Cargando…
Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies
Background: Preterm pain is common in the Neonatal Intensive Care Unit (NICU), with multiple invasive procedures occurring daily. Objective: To review the psychosocial and neurobiological vulnerabilities of preterm infants and to provide an updated overview of non-pharmacological strategies for acut...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573383/ https://www.ncbi.nlm.nih.gov/pubmed/34760849 http://dx.doi.org/10.3389/fped.2021.568755 |
_version_ | 1784595410416828416 |
---|---|
author | Shiff, Ilana Bucsea, Oana Pillai Riddell, Rebecca |
author_facet | Shiff, Ilana Bucsea, Oana Pillai Riddell, Rebecca |
author_sort | Shiff, Ilana |
collection | PubMed |
description | Background: Preterm pain is common in the Neonatal Intensive Care Unit (NICU), with multiple invasive procedures occurring daily. Objective: To review the psychosocial and neurobiological vulnerabilities of preterm infants and to provide an updated overview of non-pharmacological strategies for acute procedural pain in hospitalized preterm infants. Methods: We utilized a narrative review methodology, which also included a synthesis of key pieces of published systematic reviews that are relevant to the current work. Results and Conclusions: Preterm infants are uniquely susceptible to the impact of painful procedures and prolonged separation from caregivers that are often inherent in a NICU stay. Non-pharmacological interventions can be efficacious for mitigating procedural pain for preterm infants. Interventions should continue to be evaluated with high quality randomized controlled trials, and should endeavor to take into account the neurobiological and psychosocial aspects of preterm vulnerability for pain prevention and management strategies. |
format | Online Article Text |
id | pubmed-8573383 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85733832021-11-09 Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies Shiff, Ilana Bucsea, Oana Pillai Riddell, Rebecca Front Pediatr Pediatrics Background: Preterm pain is common in the Neonatal Intensive Care Unit (NICU), with multiple invasive procedures occurring daily. Objective: To review the psychosocial and neurobiological vulnerabilities of preterm infants and to provide an updated overview of non-pharmacological strategies for acute procedural pain in hospitalized preterm infants. Methods: We utilized a narrative review methodology, which also included a synthesis of key pieces of published systematic reviews that are relevant to the current work. Results and Conclusions: Preterm infants are uniquely susceptible to the impact of painful procedures and prolonged separation from caregivers that are often inherent in a NICU stay. Non-pharmacological interventions can be efficacious for mitigating procedural pain for preterm infants. Interventions should continue to be evaluated with high quality randomized controlled trials, and should endeavor to take into account the neurobiological and psychosocial aspects of preterm vulnerability for pain prevention and management strategies. Frontiers Media S.A. 2021-10-25 /pmc/articles/PMC8573383/ /pubmed/34760849 http://dx.doi.org/10.3389/fped.2021.568755 Text en Copyright © 2021 Shiff, Bucsea and Pillai Riddell. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Shiff, Ilana Bucsea, Oana Pillai Riddell, Rebecca Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies |
title | Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies |
title_full | Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies |
title_fullStr | Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies |
title_full_unstemmed | Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies |
title_short | Psychosocial and Neurobiological Vulnerabilities of the Hospitalized Preterm Infant and Relevant Non-pharmacological Pain Mitigation Strategies |
title_sort | psychosocial and neurobiological vulnerabilities of the hospitalized preterm infant and relevant non-pharmacological pain mitigation strategies |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573383/ https://www.ncbi.nlm.nih.gov/pubmed/34760849 http://dx.doi.org/10.3389/fped.2021.568755 |
work_keys_str_mv | AT shiffilana psychosocialandneurobiologicalvulnerabilitiesofthehospitalizedpreterminfantandrelevantnonpharmacologicalpainmitigationstrategies AT bucseaoana psychosocialandneurobiologicalvulnerabilitiesofthehospitalizedpreterminfantandrelevantnonpharmacologicalpainmitigationstrategies AT pillairiddellrebecca psychosocialandneurobiologicalvulnerabilitiesofthehospitalizedpreterminfantandrelevantnonpharmacologicalpainmitigationstrategies |