Article
Sucrose attenuates a negative electroencephalographic response to an aversive stimulus for newborns.
Department of Pediatrics, University of Miami School of Medicine, Miami, FL 33101, USA.
Journal of Developmental & Behavioral Pediatrics (impact factor:
2.13).
09/2003;
24(4):261-6.
pp.261-6
Source: PubMed
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Citations (0)
- Cited In (2)
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Article: Electroencephalographic response to procedural pain in healthy term newborn infants.
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ABSTRACT: The current study aimed to characterize changes in EEG-related measures after noxious stimuli in neonates and to assess their potential utility as measures of pain and/or discomfort during neonatal intensive care. Seventy-two healthy term infants were investigated: Twenty-eight had a non-skin-breaking pin-prick on the heel, randomized to receive either oral glucose (n = 16) or water (n = 12) before the stimulus. Twenty-one infants were studied during a venous blood sample from the dorsum of the hand, 23 infants during a capillary heel stick. Behavioral pain responses were assessed with the Premature Infant Pain Profile Scale. The stimulus evoked a significant increase in higher frequency components (10-30 Hz) which also correlated to behavioral measures. The frontotemporal localization of the increased activity with frequency bands similar to electromuscular artifacts and the relation to behavioral measures confirmed that this activity corresponds to an increase in muscle tone. There was no change in frontal EEG asymmetry in any of the groups. The present results indicate that responses in cortical activity recorded by EEG are not useful for clinical assessment of infants' responses to noxious stimuli.Pediatric Research 07/2008; 64(4):429-34. · 2.70 Impact Factor -
Article: Current controversies regarding pain assessment in neonates.
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ABSTRACT: Although over 40 methods of pain assessment in infants are available for use in clinical practice, unrecognized and under-treated pain remains one of the most commonly reported problems within the Neonatal Intensive Care Units. A number of factors have been found to account for differences in the robustness of the pain response in neonates of varying gestational ages. Discrepancies between behavioral and physiological pain indicators have also been reported. With newer technologies, there is an opportunity not only to verify infant pain perception, but these tools may allow an identification of which of the observed indicators are most sensitive in particular clinical situations. The current controversies regarding pain assessment in preterm and term infants are reviewed to define the most important issues and to develop a dialogue for future directions.Seminars in Perinatology 11/2007; 31(5):283-8. · 2.99 Impact Factor
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Keywords
34 newborns
6 Hz frequency band
analgesic
Brazelton Neonatal Behavior Assessment Scale
EEG
Frontal EEG asymmetry scores
Heart rate
heart rate activity
heel lance
heelstroke
heelstroke phase
infants' facial behaviors
newborns
noxious
noxious stimuli
post-heelstroke phase
sucrose attenuates newborns' negative response
sucrose solution
sweet taste calms
water group