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Caffeine has been used for over 30 years to treat episodes of apnea in preterm infants. Caffeine citrate is considered one of the most safety and effective drugs, with few or no side effects, used in our Neonatal Intensive Care Units (NICU). Many randomized studies describe the use and benefits of caffeine in the preterm population. Studies based on caffeine prophylactic use in preterm infants, as well as new indications out of apnea of prematurity have been recently published. Despite being one of the drugs most used in our NICU, are not yet available clinical practice guidelines and / or protocols in many of our NICU. Therefore, I invite you to participate in a study to determine the use of caffeine and its indications in NICUs around the world through the following survey. Once analyzed all the surveys, I promise to send you the results. Those you are interested you can send me your email adress and I will send you the survey. Dr. Laura Castells Vilella lauracastellsvilella@gmail.com Neonatologist and NICU’s Manager IDC Salud Hospital General de Catalunya (Barcelona, Spain)

Dear fellow-members! Together with a student, Isa Sundell, I try to collect national guidelines for neonatal pain management. With helpful support from many professionals in neonatology worldwide, we have received several examples, and have compiled a list of the result so far (see short list below). I now turn to you: maybe there are new guideIines or updates we are not aware of. It would be a great help to us if you could send information about such guidelines in your country. Absolutely best would be to recieve an electronic copy or a web-link, or in printed form to adress below, but second best would be a reply to the following questions: 1 Country: 2 Year of publication of national neonatal pain guidelines: 3 Who issued the guidelines (goverment, professional society etc)? 4 The guidelines have suggestions for a) post-operative pain Yes / No other ongoing pain (ventilator etc) Yes / No c) procedural pain Yes / No d) pain assessement Yes / No e) pharmacological pain treatment Yes / No f) non-pharmacologica pain treatment Yes / No The results will published in a report / scientific publication in 2012. Thank you in advance! Yours sincerely Mats Eriksson & Isa Sundell e-mail: isa.sundell@orebroll.se mail: Isa Sundell, VFC, Örebro university hospital, S-70185 Sweden List of guidelines Australia and New Zeeland - 2005 - Royal Australasian College of Physicians Australia and New Zeeland - 2007 - Australian and New Zeeland Neonatal Network Brazil - 2011 - Ministry of Health Canada and USA - 2000/2007 - Canadian Paediatric Society, Fetus and Newborn Committee Denmark - (summer 2012, ongoing work) - Special Interest Group in Neonatal Nursing France - 2009/2011 - Agence francais de sécurité sanitarire des produits de santé Great Britain and Ireland - 2008 - Association of Paediatric Anaesthetists of Great Britain and Ireland Great Britain - 2000/2009 - Royal College of Nursing Iceland - 2004 - Local guidelines on the only NICU Ireland - 2008 - Association of Paediatric Anaesthetists Italy - 2005/2008 - Pain Study Group of the Italian Society of Neonatology The Netherlands - 2007 - Dutch Society of Pediatrics The Netherlands - 1995 - National Studygroup for Pain in NICU's Norway - 2003 (part of general guidelines) - The Norwegian Physician Society Poland - 2008 Sweden - 2002/2009 - Swedish Paediatric Pain Association