Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review
Background: During the last decade, an increase in maternal opioid use has resulted in newborns requiring management for withdrawal. Typical symptoms of neonatal opioid withdrawal syndrome [NOWS] are difficult to distinguish from pain behaviors, and management measures involve both distress/pain ass...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
|
| Series: | Global Pediatrics |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667009723000593 |
| _version_ | 1827317853310681088 |
|---|---|
| author | Sriya Roychaudhuri Tajveer Ubhi Alexandra Kowalczyk Jan Vanesch Laura Lyons Soume Bhattacharya Emma G. Duerden |
| author_facet | Sriya Roychaudhuri Tajveer Ubhi Alexandra Kowalczyk Jan Vanesch Laura Lyons Soume Bhattacharya Emma G. Duerden |
| author_sort | Sriya Roychaudhuri |
| collection | DOAJ |
| description | Background: During the last decade, an increase in maternal opioid use has resulted in newborns requiring management for withdrawal. Typical symptoms of neonatal opioid withdrawal syndrome [NOWS] are difficult to distinguish from pain behaviors, and management measures involve both distress/pain assessment as well as management by healthcare personnel. Both factors are independently known to have an adverse impact on neurodevelopmental pathways in neonates with NOWS. This scoping review aimed to explore the literature available regarding NOWS and its implications for pain assessment. Methods: This scoping review has been conducted in accordance with the Joanna Briggs Institute [JBI] methodology. A comprehensive search strategy using 5 databases was employed. Two reviewers assessed full-text articles based on predefined criteria. Results: The initial literature search resulted in a total of 4794 articles of which 7 articles were related to distress/pain in NOWS. Pain assessment measures included both subjective scoring methods and objective measures. An additional 4 preclinical studies were identified, but were not included in the results. Conclusions: Structured and targeted tools for pain scoring are needed for this population of at-risk newborns. The overlapping mechanisms of pain perception and opioid withdrawal like sympathetic stimulation make it necessary to explore objective methods to assess pain in NOWS. |
| first_indexed | 2024-03-09T01:25:35Z |
| format | Article |
| id | doaj.art-a45e08ba6baf40cca87622f701830c55 |
| institution | Directory Open Access Journal |
| issn | 2667-0097 |
| language | English |
| last_indexed | 2024-04-24T23:46:51Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Global Pediatrics |
| spelling | doaj.art-a45e08ba6baf40cca87622f701830c552024-03-15T04:44:46ZengElsevierGlobal Pediatrics2667-00972024-03-017100093Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping reviewSriya Roychaudhuri0Tajveer Ubhi1Alexandra Kowalczyk2Jan Vanesch3Laura Lyons4Soume Bhattacharya5Emma G. Duerden6Division of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, Canada; Neonatal - Perinatal Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, CanadaMedical Sciences, Schulich School of Medicine and Dentistry, Western University, London, CanadaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, Canada; Neonatal - Perinatal Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, CanadaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, CanadaNeonatal - Perinatal Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, CanadaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, London Health Sciences Centre, London, Canada; Neonatal - Perinatal Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, CanadaApplied Psychology, Faculty of Education, Western University, London, Canada; Correspondence to: Emma G. Duerden, Faculty of Education, 1137 Western Rd, London, Ontario N6G 1G7. Tel.: 519-661-2111 ext. 88694Background: During the last decade, an increase in maternal opioid use has resulted in newborns requiring management for withdrawal. Typical symptoms of neonatal opioid withdrawal syndrome [NOWS] are difficult to distinguish from pain behaviors, and management measures involve both distress/pain assessment as well as management by healthcare personnel. Both factors are independently known to have an adverse impact on neurodevelopmental pathways in neonates with NOWS. This scoping review aimed to explore the literature available regarding NOWS and its implications for pain assessment. Methods: This scoping review has been conducted in accordance with the Joanna Briggs Institute [JBI] methodology. A comprehensive search strategy using 5 databases was employed. Two reviewers assessed full-text articles based on predefined criteria. Results: The initial literature search resulted in a total of 4794 articles of which 7 articles were related to distress/pain in NOWS. Pain assessment measures included both subjective scoring methods and objective measures. An additional 4 preclinical studies were identified, but were not included in the results. Conclusions: Structured and targeted tools for pain scoring are needed for this population of at-risk newborns. The overlapping mechanisms of pain perception and opioid withdrawal like sympathetic stimulation make it necessary to explore objective methods to assess pain in NOWS.http://www.sciencedirect.com/science/article/pii/S2667009723000593PainNewbornsNewborn opioid withdrawalNOWS |
| spellingShingle | Sriya Roychaudhuri Tajveer Ubhi Alexandra Kowalczyk Jan Vanesch Laura Lyons Soume Bhattacharya Emma G. Duerden Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review Global Pediatrics Pain Newborns Newborn opioid withdrawal NOWS |
| title | Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review |
| title_full | Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review |
| title_fullStr | Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review |
| title_full_unstemmed | Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review |
| title_short | Neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn: a scoping review |
| title_sort | neonatal opioid withdrawal syndrome and implications for pain assessment in the newborn a scoping review |
| topic | Pain Newborns Newborn opioid withdrawal NOWS |
| url | http://www.sciencedirect.com/science/article/pii/S2667009723000593 |
| work_keys_str_mv | AT sriyaroychaudhuri neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview AT tajveerubhi neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview AT alexandrakowalczyk neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview AT janvanesch neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview AT lauralyons neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview AT soumebhattacharya neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview AT emmagduerden neonatalopioidwithdrawalsyndromeandimplicationsforpainassessmentinthenewbornascopingreview |