Evidence map›Paper›PMID 40251358›Full record

ArticleJournal of anesthesia2025

Management of postoperative pain in neonatal intensive care units in Japan.

Aya Shimizu, Mio Ozawa, Akio Kubota, Toshie Yamazaki, Takako Tamura, Satoshi Toyama, Takeshi Arimitsu, Rie Fukuhara, Committee of Guidelines for Pain Care in Newborns in Japan Academy of Neonatal Nursing

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Article in Journal of anesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

9 authors.

Aya ShimizuGraduate School of Nursing, Osaka Metropolitan University, 1-4-3 Asahimachi, Abeno-Ku, Osaka City, 545-0051, Japan. shimizu-aya@omu.ac.jp.ORCID http://orcid.org/0009-0008-1167-5915
Mio OzawaGraduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Akio KubotaTsukiyama Child Care Clinic, Wakayama, Japan.
Toshie YamazakiDepartment of Nursing, Nagano Children's Hospital, Nagano, Japan.
Takako TamuraFormer Department of Anesthesia and ICU, National Center for Child Health and Development, Tokyo, Japan.
Satoshi ToyamaDepartment of Anesthesiology, Graduate School of Medical and Dental Sciences, Institute of Science, Tokyo, Japan.
Takeshi ArimitsuDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Rie FukuharaDepartment of Neonatology, Hiroshima Prefectural Hospital, Hiroshima, Japan.
Committee of Guidelines for Pain Care in Newborns in Japan Academy of Neonatal Nursing

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal postoperative pain management in Japan is not as standardized as bedside procedural pain, where evidence-based guidelines are widespread, which causes a knowledge gap. To identify postoperative pain management issues, we analyzed the anonymous survey online or by mail by neonatologists or head nurses in 89 Japan's neonatal intensive care units (levels III and IV). Although 79 units (88.8%) required recommendation for postoperative pain management, 11 units (12.4%) used a pain scale for pain assessment, 35 units (39.3%) had evaluated and recorded the pain assessment, 27 units (30%) had updated the postoperative pain management plan, less than bedside procedure, and 14 units (15.7%) had made a preoperative pain management plan. Pain management among neonatal nurses and neonatologists and pediatric surgeons and anesthesiologists have been in three units (3.4%) for preoperative, and in six units (6.7%), and postoperative pain management consult was provided in 15 units (16.9%), which means Initiatives at facilities are essential. We suggest evidence-based practical recommendations in Japan are necessary for neonates to minimize postoperative pain, enhance neonatal postoperative pain management knowledge, and provide consistent postoperative pain management appropriate to the neonates' condition by multidisciplinary collaboration among neonatal nurses, neonatologists, pediatric surgeons, and pediatric anesthesiologists.

Indexed as

Intensive Care Units, NeonatalPain ManagementPostoperative PainHumansInfant, NewbornJapanPain MeasurementSurveys and QuestionnairesInterprofessional practiceJapanNeonatal intensive care unitPain assessmentPostoperative pain management

Identifiers

PMID40251358

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.