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Microcirculation – a tool for the study of pain in neonates and infants?

Islam Saleh Abdo1,2
1 Department of Anesthesiology and Intensive Care Medicine, University Hospital Hradec Kralove, Czech Republic
2 Department of Anesthesia, Dalhousie University, Halifax, Canada
[Applied Cardiopulmonary Pathophysiology 16: 254-263, 2012]


The relationship between pain and the newborn’s microcirculation has been a poorly understood field of research. Introduction of orthogonal polarization spectral (OPS) imaging and sidestream dark field (SDF) imaging to clinical medicine has opened a new field of monitoring and target treatment in various neonatal diseases and states. The non-invasiveness and safety of these bedside technologies make them very favorable in bringing us closer to a better understanding of the impact of pain on the newborn’s microcirculation. Early and long term impact of neonatal/infant pain syndrome, current tools of pain assessment in neonates and infants as well as infant microcirculation will be discussed.

Key words: microcirculation, pain, neonates, orthogonal polarization spectral (OPS), sidestream dark field (SDF)

Correspondence address
Islam Saleh Abdo
Charles University in Prague
Faculty of Medicine in Hradec Kralove
University Hospital Hradec Kralove
Dept. of Anesthesiology and Intensive Care Medicine
Hradec Kralove, Czech Republic
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