procedural pain

^[1]^[2]

Management

nonpharmacological strategies for short-term mild-moderately painful procedures (lance, IV catheter insertion)
- swaddling
- nonnutritive sucking
- breast-feeding^[2]
- skin-to-skin care
oral sucrose or glucose safe & effective for mild to moderately painful procedures (immunizations) either alone or with nonpharmacological strategies^[1]
pharmacologic treatments
- topical anesthetics (tetracaine gel, EMLA) decrease pain during venipuncture & insertion of venous & arterial lines
- opioids, benzodiazepines) may be used for more painful procedures
pain management recommended for circumcision & nonemergency intubation

↑ ^{Jump up to: 1.0} ^1.1 ^1.2 Stein MT AAP Updates Recommendations for Managing Procedural Pain in Neonates. Physician's First Watch, Jan 25, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
Harrison D, Larocque C, Bueno M et al Sweet Solutions to Reduce Procedural Pain in Neonates: A Meta-analysis Pediatrics Dec 2016, e20160955 PMID: https://www.ncbi.nlm.nih.gov/pubmed/27986905
↑ ^{Jump up to: 2.0} ^2.1 Harrison D, Reszel J, Bueno M, Sampson M et al Breastfeeding for procedural pain in infants beyond the neonatal period. Cochrane Database Syst Rev. 2016 Oct 28;10:CD011248. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27792244