What do we really know about newborn infant pain?

M Fitzgerald - Experimental Physiology, 2015 - Wiley Online Library
New Findings What is the topic of this review? Pain in infancy. What advances does it
highlight? New neurophysiological research on pain processing in the human infant brain …

The development of the nociceptive brain

M Verriotis, P Chang, M Fitzgerald, L Fabrizi - Neuroscience, 2016 - Elsevier
This review addresses the fundamental question of how we first experience pain, at the
beginning of our lives. The brain is activated by peripheral tissue damaging stimulation from …

Analgesic efficacy and safety of morphine in the Procedural Pain in Premature Infants (Poppi) study: randomised placebo-controlled trial

C Hartley, F Moultrie, A Hoskin, G Green, V Monk… - The Lancet, 2018 - thelancet.com
Background Infant pain has immediate and long-term effects but is undertreated because of
a paucity of evidence-based analgesics. Although morphine is often used to sedate …

Stroking modulates noxious-evoked brain activity in human infants

D Gursul, S Goksan, C Hartley, GS Mellado, F Moultrie… - Current Biology, 2018 - cell.com
A subclass of C fibre sensory neurons found in hairy skin are activated by gentle touch [1]
and respond optimally to stroking at∼ 1–10 cm/s, serving a protective function by promoting …

Nociceptive brain activity as a measure of analgesic efficacy in infants

C Hartley, EP Duff, G Green, GS Mellado… - Science translational …, 2017 - science.org
Pain in infants is undertreated and poorly understood, representing a major clinical problem.
In part, this is due to our inability to objectively measure pain in nonverbal populations. We …

Early life inflammation is associated with spinal cord excitability and nociceptive sensitivity in human infants

MM Cobo, G Green, F Andritsou, L Baxter… - Nature …, 2022 - nature.com
Immune function and sensitivity to pain are closely related, but the association between
early life inflammation and sensory nervous system development is poorly understood …

Cumulative procedural pain and brain development in very preterm infants: A systematic review of clinical and preclinical studies

T Boggini, S Pozzoli, P Schiavolin, R Erario… - Neuroscience & …, 2021 - Elsevier
Very preterm infants may manifest neurodevelopmental impairments, even in the absence of
brain lesions. Pathogenesis is complex and multifactorial. Evidence suggests a role of early …

Nociceptive cortical activity is dissociated from nociceptive behavior in newborn human infants under stress

L Jones, L Fabrizi, M Laudiano-Dray, K Whitehead… - Current Biology, 2017 - cell.com
Newborn infants display strong nociceptive behavior in response to tissue damaging stimuli,
and this is accompanied by nociceptive activity generated in subcortical and cortical areas of …

Behavioral and physiological signs for pain assessment in preterm and term neonates during a nociception-specific response: a systematic review

LM Relland, A Gehred, NL Maitre - Pediatric neurology, 2019 - Elsevier
Abstract Background/Goal Assessment and treatment of neonatal pain is difficult because
current scales are rarely validated against brain-based evidence. We sought to …

Inferring pain experience in infants using quantitative whole-brain functional MRI signatures: a cross-sectional, observational study

EP Duff, F Moultrie, M van der Vaart… - The Lancet Digital …, 2020 - thelancet.com
Background In the absence of verbal communication, it is challenging to infer an individual's
sensory and emotional experience. In communicative adults, functional MRI (fMRI) has been …