NIPE – Parasympathetic Evaluation of the newborn child

It is estimated that human beings can feel pain starting 24 weeks of intrauterine life. There is a correlation between age and infant's pain reaction is: the youngest child, his reactions in response to a painful stimulus will increase. The same applies to repeated painful procedures - the intensity of pain response is proportional to the number of stimulations. In general, fear, anxiety or depression can increase our perception of pain. These factors may affect the newborn baby who does not always understand what is happening or may be expected from different experiences they had. This is true even when it comes to care based HDE, such as removing a simple bandage.

EPIPPAINE study, conducted in 2005-2006, showed that painful procedures are particularly frequent in an infant hospitalized. *From 430 children included, the study showed that there was an average of 17 invasive procedures a day for newborns and at least one procedure for newborns who were not ill (for example, taking samples blood).
NIPE technology offers an objective way to assess pain and discomfort in newborns.

To assess acute or prolonged pain, behavior rating scale are not always easy to apply. For example, EDIN scale (neonatal pain and discomfort scale) is used for prolonged pain assessment and analysis is based on parameters such as facial movements, quality of sleep and so on. This scale behavioral assessment must be performed by child support for a period of two hours, which is rarely observed in practice.

Bias parameter must be taken into account as well. The evaluator should be able to evaluate what he sees and what he feels there. Assessment scores for the same child will sometimes differ from one evaluator to another.

NIPE Monitor gives us an index based on an electrophysiological signal continuously and objectively assess or acute pain and patient comfort.

By using multiparameter monitor electrocardiogram provided, NIPE technology offers an objective assessment and continuous component of the parasympathetic autonomic nervous system of the newborn, both of extremely premature infants (26 weeks) until the age of two years. A high parasympathetic tone is correlated with the comfort and wellbeing.

Numerous experimental and clinical studies have shown that infants are particularly sensitive to stress. Any situation that causes pain or discomfort can alter neuronal development and can cause long-term consequences with increased risk of developing cardiovascular and metabolic diseases (hypertension, diabetes, obesity, cancer). There is also the possibility of cognitive influences that can lead to depression or an addiction or behavior of inadequate response to pain or stress. (Do HAD)