Résumé
Les nouveau-nés en situation de fin de vie sont vulnérables. Ils apparaissent particulièrement exposés au stress, à l’inconfort et à la douleur. L’évaluation de toutes ces sensations est un objectif fondamental des soins palliatifs, pour les prévenir et les prendre en charge de façon optimale et adapter de façon précise les niveaux d’antalgie et de sédation dont ils peuvent bénéficier.
Preview
Unable to display preview. Download preview PDF.
Références
Anand KJ, Sippell WG, Aynsley-Green A (1987) Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response. Lancet 1: 62–66
Stevens BJ, Jonhston L, Newmann C, Rugg M (2007) Pain in vulnerable populations and palliative care. In: Anand KJS SB, McGrath PJ, eds. Pain in Neonates and Infants. 3rd ed. Edimburgh: Elsevier: 251–262
Lansing RW, Gracely RH, Banzett RB (2009) The multiple dimensions of dyspnea: review and hypotheses. Respir Physiol Neurobiol 167: 53–60
Banzett RB, Pedersen SH, Schwartzstein RM, Lansing RW (2008) The affective dimension of laboratory dyspnea: air hunger is more unpleasant than work/effort. Am J Respir Crit Care Med 177: 1384–1390
Gracely RH, Undem BJ, Banzett RB (2007) Cough, pain and dyspnoea: similarities and dif-ferences. Pulm Pharmacol Ther 20: 433–437
Nishino T, Shimoyama N, Ide T, Isono S (1999) Experimental pain augments experimental dyspnea, but not vice versa in human volunteers. Anesthesiology 91: 1633–1638
Morelot-Panzini C, Demoule A, Straus C et al. (2007) Dyspnea as a noxious sensation: inspiratory threshold loading may trigger diffuse noxious inhibitory controls in humans. J Neurophysiol 97: 1396–1404
Nishino T, Yashiro E, Yogo H et al. (2010) Comparison of pain and dyspnea perceptual responses in healthy subjects. Pain 148: 426–430
Wolfe J, Grier HE, Klar N et al. (2000) Symptoms and suffering at the end of life in children with cancer. N Engl J Med 342: 326–333
Duval M, Wood C (2002) Treatment of non-painful symptoms in terminally ill children. Arch Pediatr 9: 1173–1178
Schweitzer C, Marchal F (2009) Dyspnoea in children. Does development alter the perception of breathlessness ? Respir Physiol Neurobiol 167: 144–153
Shumway NM, Wilson RL, Howard RS et al. (2008) Presence and treatment of air hunger in severely ill patients. Respir Med 102: 27–31
Munson D (2007) Withdrawal of mechanical ventilation in pediatric and neonatal intensive care units. Pediatr Clin North Am 54: 773–785
Thach BT (2008) Some aspects of clinical relevance in the maturation of respiratory control in infants. J Appl Physiol 104: 1828–1834
Breau LM, Camfield C, McGrath PJ et al. (2001) Measuring pain accurately in children with cognitive impairments: refinement of a caregiver scale. J Pediatr 138: 721–727
Perkin RM, Resnik DB (2002) The agony of agonal respiration: is the last gasp necessary ? J Med Ethics 28: 164–169
Hawryluck L (2002) Neuromuscular blockers — a means of palliation ? J Med Ethics 28: 170–172.
Verhagen AA, van der Hoeven MA, van Meerveld RC, Sauer PJ (2007) Physician medical decision-making at the end of life in newborns: insight into implementation at 2 Dutch centers. Pediatrics 120: e20–e28
Menke JA, McClead RE (1990) Perinatal grief and mourning. Adv Pediatr 37: 261–283
Craig AD (2003) Interoception: the sense of the physiological condition of the body. Curr Opin Neurobiol 13: 500–505
Farrell MJ, Egan GF, Zamarripa F et al. (2006) Unique, common, and interacting cortical correlates of thirst and pain. Proc Natl Acad Sci USA 103: 2416–2421
Diekema DS, Botkin JR (2009) Clinical report-Forgoing medically provided nutrition and hydration in children. Pediatrics 124: 813–822
Piatt JH, Garton HJ (2008) Clinical diagnosis of ventriculoperitoneal shunt failure among children with hydrocephalus. Pediatr Emerg Care 4: 201–210
Holsti L, Grunau RE, Oberlander TF et al. (2005) Body movements: an important additional factor in discriminating pain from stress in preterm infants. Clin J Pain 21: 491–498
Debillon T, Des Robert C (2002) Les grilles d’évaluation de la douleur en néonatologie: synthèse de la littérature. MT Pédiatrique 5: 78–82
Duhn LJ, Medves JM (2004) A systematic integrative review of infant pain assessment tools. Adv Neonatal Care 4: 126–140
Stevens BJ, Pillai Riddell RR, Oberlander TE, Gibbins A (2007) Assessment of pain in neonates and infants. In: Anand KJS SBJ, McGrath PJ, eds. Pain in Neonates and Infants. Edimburg: Elsevier: 67–90
