Die AAP macht sich große Sorgen wegen Schmerzen bei Neugeborenen

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    • Die AAP macht sich große Sorgen wegen Schmerzen bei Neugeborenen

      Prevention and Management of Procedural Pain in the Neonate: An Update


      The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also because repeated painful exposures have the potential for deleterious consequences. Neonates at greatest risk of neurodevelopmental impairment as a result of preterm birth (ie, the smallest and sickest) are also those most likely to be exposed to the greatest number of painful stimuli in the NICU.

      Genau! Das einfachste und wirksamste gegen Schmerzen ist, erst gar keine zu erzeugen!


      To address the gaps in knowledge, more research should be conducted...
      Ja, ja, blabla, laber, laber Rhabarber... das hört man seit Jahrzehnten. Aber erst machen wir mal weiter damit!


      Therefore, every health care facility caring for neonates should implement a pain-prevention program that includes strategies for minimizing the number of painful procedures performed
      Ha-ha-ha-ha! Der war gut! :FP02



      Despite recommendations from the AAP and other experts, neonatal pain continues to be inconsistently assessed and inadequately managed.


      Lügenboldies! (Pino)




      The prevention and alleviation of pain in neonates, particularly preterm infants, is important not only because it is ethical but also because exposure to repeated painful stimuli early in life is known to have short- and long-term adverse sequelae. These sequelae include physiologic instability, altered brain development, and abnormal neurodevelopment, somatosensory, and stress response systems, which can persist into childhood.515 Nociceptive pathways are active and functional as early as 25 weeks’ gestation and may elicit a generalized or exaggerated response to noxious stimuli in immature newborn infants.16
      Researchers have demonstrated that a procedure-related painful stimulus that results in increased excitability of nociceptive neurons in the dorsal horn of the spinal cord accentuates the infant’s sensitivity to subsequent noxious and nonnoxious sensory stimuli (ie, sensitization).17,18 This persistent sensory hypersensitivity can be physiologically stressful, particularly in preterm infants.1922 Investigators have demonstrated increased stress-related markers and elevated free radicals after even simple procedures, such as routine heel punctures or tape removal from central venous catheters,23,24 which can adversely affect future pain perception.8 Specific cortical pain processing occurs even in preterm infants; however, multiple factors interact to influence the nociceptive processing and/or behavioral responses to pain.14,16,2527 Noxious stimuli activate these signaling pathways but also activate the central inhibitory circuits, thus altering the balance between the excitatory and inhibitory feedback mechanisms. The immaturity of the dorsal horn synaptic connectivity and descending inhibitory circuits in neonates results in poor localization and discrimination of sensory input and poor noxious inhibitory modulation, thus facilitating central nervous system sensitization to repeated noxious stimuli.25


      Aber das ist euch ja alles SCHEISSEGAL

      DENN:

      AAP schrieb:

      ..the benefits of newborn male circumcision justify access to this procedure for families who choose it..
      Families? Haben die Babys und ihre Geschwister das gewählt?

      Die AAP ist eine durch und durch verlogene Organisation, aber für unsere Regierung war sie Referenz. Pecunia non olet, und mit Jungenverstümmelung und Vorhautverhökern lässt sich viel Geld verdienen.

      pediatrics.aappublications.org/content/137/2/e20154271
      Where have all the foreskins gone
      long time passing
      where have all the foreskins gone
      long time ago
      where have all the foreskins gone
      doctors cut them one by one

      When will we ever learn, when will we ever learn?
    • Die AAP hatte in ihrem berüchtigten 2012er Küchenverstümmler-Papier bekanntlich geschlossen, dass die medizinischen Nutzen der Neugeborenenverstümmlung deren Risiken übersteigen würden.
      Ein Risiko hatten sie dabei galant unterschlagen, das des Vorhautverlustes, dass zu praktisch 100% eintritt.
      Wann wird die AAP für die Amputation des im Vergleich zur Vorhaut Hochriskofaktors Brustdrüsen eintreten? - Den Verlust eines gesunden, funktionalen Körperteils an sich sieht sie ja offenbar nicht als zu berücksichtigendes Risiko.
      Where have all the foreskins gone
      long time passing
      where have all the foreskins gone
      long time ago
      where have all the foreskins gone
      doctors cut them one by one

      When will we ever learn, when will we ever learn?