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Comment & Response
March 30, 2020

The Limitations of Pain Scales—Reply

Author Affiliations
  • 1Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
  • 2University Children’s Hospital, Department of Neonatology and Pediatric Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
JAMA Pediatr. 2020;174(6):623-624. doi:10.1001/jamapediatrics.2020.0079

In Reply Several years ago, we implemented a protocol to manage pain and sedation based on regular clinical pain and sedation assessments in our neonatal intensive care units.1 At that time, given the significant amount of studies published in that field, we found it extremely difficult to choose 1 scale, among others. These difficulties motivated us to write this systematic review to provide clinicians and researchers with a useful blueprint to facilitate the search for the optimal scale.2

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