Neonatal and infant pain assessment

2021 ◽  
pp. 375-390
Author(s):  
Mariana Bueno ◽  
Mats Eriksson ◽  
Bonnie J. Stevens
Keyword(s):  
Clinical Practice ◽  
Knowledge Translation ◽  
Pain Assessment ◽  
Gold Standard ◽  
Comprehensive Evaluation ◽  
Policies And Procedures ◽  
Infant Pain ◽  
Assessment Measures ◽  
Neonates And Infants ◽  
No Gold Standard

Pain assessment is an essential foundation to mitigate pain and its consequences in the developing child. However, pain assessment in neonates and infants is challenging and, to date, there is no “gold standard” infant pain indicator, measure, or approach. This chapter encompasses (1) a comprehensive evaluation of the most current and well validated neonatal/infant pain assessment measures; (2) an overview on biomarkers and cortical indicators on neonatal/infant pain; (3) the integration of recommendations on pain-assessment measures and practices within clinical practice guidelines, policies, and procedures; and (4) challenges associated with neonatal and infant pain assessment in terms of research, clinical, and knowledge translation issues.

Neonatal and infant pain assessment

2013 ◽  
pp. 353-365 ◽  
Author(s):  
Grace Y. Lee ◽  
Bonnie J. Stevens
Keyword(s):  
Clinical Practice ◽  
Knowledge Translation ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Pain Assessment ◽  
Comprehensive Evaluation ◽  
Developmental Context ◽  
Policies And Procedures ◽  
Infant Pain ◽  
Assessment Measures

This chapter encompasses: (1) the conceptualization of infant pain within a particular biopsychosocial and developmental context; (2) a comprehensive evaluation of existing neonatal/infant pain assessment measures and indicators (e.g. biomarkers and cortical indicators); (3) integration of recommendations on pain assessment measures and practices within clinical practice guidelines, policies, and procedures; and (4) challenges associated with neonatal and infant pain assessment in terms of research, clinical and knowledge translation (KT) issues.

scholarly journals Laryngopharyngeal reflux: clinical significance, modern approaches to diagnosis and treatment

2019 ◽  
pp. 8-16
Author(s):  
I. V. Maev ◽  
J. V. Selskaya ◽  
D. N. Andreev ◽  
D. T. Dicheva ◽  
Z. N. Bogolepova ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Gold Standard ◽  
Gastric Content ◽  
Laryngopharyngeal Reflux ◽  
Standard Dosage ◽  
No Gold Standard ◽  
Instrumental Methods ◽  
Ph Metry

Gastroesophageal reflux disease (GERD) is one of the most common pathologies in modern clinical practice. Laryngopharyngeal reflux (LPR) is considered to be an extraesophageal manifestation of GERD and is characterized by retrograde ingestion of gastric content into the larynx and pharynx, leading to recurrent otolaryngological symptoms. Classical manifestations of LPR are hoarseness, perspiration, dryness and feeling of lump in the throat, coughing. There is no «gold standard» for the diagnosis of LPR. At the same time, several instrumental methods are used in clinical practice to verify the diagnosis: laryngoscopy and EGDS are the most common, and in some cases - 24-hour pH-metry and impedancemetry. In the case of an established diagnosis of LPR, it is recommended to use a standard dosage of PPI twice a day for 3–6 months.

Treatment of Neonatal Pain without a Gold Standard: The Case for Caregiving Interventions and Sucrose Administration

2004 ◽  
Vol 23 (4) ◽  
pp. 33-45 ◽  
Author(s):  
Wende Prince ◽  
Kimberly Horns ◽  
Teresa Latta ◽  
Dale Gerstmann
Keyword(s):  
Practice Guidelines ◽  
Pain Assessment ◽  
Gold Standard ◽  
Current Evidence ◽  
Pain Response ◽  
Neonatal Pain ◽  
Pain Assessment Scales ◽  
No Gold Standard ◽  
Assessment Scales ◽  
Without A Gold Standard

Although many different neonatal pain assessment scales are used in clinical research, no gold-standard instrument exists. The multitude of pain assessment scales used has, in fact, threatened the validity of many studies and confused the construct of pain. This integrative review of the neonatal pain literature provides the recommendations from practice guidelines and the current evidence for modifying the pain response prior to and during common painful procedures.

scholarly journals Reverse Scarf Osteotomy for Hallux Varus following Surgery for Hallux Valgus

