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Fetal Pain
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To the Editor: We have a number of concerns about the Clinical Review of fetal pain by Dr Lee and colleagues.1 First and foremost, none of the authors appear to routinely provide care for premature infants, including the administration of analgesia and anesthesia. Providing clinical care to pregnant patients does not make a caregiver an expert on fetal or neonatal pain, and a clinician with expertise in this area should have been included.
While this was intended to be a current and comprehensive literature review of articles relating to pain, anesthesia, and analgesia in fetuses younger than 30 weeks' gestational age as well as articles specifically addressing fetal pain and nociception, many relevant articles and an entire textbook devoted to this topic were not cited.2-4
We routinely provide care for premature infants, many of whom are as young as 24 weeks' gestation. We regularly administer anesthesia and analgesia to these . . . [Full Text of this Article]
Laura B. Myers, MD
laura.myers@childrens.harvard.edu
Linda A. Bulich, MD;
Arielle Mizrahi, MD;
Stephen Santangelo, MD
Department of Anesthesia, Perioperative and Pain Medicine
Children's Hospital Boston
Boston, Mass
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