Evidence map›Paper›PMID 33504957›Full record

ArticlePediatric research2021

Methadone effectively attenuates acute and long-term consequences of neonatal repetitive procedural pain in a rat model.

Nynke J van den Hoogen, Thomas J de Geus, Jacob Patijn, Dick Tibboel, Elbert A Joosten

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Nynke J van den HoogenDepartment of Anaesthesiology and Pain Management, Maastricht University Medical Centre, Maastricht, The Netherlands. nynkevdhoogen@gmail.com.ORCID http://orcid.org/0000-0002-1731-2903
Thomas J de GeusDepartment of Anaesthesiology and Pain Management, Maastricht University Medical Centre, Maastricht, The Netherlands.
Jacob PatijnDepartment of Anaesthesiology and Pain Management, Maastricht University Medical Centre, Maastricht, The Netherlands.
Dick TibboelIntensive Care and Department of Paediatric Surgery, Erasmus Medical Centre - Sophia Children's Hospital, Rotterdam, The Netherlands.
Elbert A JoostenDepartment of Anaesthesiology and Pain Management, Maastricht University Medical Centre, Maastricht, The Netherlands.
Maastricht University Medical Centre · NLErasmus MC - Sophia Children’s Hospital · NLUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPainful procedures in early life cause acute pain and can alter pain processing at a spinal level lasting into adulthood. Current methods of analgesia seem unable to prevent both acute and long-term hypersensitivity associated with neonatal pain. The current study aims to prevent acute and long-term hypersensitivity associated with neonatal procedural pain using methadone analgesia in rat pups.

methodsSprague-Dawley rat pups received either methadone (1 mg/kg) or saline prior to repetitive needle pricks into the left hind paw from the day of birth (postnatal day (P)0) to P7. Control littermates received a tactile stimulus. Mechanical sensitivity was assessed during the neonatal period (P0-P7), from weaning to adulthood (3-7 weeks) and following surgical re-injury of the same dermatome in adulthood.

resultsMethadone administration completely reversed acute hypersensitivity from P0 to P7. In addition, neonatal methadone analgesia prevented prolonged hypersensitivity after re-injury in adulthood, without affecting sensitivity from weaning to adulthood.

conclusionsThe current study shows that neonatal methadone analgesia can attenuate acute as well as long-term hypersensitivity associated with neonatal procedural pain in a rat model. IMPACT: Methadone treatment attenuates acute and long-term hypersensitivity associated with neonatal pain in a rat model. Clinical effectiveness studies are urgently warranted to assess acute and long-term analgesic effectivity of methadone.

Indexed as

Analgesics, OpioidAnimalsAnimals, NewbornMethadonePain ManagementProcedural PainRatsRats, Sprague-DawleyAnalgesics, OpioidMethadone

Identifiers

PMID33504957
OpenAlexW3125518713

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.