2014 ◽  
Vol 1 (2) ◽  
pp. 52-54
Author(s):  
Rakesh B Dalal ◽  
Ricci Gary Edward Plastow ◽  
Rajesh Rachha
Keyword(s):  
Clinical Practice ◽  
Hallux Valgus ◽  
Gold Standard ◽  
Surgical Procedure ◽  
Asia Pacific ◽  
Scarf Osteotomy ◽  
Hallux Varus ◽  
Inflammatory Arthropathy ◽  
No Gold Standard

ABSTRACT Hallux varus is a much rarer deformity in clinical practice than hallux valgus. It can be congenital, associated with inflammatory arthropathy or iatrogenic due to overcorrection in hallux valgus surgery. There have been many treatments suggested but no gold standard has been found. We will describe a simple surgical procedure involving the scarf osteotomy to reverse the overcorrection of hallux valgus. How to cite this article Dalal RB, Plastow RGE, Rachha R. Reverse Scarf Osteotomy for Hallux Varus following Surgery for Hallux Valgus. J Foot Ankle Surg (Asia-Pacific) 2014;1(2):52-54.

Pain Assessment in Neonates

2012 ◽  
pp. 278-302 ◽  
Author(s):  
Hanne Storm
Keyword(s):  
Real Time ◽  
Pain Assessment ◽  
Gold Standard ◽  
Pain Measurement ◽  
Assessment And Treatment ◽  
No Gold Standard ◽  
The U.S ◽  
Immediate Response

In the U.S. it is mandatory to assess and treat pain. Italy, France, and Russia are establishing standards that mean pain assessment and treatment may become mandatory. Physiological, behavioural, and biochemical tools have been used for pain assessment but no gold standard is yet available. These tools have both limits and benefits. The topic of this chapter is to discuss these tools for different infant groups and to conclude if they can fulfill a gold standard for pain assessment. This gold standard should be independent of the infant’s level of maturity and level of illness, should give accurate pain measurement, be in real time, give an immediate response, and the index should be valid for all infants.

scholarly journals AN OUTLOOK ON PILONIDAL SINUS WITH SPECIAL REFERENCE TO NADI VRANA: A REVIEW

2021 ◽  
Vol 12 (5) ◽  
pp. 86-89
Author(s):  
Aishwarya S ◽  
Siddayya Aradhyamath
Keyword(s):  
Clinical Practice ◽  
Special Reference ◽  
Standard Method ◽  
Granulation Tissue ◽  
Pilonidal Sinus ◽  
Gold Standard ◽  
Common Disease ◽  
Gold Standard Method ◽  
No Gold Standard

Pilonidal sinus is an epithelium lined tract, containing hairs and unhealthy diseased granulation tissue. It is a very common disease encountered in clinical practice. It is often challenging owing to its higher chances of recurrence. Due to its similarity in features, the disease is being compared to Nadivrana according to the classics of Ayurveda. Despite the vast advancements in the field of medicine and surgery, the management of this disease remains agnostic. Though there are around 17 different techniques enumerated for the treatment of this condition, no gold standard method has been evolved in treating it. The classic of Ayurveda explains a set of treatment methodologies that not only provides a cure to the disease but also prevents the recurrence of the same which is the most notable complication of the disease. This article is aimed at throwing light into the disease and its various treatments adopted, both from modern and ayurvedic perspectives.

scholarly journals Mini Review: Impedance Measurement in Neuroscience and Its Prospective Application in the Field of Surgical Neurooncology

2022 ◽  
Vol 12 ◽  
Author(s):  
Tammam Abboud ◽  
Dorothee Mielke ◽  
Veit Rohde
Keyword(s):  
Clinical Practice ◽  
Human Tissue ◽  
Gold Standard ◽  
Ex Vivo ◽  
Impedance Measurement ◽  
Non Invasive ◽  
Prospective Application ◽  
No Gold Standard ◽  
Made In

Impedance measurement of human tissue can be performed either in vivo or ex vivo. The majority of the in-vivo approaches are non-invasive, and few are invasive. To date, there is no gold standard for impedance measurement of intracranial tissue. In addition, most of the techniques addressing this topic are still experimental and have not found their way into clinical practice. This review covers available impedance measurement approaches in the neuroscience in general and specifically addresses recent advances made in the application of impedance measurement in the field of surgical neurooncology. It will provide an understandable picture on impedance measurement and give an overview of limitations that currently hinders clinical application and require future technical and conceptual solutions.

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