Brain scan (EEG) identifies neonatal pain

Knowing neonatal pain, especially before the child has learned to speak, is an art for parents, doctors, and nurses. Infants usually use kicking, crying, etc. to express their inner feelings. However, unfortunately, these signs may mean that the baby is hungry, needs a hug, or is only temporarily unhappy. In a new study, researchers from the University of Oxford in the UK conducted a series of experimental studies called Poppi to better understand when a baby is actually in pain by using an electroencephalogram (EEG).

The pain of the baby is the most heartbreaking thing for the first parents, and it is one of the problems of treatment. An estimated 15 million babies are born each year, most of whom will experience numerous life-saving but painful processes such as heel pricking or insertion of a thin cannula for fluid or medication. In preterm infants in the intensive care unit, there are 11 such "breaking" invasive procedures on average every day, but analgesia takes only one third of the time.

脑部扫描(EEG)可辨别新生儿疼痛

We know that repeated, painful encounters in early childhood can negatively affect brain development, so why are infants' pain treatments so inadequate? One of the reasons is the lack of standard guidelines for managing drugs. Some painkillers for adults are not suitable for infants and young children, and those that can be used by children often have different effects, such as the use of doses.

More importantly, newborn babies can't tell us what they feel, so they can't determine the efficacy of any painkillers. However, researchers at Oxford University may now have overcome the latter's challenges. They found a pain-related brainwave signal that can respond to painkillers and can be used to measure the efficacy of the drug. The results were published in the May 3 issue of Science Translational Medicine.

脑部扫描(EEG)可辨别新生儿疼痛

Figure 1 An experimental baby has a non-invasive EEG device on the head. (Photo: Oxford University)

From the 1980s, it has been clinically assumed that newborns do not feel pain, and that giving them an analgesic does more harm than good. Until recently, the existence of neonatal pain was re-examined. Although these rumors have been removed, we still have little knowledge of infant pain, so treating pain is a huge challenge for clinicians.

脑部扫描(EEG)可辨别新生儿疼痛

Rebeccah Slater

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