Anand KJ, Aranda JV, Berde CB et al. (2006) Summary proceedings from the neonatal pain-control group. Pediatrics 117: S9–S22
Batton DG, Barrington KJ, Wallman C (2006) Prevention and management of pain in the neonate: an update. Pediatrics 118: 2231–2241
van Dijk M, Peters JW, Bouwmeester NJ, Tibboel D (2002) Are postoperative pain instruments useful for specific groups of vulnerable infants ? Clin Perinatol 29: 469–491
Oberlander TF, O’Donnell ME (2001) Beliefs about pain among professionals working with children with significant neurologic impairment. Dev Med Child Neurol 43: 138–140
Breau LM, McGrath PJ, Stevens B et al. (2006) Judgments of pain in the neonatal intensive care setting: a survey of direct care staffs’perceptions of pain in infants at risk for neurological impairment. Clin J Pain 22: 122–129
Oberlander TF, Grunau RE, Fitzgerald C, Whitfield MF (2002) Does parenchymal brain injury affect biobehavioral pain responses in very low birth weight infants at 32 weeks’postconceptional age ? Pediatrics 110: 570–576
Stevens B, McGrath P, Gibbins S et al. (2007) Determining behavioural and physiological responses to pain in infants at risk for neurological impairment. Pain 127: 94–102
Fitzgerald M (2005) The development of nociceptive circuits. Nat Rev Neurosci 6: 507–520
Bartocci M, Bergqvist LL, Lagercrantz H, Anand KJ (2006) Pain activates cortical areas in the preterm newborn brain. Pain 122: 109–117
Slater R, Cantarella A, Gallella S et al. (2006) Cortical pain responses in human infants. J Neurosci 26: 3662–3666
Walden M, Penticuff J, Stevens B et al. (2001) Maturational Changes in Physiologic and Behavioral Responses of Preterm Neonates To Pain. Adv Neonatal Care 2: 94–106
Gibbins S, Stevens B, Beyene J et al. (2008) Pain behaviours in Extremely Low Gestational Age infants. Early Hum Dev 84: 451–458
Slater R, Cantarella A, Yoxen J et al. (2009) Latency to facial expression change following noxious stimulation in infants is dependent on postmenstrual age. Pain 146: 177–182
Slater R, Cantarella A, Franck L et al. (2008) How well do clinical pain assessment tools reflect pain in infants ? PLoS Med 5: e129
Debillon T, Zupan V, Ravault N et al. (2001) Development and initial validation of the EDIN scale, a new tool for assessing prolonged pain in preterm infants. Arch Dis Child Fetal Neonatal Ed 85: F36–F41
Ancora G, Mastrocola M, Bagnara C et al. (2009) Influence of gestational age on the EDIN score: an observational study. Arch Dis Child Fetal Neonatal Ed 94: F35–F38
Carbajal R, Paupe A, Hoenn E et al. (1997) APN: evaluation behavioral scale of acute pain in newborn infants. Arch Pediatr 4: 623–628
Grunau RV, Craig KD (1987) Pain expression in neonates: facial action and cry. Pain 28: 395–410
Ambuel B, Hamlett KW, Marx CM, Blumer JL (1992) Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol 17: 95–109
van Dijk M, de Boer JB, Koot HM et al. (2000) The reliability and validity of the COMFORT scale as a postoperative pain instrument in 0 to 3-year-old infants. Pain 84: 367–377
Ista E, van Dijk M, Tibboel D, de Hoog M (2005) Assessment of sedation levels in pediatric intensive care patients can be improved by using the COMFORT « behavior » scale. Pediatr Crit Care Med 6: 58–63
Nolent P, Nanquette MC, Carbajal R, Renolleau S (2006) Which sedation scale should be used in the paediatric intensive care unit ? A comparative prospective study. Arch Pediatr 13: 32–37
Van Dijk M, Roofthooft D, Anand KJS et al. (2009) Taking up the challenge of measuring prolonged pain in (premature) neonates. The COMFORTneo scale seems promising. Clin J Pain 25: 607–616
Franck LS, Cox S, Allen A, Winter I (2004) Parental concern and distress about infant pain. Arch Dis Child Fetal Neonatal Ed 89: F71–F75
Franck LS, Allen A, Cox S, Winter I (2005) Parents’views about infant pain in neonatal intensive care. Clin J Pain 21: 133–139
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag France, Paris
About this chapter
Cite this chapter
Kuhn, P. (2011). Comment évaluer au mieux la douleur et l’inconfort du nouveau-né en soins palliatifs et/ou en fin de vie ?. In: Soins palliatifs chez le nouveau-né. Springer, Paris. https://doi.org/10.1007/978-2-8178-0136-0_17
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0136-0_17
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0135-3
Online ISBN: 978-2-8178-0136-0
eBook Packages: MedicineMedicine (R0)