A multidimensional approach to pain assessment in critically ill infants during a painful procedure

Clinical Journal of Pain

Volumn 29, Issue 7, 2013, Pages 613-620

  Ranger, Manon ^a,b,c   Celeste Johnston, C ^a,d   Rennick, Janet E ^a,c   Limperopoulos, Catherine ^e,f   Heldt, Thomas ^g   Du Plessis, Adré J ^b,e  

^a MCGILL UNIVERSITY   (Canada)

^b BOSTON CHILDREN S HOSPITAL   (United States)

^c MONTREAL CHILDREN S HOSPITAL   (Canada)

^d IWK HEALTH CENTRE   (Canada)

^e Division of Fetal and Transitional Medicine   (United States)

^f CHILDREN'S NATIONAL MEDICAL CENTER   (United States)

^g MASSACHUSETTS INSTITUTE OF TECHNOLOGY   (United States)

Author keywords

behavioral pain assessment; cerebral nociceptive response; critically ill infants; near infrared spectroscopy (NIRS); noncommunicative

Indexed keywords

MIDAZOLAM; MORPHINE;

AGE; ARTICLE; BLOOD OXYGENATION; BODY WEIGHT; BRAIN FUNCTION; BRAIN TISSUE; CARDIOVASCULAR RESPONSE; CHEST TUBE; CHILD BEHAVIOR; CLINICAL ARTICLE; COMPARATIVE STUDY; CONGENITAL HEART MALFORMATION; CONTROLLED STUDY; CORONARY CARE UNIT; CRITICALLY ILL PATIENT; FACE LEG ACTIVITY CRY CONSOLABILITY PAIN SCORE; FEMALE; HEART SURGERY; HEMOGLOBIN DETERMINATION; HOSPITAL ADMISSION; HUMAN; INFANT; INTENSIVE CARE UNIT; MALE; MEAN ARTERIAL PRESSURE; NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; NEAR INFRARED SPECTROSCOPY; NOCICEPTIVE STIMULATION; OUTCOME ASSESSMENT; PAIN; PAIN ASSESSMENT; PRIORITY JOURNAL; PSYCHOPHYSIOLOGY; SEX; TACTILE STIMULATION; TISSUE OXYGENATION; TUBE REMOVAL; VIDEORECORDING;

ANALGESICS; CARDIOVASCULAR SURGICAL PROCEDURES; CRITICAL ILLNESS; FEMALE; HEART DEFECTS, CONGENITAL; HUMANS; INFANT; INFANT, NEWBORN; MALE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TREATMENT OUTCOME;

EID: 84879879392     PISSN: 07498047     EISSN: 15365409     Source Type: Journal    
DOI: 10.1097/AJP.0b013e31826dfb13     Document Type: Article

References (42)

