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العنوان
PERIOPERATIVE PAIN MANAGEMENT IN NEWBORNS
المؤلف
Ihab ,Shebl Mostafa Gad Al-Nady
هيئة الاعداد
باحث / Ihab Shebl Mostafa Gad Al-Nady
مشرف / Mohamad Abd-Elgalil Ahmed Sallam
مشرف / Hala Gomaa Salama Awad
مشرف / Hanaa Mohamad AbdAllah Al-Gendy
الموضوع
Intraoperative and Postoperative Pain Control-
تاريخ النشر
2011
عدد الصفحات
155.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2011
مكان الإجازة
جامعة عين شمس - كلية الطب - Anesthesiology
الفهرس
Only 14 pages are availabe for public view

from 155

from 155

Abstract

• Newborn infant experiences pain similarly and probably more than older children so our target is to control and abolish this pain to decrease surgical stress responses which leads to: catabolic responses, adverse circulatory and respiratory events.
• Also one of the most important steps of minimizing intraoperative pain is avoiding unnecessary laboratory studies and inappropriate long periods of nothing per oss to minimize patient discomfort and decrease anxiety.
• Careful attention must be given to the choice of anesthetic agents and dosing of such agents in the neonatal population. Ongoing maturational changes in the renal and hepatobiliary systems, which occur during the first 30 days of life, will affect the metabolism and elimination of many anesthetic agents.
• Before the late 1980s and early 1990s, a common belief was that neonates experienced no pain or less pain than adults, children, or infants who underwent similar surgical procedures. A healthcare provider who believes that neonates feel little pain tends to observe few clinical signs of pain in neonates. Furthermore, such practitioners tend to believe that narcotic administration is associated with increased risk in neonates. Although these practitioners may administer narcotic analgesics, they frequently use nonaggressive intervention and sub-therapeutic regimens in preverbal patients compared with adults.