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Neonatal Pain

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KareemElbassiouny
KareemElbassiouny
Salud y medicinaEntretenimiento y humor
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[email_address] KAREEM EL- BASSIOUNY AWAD UNDER HELPFUL SUPERVISION OF: PROF. DR. SHADIA EL- SALLAB
Definition ,[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Outdated professional attitudes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
The Fact ,[object Object],[object Object],[email_address]
[email_address]
The Fact ,[object Object],[object Object],[object Object],[email_address]
Developmental Aspects of Pain Perception ,[object Object],[object Object],[object Object],[email_address]
Pain Pathways Descending pathways Ascending pathways Peripheral receptors Neural pathways Spinal cord tracts Brainstem, thalamus, & beyond [email_address]
Anatomic developments [email_address]
Physiologic Development ,[object Object],[object Object],[object Object],[object Object],: [email_address]
The Effects of Pain [email_address] Kareem Awad
Immediate Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Long Term Effects of Untreated Pain ,[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Long Term Effects of Untreated Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
[email_address]
[object Object],[email_address] Kareem Awad
Painful Procedures in NICU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How the newborn responds to Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Kareem Awad
Physiologic/autonomic responses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Behavioral Cues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
[email_address]
Hormonal/Metabolic Responses ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Hormonal/Metabolic Responses ,[object Object],[object Object],[object Object],[object Object]
Factors Affecting Pain Response ,[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Factors leading to the development of assessment and treatment of pain ,[object Object],[object Object],[object Object],[email_address]
[email_address] “ Because neonates cannot verbalize their pain, they depend on others to recognize, assess, manage their pain.” Prevention and Management of Pain and Stress in the Neonate (RE9945) -- Pediatrics Volume 105, Number 2 February 2000, pp 454-461
Assessment of Pain ,[object Object],[object Object],[object Object],[email_address] Kareem Awad
Common Pain scales [email_address]
ABC scale for pain in newborns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
ABC scale for pain in newborns [email_address]
Prevention of neonatal pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
[email_address] ,[object Object]
Non Pharmacological Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Non-Pharmacological Treatment [email_address]
Environmental Interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Swaddling, Positioning and Touch ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Nonnutritive Suckling “NNS” ,[object Object],[object Object],[object Object],[email_address]
Nonnutritive Suckling “NNS” ,[object Object],[object Object],[object Object],[email_address]
SUCROSE ,[object Object],[object Object],[object Object],[email_address] Kareem Awad
Effect of Oral Sucrose Solution on Venipuncture Pain Abad, et al Acta Paediatr, 1996 Time crying (sec) [email_address]
Effect of sucrose on circumcision pain AJOG 2002;186:564-8 [email_address]
SUCROSE ,[object Object],[object Object],[email_address] Kareem Awad
SUCROSE ;dose ,[object Object],[object Object],[object Object],[object Object],[email_address]
SUCROSE; repeated doses ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Sucrose; side effects ,[object Object],[object Object],[object Object],[email_address]
GLUCOSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
[email_address]
[email_address]
[email_address]
Multisensory Stimulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Multisensory stimulation plus oral glucose ,[object Object],[object Object],[email_address]
Skin to skin contact ( kangaroo care ) ,[object Object],[email_address]
Contact Control Skin-skin contact Gray, et al Pediatrics 2000 Percent of time [email_address]
Breast feeding ,[object Object],[object Object],[object Object],[email_address] Kareem Awad
Breast milk ,[object Object],[object Object],[object Object],[email_address]
Music therapy “ MT ” ,[object Object],[object Object],[object Object],[object Object],[email_address]
Pharmacologic analgesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Local analgesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Local analgesia ,[object Object],[object Object],[object Object],[object Object],[email_address]
Nonnarcotic drugs ,[object Object],[object Object],[object Object],[email_address]
Narcotic drugs ,[object Object],[object Object]
Narcotic drugs ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Morphine Fentanyl
Recommended analgesic doses for neonates [email_address]
Adverse effects of analgesic agents in neonates [email_address]
[email_address]
Heel lance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Percutaneous venous catheter insertion & venipuncture ,[object Object],[object Object],[object Object],[object Object],[email_address]
UVC & UAC insertion ,[object Object],[object Object],[object Object],[email_address]
PICC insertion ,[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
Central venous line placement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Peripheral arterial or venous cut down ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Lumbar puncture ,[object Object],[object Object],[object Object],[email_address] Kareem Awad
SC or IM injection ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
ETT insertion ,[object Object],[object Object],[object Object],[email_address]
ETT insertion ,[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
ETT suction ,[object Object],[object Object],[object Object],[email_address]
Nasogastric or orogastric tube insertion ,[object Object],[object Object],[object Object],[email_address]
Chest tube insertion ,[object Object],[object Object],[object Object],[object Object],[email_address]
Circumcision ,[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Ongoing analgesia for routine NICU care and procedures ,[object Object],[object Object],[object Object],[email_address] Kareem Awad
Future perspectives. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address]
Important to know ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[email_address] Kareem Awad
[email_address] Kareem Awad THANK YOU

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