Surgical Use of Analgesic Drugs

Autor: L. Manganozzi, A. M. Guadagni
Rok vydání: 2017
Předmět:
Zdroj: Neonatal Pain ISBN: 9783319532301
DOI: 10.1007/978-3-319-53232-5_14
Popis: Acute perioperative pain management in neonates and procedural pain management are new emergent clinicians’ problems. The neurophysiological basis of neonatal pain perception and the role of different analgesic drugs and techniques in perioperative pain management in neonates are discussed. Intravenous opioids such as morphine or fentanyl as either intermittent bolus or continuous infusion remain the most common modality for the treatment of perioperative pain. Paracetamol has a promising role in decreasing opioid requirement. However, routine use of ketorolac or other nonsteroidal anti-inflammatory drugs is not usually recommended. Epidural analgesia is safe in experienced hands and provides several benefits over systemic opioids such as early extubation and early return of bowel function. The most frequent neonatal surgical conditions and neonatal abstinence syndrome are also discussed.
Databáze: OpenAIRE