Pain in Neonates

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K. J. S. Anand, Patrick J. McGrath, Bonnie J. Stevens
Elsevier, 2000 - Medical - 281 pages
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Little attention has in the past been given to physiological or pathological responses of the infant to stimuli that produce pain in older individuals. All that has changed. Drs. Anand and McGrath have joined in writing and editing this collection of chapters on many aspects of nociception and the responses within the central nervous system, behavioral responses, endocrine, cardiovascular and immune functions. The question of the benefits of some pain to communicate the presence of a potentially dangerous event is the subject of a thoughtful discussion in Chapter 4. Nociception may trigger appropriate physiological responses. However, severe responses may in themselves be deleterious as documented by the improved outlook when they are blocked during surgery. The principles and pharmacotherapy with systemic analgesic drugs (especially opioids) is given extensive and informative consideration in Chapters 5 and 6. Regional and topical anesthesia in newborn infants is thoroughly covered in Chapter 7. A welcome addition to the discussions in first chapters of the book, is the report of experienced neonatal nurses on individualized supportive care to reduce pain and stress in neonatal intensive care units. They provide a critical review of studies of behaviors of preterm and sick infants, which they augment with a description of current practices. The remaining topics that serve to broaden the perspective of those caring for infants are indicated by the chapter titles: "Moral and ethical issues in clinical practice", "Research design and research ethics", "Social and legal issues", and finally, "Future directions" by the editors.

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About the author (2000)

Daphne du Maurier (1907--1989), a novelist, playwright, biographer, and short-story writer, was born into an artistic family in London. She began writing short stories and articles in 1928 and in 1931 her first novel, "The Loving Spirit," was published. Many of her works were adapted into films, including "Rebecca,"" ""The Birds," and "Don't Look Now." In June 1969, du Maurier was named a Dame of the British Empire.
Patrick McGrath was born in London in 1950. His works include "Blood and Water and Other Tales," "The Grotesque," "Spider," "Dr. Haggard's Disease," "Asylum" (which was short-listed for the 1996 "Guardian" Fiction Prize and made into a feature film), "Martha Peake," and "Port Mungo," His most recent novel is "Trauma" (April 2008). He lives in London and New York with his wife, Maria Aitken.

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