Website Of The Week Website of the week

Babies in pain

BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7222.1444b (Published 27 November 1999) Cite this as: BMJ 1999;319:1444
  1. Douglas Carnall (dcarnall{at}bmj.com)
  1. BMJ

    Assessment of neonatal pain is difficult, yet its control is important because, untreated, it has both short term and long term negative effects. This week a randomised controlled trial adds further weight to the evidence that a dummy and a sweet solution are both good treatments for pain after painful interventions in infants. This evidence for this has been building over the decade, and it's a good example of the kind of knowledge that parents and healthcare professionals ought to know about.

    A quick search on Google (www.google.com) brings up the impressive KidsHealth.org (“Our mission is to provide the best children's health information on the World Wide Web”), which scores well on being explicit about its sources, with a large editorial team of doctors. The information on pain is of reasonable quality (kidshealth.org/parent/healthy/pain.html), but there are the usual problems: the general discussion cannot specifically address the question the browser arrives with, nor does it link to further sources of information. Bridging the gap between consumer and medical information is a site run by an eminent paediatric nurse (www1.mosby.com/Mosby/Wong/hcom_wong_w43.html), who publishes, among other things, practical instructions for making a sucrose solution—1 teaspoon of sucrose in 4 teaspoons of water makes a 24% solution.

    At Islamic Voice (www.islamicvoice.com/june.98/science.htm#Top) there's a reminder that the prophet has long recommended placing a date in the mouth of male infants about to be circumcised, although BMJ readers have known this since 1995 (www.bmj.com/cgi/content/full/311/7013/1169)

    At the other end of the spectrum, just about as specialised as it is possible to be, is the Paediatric Pain Letter, downloadable in full text as a series of PDFs of around 150 kb at is.dal.ca/~pedpain/pplet_toc.htm#toc.

    View Abstract

    Sign in

    Log in through your institution

    Subscribe