1. Buttner W, Finke W. Analysis of behavioural and physiological parameters for the assessment of postoperative analgesic demand in newborns, infants and young children: a comprehensive report on seven consecutive studies. Pediatr Anesth. 2000;10:303-318. (Pubitemid 30331173)
2. Stevens B, McGrath P, Gibbins S, et al. Determining behavioural and physiological responses to pain in infants at risk for neurological impairment. Pain. 2007;127:94-102. (Pubitemid 46001511)
3. Ramelet AS, Abu-Saad HH, Rees N, et al. The challenges of pain measurement in critically ill young children: a comprehensive review. Aust Crit Care. 2004;17:33-45.
4. Barr RG. Reflections on measuring pain in infants: dissociation in responsive systems and "honest signalling". Arch Dis Child Fetal Neonatal Ed. 1998;79:F152-F156.
5. Stevens BJ, Johnston CC, Horton L. Multidimensional pain assessment in premature neonates: a pilot study. J Obstet Gynecol Neonatal Nurs. 1993;22:531-541.
6. Johnston CC, Stevens BJ, Yang F, et al. Differential response to pain by very premature neonates. Pain. 1995;61: 471-479.
7. Craig KD, Whitfield MF, Grunau RVE, et al. Pain in the preterm neonate: behavioural and physiological indices. Pain. 1993;52:287-299. (Pubitemid 23080547)
8. Johnston CC, Stevens BJ, Franck LS, et al. Factors explaining lack of response to heel stick in preterm newborns. J Obstet Gynecol Neonatal Nurs. 1999;28:587-594.
9. Sweet SD, McGrath PJ. Physiological measures of pain. In: Finley GA, McGrath PJ, eds. Measurement of Pain in Infants and Children. Seattle: IASP Press; 1998:59-81.
10. Slater R, Cornelissen L, Fabrizi L, et al. Oral sucrose as an analgesic drug for procedural pain in newborn infants: a randomised controlled trial. Lancet. 2010;376:1225-1232.
11. Slater R, Cantarella A, Franck L, et al. How well do clinical pain assessment tools reflect pain in infants? PLoS Med. 2008;5:e129.
12. Slater R, Worley A, Fabrizi L, et al. Evoked potentials generated by noxious stimulation in the human infant brain. Eur J Pain. 2010;14:321-326.
13. Bartocci M, Bergqvist LL, Lagercrantz H, et al. Pain activates cortical areas in the preterm newborn brain. Pain. 2006; 122:109-117.
14. Sava S, Lebel AA, Leslie DS, et al. Challenges of functional imaging research of pain in children. Mol Pain. 2009;5:30.
15. Slater R, Cantarella A, Gallella S, et al. Cortical pain responses in human infants. J Neurosci. 2006;26:3662-3666.
16. Bartocci M. Brain Functional Near Infrared Spectroscopy in Human Infants. Doctoral dissertation: Karolinska Institutet 2006. Available at: http://diss.kib.ki.se/2006/91-7357-034-6/thesis.pdf
17. Soul JS, du Plessis AJ. Near-infrared spectroscopy. Semin Pediatr Neurol. 1999;6:101-110. (Pubitemid 29300181)
18. Wolfberg AJ, du Plessis AJ. Near-infrared spectroscopy in the fetus and neonate. Clin Perinatol. 2006;33:707-728. (Pubitemid 44301429)
19. Ranger M, Johsnton CC, Limperopoulos C, et al. Cerebral near-infrared spectroscopy as a measure of nociceptive evoked activity in critically ill infants. Pain Res Manag. 2011;16:331-336.
20. Merkel SI, Voepel-Lewis T, Shayevitz JR, et al. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997;23:293-297.
21. Merkel S, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children: the FLACC scale. Am J Nurs. 2002;102:55-58.
22. Voepel-Lewis T, Zanotti J, Dammeyer JA, et al. Reliability and validity of the Face, Legs, Activity, Cry, Consolability Behavioral Tool in assessing acute pain in critically ill patients. Am J Crit Care. 2010;19:55-61.
23. Pollack MM, Patel KM, Ruttimann UE. PRISM III: an updated pediatric risk of mortality score. Crit Care Med. 1996;24:743-752. (Pubitemid 26155716)
24. Hoshi Y. Functional near-infrared optical imaging: utility and limitations in human brain mapping. Psychophysiology. 2003; 40:511-520. (Pubitemid 36834951)
25. Hoshi Y, Tamura M. Detection of dynamic changes in cerebral oxygenation coupled to neuronal function during mental work in man. Neurosci Lett. 1993;150:5-8. (Pubitemid 23142312)
26. Kato T, Kamei A, Takashima S, et al. Human visual cortical function during photic stimulation monitoring by means of near-infrared spectroscopy. J Cereb Blood Flow Metab. 1993; 13:516-520. (Pubitemid 23129405)
27. Kleinschmidt A, Obrig H, Requardt M, et al. Simultaneous recording of cerebral blood oxygenation changes during human brain activation by magnetic resonance imaging and near-infrared spectroscopy. J Cereb Blood Flow Metab. 1996;16:817-826. (Pubitemid 26292049)
28. Stevens B, Johnston C, Petryshen P, et al. Premature infant pain profile: development and initial validation. Clin J Pain. 1996;12:13-22. (Pubitemid 26128581)
29. Gelinas C, Choiniere M, Ranger M, et al. Toward a new approach for the detection of pain inaadult patients undergoing cardiac surgery: near-infrared spectroscopy-a pilot study. Heart Lung. 2011;39:485-493.
30. Franck LS, Ridout D, Howard R, et al. A comparison of pain measures in newborn infants after cardiac surgery. Pain. 2011;152:1758-1765.
31. Ambuel B, Hamlett KW, Marx CM, et al. Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol. 1992;17:95-109.
32. Riley JL III, Robinson ME, Wise EA, et al. Sex differences in the perception of noxious experimental stimuli: a metaanalysis. Pain. 1998;74:181-187. (Pubitemid 28081604)
33. Fillingim RB, King CD, Ribeiro-Dasilva MC, et al. Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain. 2009;10:447-485.
34. Goffaux P, Michaud K, Gaudreau J, et al. Sex differences in perceived pain are affected by an anxious brain. Pain. 2011;152:2065-2073.
35. Derbyshire SWG. Gender, pain, and the brain. Pain Clin Updat. 2008;16:1-4.
36. Stevens B, Yamada J, Ohlsson A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database of Systematic Reviews. 2010;CD001069.
37. Update of Cochrane Database Syst Rev. 2004;(3):CD001069.
38. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150:971-979.
39. International Association for the Study of Pain. The need of a taxonomy (editorial). Pain. 1979;6:247-252.
40. Apkarian AV. Pain perception in relation to emotional learning. Curr Opin Neurobiol. 2008;18:464-468.
41. Becerra L, Harris W, Joseph D, et al. Diffuse optical tomography of pain and tactile stimulation: activation in cortical sensory and emotional systems. Neuroimage. 2008;41:252-259.
42. Hoshi Y, Chen SJ. Regional cerebral blood flow changes associated with emotions in children. Pediatr Neurol. 2002; 27:275-281. (Pubitemid 35341699) Intervention Research Group, Quebec, Canada