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Archives of Disease in Childhood - Fetal and Neonatal Edition 2001;85:F79-F81; doi:10.1136/fn.85.2.F79
Copyright © 2001 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 2001;85:F79-F81 ( September )

Leading article

Can we use methadone for analgesia in neonates?
Commentary

Can we use methadone for analgesia in neonates?

The first 150 words of the full text of this article appear below.

    Introduction

The use of methadone analgesia is undergoing a revival in the field of pain management with doctors, nurses, and other healthcare professionals realising its potential advantages over other commonly used opioid analgesics.1-3 The efficacy of methadone analgesia is well documented in adults, but limited information is available about the use of methadone in younger patients, particularly neonates. Painful experiences in neonates range from all newborns receiving routine vitamin K injections at birth to the critically ill preterm neonates who may experience up to 488 painful procedures during their stay in neonatal intensive care units.4 5 The idea that neonates do not experience pain has long been refuted, and doctors are now more likely to administer routine pain relief.6 The provision of adequate analgesia and sedation has been proved to maintain physiological stability and improve clinical outcomes in these patients.7 Neonates undergoing surgery often need to be intubated and ventilated for prolonged periods . . . [Full text of this article]


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This article has been cited by other articles:

  • Anand, K J S, Hall, R W (2006). Pharmacological therapy for analgesia and sedation in the newborn.. Arch. Dis. Child. Fetal Neonatal Ed. 91: F448-F453 [Abstract] [Full Text]  

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