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Can cortical responses following noxious stimulation inform us about pain processing in neonates?

Slater, R; Fitzgerald, M; Meek, J; (2007) Can cortical responses following noxious stimulation inform us about pain processing in neonates? SEMIN PERINATOL , 31 (5) 298 - 302. 10.1053/j.semperi.2007.07.001.

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Abstract

The measurement of pain in neonates presents a unique challenge. Infants, unable to describe pain verbally, rely on caregivers to assess and manage pain on their behalf. Behavioral and physiological indicators, often used in pain assessment in this population, are assumed surrogate measures of pain processing; however, it has not been proven that these outcome measures correlate with perceived pain, which requires higher cortical processing. Recent studies in neonates have used near-infrared spectroscopy to measure the cortical responses to nociception. The magnitude of these responses can be compared with current clinical pain assessment measures, which provides the opportunity to assess whether these measures are a true reflection of cortical pain processing. This review discusses the use of near-infrared spectroscopy and compares it with alternative pain assessment measures in this vulnerable population.

Type: Article
Title: Can cortical responses following noxious stimulation inform us about pain processing in neonates?
DOI: 10.1053/j.semperi.2007.07.001
Keywords: cortex, infant, pain, near-infrared spectroscopy, premature infant pain profile (PIPP), NEAR-INFRARED SPECTROSCOPY, SOMATOSENSORY-EVOKED POTENTIALS, NEWBORN-INFANTS, PRETERM INFANTS, HEMODYNAMIC-RESPONSES, VISUAL-STIMULATION, OPTICAL TOPOGRAPHY, BRAIN, ACTIVATION, CORTEX
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > Div of Biosciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > Div of Biosciences > Neuro, Physiology and Pharmacology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst for Women's Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Inst for Women's Health > Neonatology
URI: http://discovery.ucl.ac.uk/id/eprint/121679
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