Publications by authors named "Miranda DiLorenzo-Klas"
Non-pharmacological management of infant and young child procedural pain.
Cochrane Database Syst Rev
June 2023
Article Synopsis
- Infant pain management remains a critical issue, with evidence indicating that unrelieved pain can have long-term developmental effects; thus, a thorough review of pain management strategies is essential.
- The objective of the updated review is to evaluate the effectiveness and potential adverse events of various non-pharmacological interventions for managing acute pain in infants and children up to three years old, while omitting certain methods like kangaroo care and breastfeeding.
- The review incorporated new data from 76 studies, focusing on randomized controlled trials comparing non-pharmacological strategies against a no-treatment control, and examined the additive effects of combining these strategies with other pain management methods.
Objective: Previous research discerned 3 groups of caregiver-toddler dyads that differed in their physiological coregulatory patterns, also known as physiological attunement, during routine vaccinations in the second year of life. One group of dyads (80% of sample) displayed an attuned regulatory pattern, and 2 groups of dyads (20% of sample) showed maladaptive attunement patterns (ie, a lack of attunement or misattunement). The objective of the current study was to examine how well the pain-related distress of children and caregivers during vaccination predicted these patterns.
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