999. Common mis conceptions (“myths”). Myth 1: The neuronal and endocrine systems of the newborn infant are not developed to the stage that allows for transmission of painful stimuli (i.e. that they can’t feel pain)
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N. Ambalavanan MD
(i.e. that they can’t feel pain)
(Adapted from the CPS statement on neonatal pain)
(Levine S et al. Physiol Behav 1967;2:55-64 & Science 1962; 135:795-796; and Ader R et al. Physiol Behav 1969;4:303-305)
(Lawrence et al, Neonatal netw.12:59-66, 1993)
(Stevens B et al. Clin J Pain12: 13-22, 1996).
1. baseline obtained while infant is under chronic stress
2. if pre-intubation baseline is used, O2 saturation not an indicator of pain but rather of disease process
3. items such as nasolabial furrow difficult to discern
(Grunau RVE, Craig KD: Pain expression in neonates. Pain 28: 395-410, 1987)
(Prevention and management of stress and/or pain in the newborn infant. CPS statement)