Abstract

Enhanced Recovery After Surgery (ERAS) recommendations for multi-modal, opioid-limiting analgesia have been shown to be effective in paediatric patients. However, neonatal-specific protocols are limited, and protocols that address non-pharmacological approaches are rare. Through systematic review and modified Delphi consensus with anaesthesiologists, paediatric surgeons and researchers, we developed non-pharmacological recommendations to improve perioperative neonatal pain management. Evidence from 37 articles of variable quality informed these recommendations. Our consensus resulted in four recommendations: (1) use of sweet-tasting solutions, (2) non-nutritive sucking, (3) skin-to-skin and (4) music therapy. These recommendations aim to reduce neonatal opioid usage alongside pharmacological therapies. PROSPERO registration number: CRD42021265273.

למאמר המלא

Pentz B, Short K, Pilkington M, Marchand T, Aziz S, Lam JY, Spencer A, Brockel MA, Else S, McLuckie D, Franklin A, de Beer D, Raval MV, Scott M, Brindle ME. Enhanced Recovery After Surgery (ERAS) consensus recommendations for non-pharmacological perioperative neonatal pain management. BMJ Paediatr Open. 2025 May 7;9(1):e003280. doi: 10.1136/bmjpo-2024-003280. PMID: 40340819; PMCID: PMC12060878