Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs

ABSTRACT Objective: To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain. Method: This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain. Results: Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart. Final considerations: The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

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The effect of facilitated tucking position during painful procedure in pain management of preterm infants in neonatal intensive care unit: a systematic review and meta-analysis

European Journal of Pediatrics ◽

10.1007/s00431-020-03640-5 ◽

2020 ◽

Vol 179 (5) ◽

pp. 699-709 ◽

Cited By ~ 3

Author(s):

Mansueto Gomes Neto ◽

Isabella Aira da Silva Lopes ◽

Ana Carolina Cunha Lacerda Morais Araujo ◽

Lucas Silva Oliveira ◽

Micheli Bernardone Saquetto

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Pain Management ◽

Neonatal Intensive Care Unit ◽

Preterm Infants ◽

Neonatal Intensive Care ◽

Meta Analysis ◽

Painful Procedure

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Manejo da dor do recém-nascido internado em unidade de terapia intensiva neonatal / Newborn pain management hospitalized in neonatal intensive care unit

Brazilian Journal of Health Review ◽

10.34119/bjhrv4n2-063 ◽

2021 ◽

Vol 4 (2) ◽

pp. 4785-4797

Author(s):

Roberta Tognollo Borotta Uema ◽

Rosimara Oliveira Queiroz ◽

Gabrieli Patricio Rissi ◽

Bianca Machado Cruz Shibukawa ◽

Ieda Harumi Higarashi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pain Management ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Terapia Intensiva

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Validity and Reliability of Neonatal Infant Pain Scale (NIPS) in Neonatal Intensive Care Unit in Vietnam

MedPharmRes ◽

10.32895/ump.mpr.3.2.1 ◽

2019 ◽

Vol 3 (2) ◽

pp. 1-7

Author(s):

Hai Thanh Ngo ◽

Kathleen Fitzsimmons ◽

Kien Gia To

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Registered Nurses ◽

Neonatal Intensive Care ◽

Pain Scale ◽

Rater Reliability ◽

Neonatal Pain ◽

Clinical Procedures ◽

Infant Pain

Background: The study aimed to culturally adapt and validate Neonatal Infant Pain Scale (NIPS) for use in Vietnamese settings. Methods: The original NIPS was translated into Vietnamese using a standard protocol. Registered nurses of Neonatal Intensive Care Unit (NICU), Tien Giang General Hospital, Vietnam used the Vietnamese NIPS for assessing neonatal pain and then provided feedback on acceptability of the scale. Five registered nurses of NICU were randomly selected and used NIPS for assessing neonatal pain while watching thirty videos at two times, two weeks apart from each other. Pulse rates per minute and oxygen saturation (SpO2) were also recorded for validity evaluation. Intraclass correlation coefficients (ICC) with two-way random effects were applied to assess intra-rater and inter-rater reliability. Multilevel linear regression was applied to assess the association between NIPS score with pulse rates and SpO2 adjusting for raters, three periods and two assessments. Results: The Vietnamese NIPS was accepted and valued by nurses at the NICU. ICCs between the first and second assessments were from 0.53 to 1.00 for five raters before, during and after clinical procedures showing moderate to excellent intra-rater reliability. ICCs among five raters were moderate to good before and after, but poor (ICC<0.4) during clinical procedures. NIPS score was not associated with SpO2, but with pulse rates per minute. Conclusions: The preliminary results showed that the Vietnamese version of NIPS is reliable and should be used. However, it is recommended that further research should be conducted to confirm its reliability and validity.

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Prevention and treatment of pain in the neonatal intensive care unit

Ból ◽

10.5604/01.3001.0012.8297 ◽

2018 ◽

Vol 19 (2) ◽

pp. 21-32

Author(s):

Hanna Popowicz ◽

Wioletta Mędrzycka-Dąbrowska ◽

Katarzyna Kwiecień-Jaguś

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Intensive Care Units ◽

Neonatal Intensive Care ◽

Neonatal Intensive Care Units ◽

Bibliographic Databases ◽

Care Providers ◽

Daily Work ◽

Neonatal Pain

Healing pain as well as preventing it is an indisputable right of every human being. Activities connected with/ related to medical care in the neonatal intensive care unit may be the source of pain. The aim of the study was to characterize the problem of pain in terms of patients of neonatal intensive care units. The work describes not only the perception of neonatal pain but also preventing and therapeutic actions, including pharmacological and non-pharmacological strategies. The last one can be used widely in the daily work of nursing/midwifery staff with neonatal intensive care unit (OITN) patients and their care providers. The study analyzed national and foreign literature on pain therapy in cases of patients of neonatal intensive care units. The available bibliographic databases include Medline, Scopus, PubMed and Google Scholar. The following keywords were used as search criteria: “pain”, “newborn baby”, “neonatal intensive care unit “‘nurse”, “midwives”.

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