الفهرس 
Neonatal PainOnly 14 pages are availabe for public view
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Abstract
Background: The assessment of pain in newborns represents a great challenge. Two of the major limitations to achieving pain relief in clinical practice include: The lack of a reliable biomarker. The absence of a gold standard scale that is capable of measuring the intensity of the pain.
Aim of the work: in this study we will use clinical pain assessment scales and compare it by non-invasive measure the salivary cortisol level to evaluate the accuracy of our clinical skills in evaluating neonatal pain.
Patients and Methods: This study was carried out at the Neonatal Intensive Care Unit (NICU) of Ain Shams University. A cross sectional study of 50 full term infant gestional age between 37:41 weeks of both sexes from our NICU. Patients will be enrolled after consideration of inclusion and exclusion criteria.
Results: There is a significant linear relationship between salivary cortisol level and PAT score in assessment of pain in newborn. The PAT score is easy and reliable tool to assess neonatal pain. The PAT score must be done to evaluate pain in NICUE and mange it in collaboration with the Nursing team to reduce the suffering of the infant in the NICU.
Conclusion: Concluded that Pain assessment tool (PAT score) is a useful easy, non- invasive screening method for assess neonatal pain. There was highly statistically significant positive correlation between PAT score and salivary cortisol level.