Estratégias De Manejo Da Dor Em Unidade De Terapia Intensiva Neonatal E Pediátrica: Revisão Integrativa

Pain management in newborns and children hospitalized in ICUs is a challenge due to the immaturity of the nervous system and difficulty in communication. Although there are validated scales for pain assessment, the lack of standardized protocols and specialized training compromises adequate pain control, which can result in negative impacts on neuropsychomotor development. This study aims to identify and analyze the most effective strategies for pain management in neonatal and child patients admitted to ICUs, contributing to safer and more humanized care. This is an integrative review based on the guidelines of Polit and Beck (2019) and Mendes, Silveira and Galvão (2008). Studies published between 2020 and 2025 in the LILACS, PubMed, MEDLINE, SCOPUS and BVS databases were included, using the descriptors: “Pain Management”, “Health Strategies”, “Intensive Care Units, Pediatric” and “Intensive Care Units, Neonatal”. Of the 515 studies found, 13 were selected after applying the inclusion and exclusion criteria. The studies analyzed addressed pharmacological and non pharmacological interventions, the latter being effective and not causing adverse effects related to the use of medications. Methods such as maternal voice, white noise, non-nutritive sucking and use of ear protectors have proven effective in reducing pain and stress, especially during invasive procedures. Although there has been progress in research on pain management in neonatal and pediatric ICUs, gaps remain regarding the comparative effectiveness of interventions. Standardization of protocols and adequate training of professionals are essential to ensure an efficient and humanized approach. Keywords: Pain Management. Intensive Care Units, Neonatal. Intensive Care Units, Pediatric.