Assessment of four pain scales for evaluating procedural pain in premature infants undergoing heel blood collection

2020 ◽  
Author(s):  
Wanhua Xie ◽  
Xiaojie Wang ◽  
Ruihua Huang ◽  
Yanxia Chen ◽  
Xiaoping Guo
Keyword(s):  
Premature Infants ◽  
Procedural Pain ◽  
Blood Collection ◽  
Pain Scales

Nonpharmacological Techniques to Reduce Pain in Preterm Infants Who Receive Heel-Lance Procedure: A Randomized Controlled Trial

2014 ◽  
Vol 28 (4) ◽  
pp. 335-348 ◽  
Author(s):  
Piera Bergomi ◽  
Michele Chieppi ◽  
Antonella Maini ◽  
Tiziana Mugnos ◽  
Debora Spotti ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Wolfgang Amadeus Mozart ◽  
Controlled Trial ◽  
Standard Procedure ◽  
Blood Collection ◽  
Randomized Controlled ◽  
Heel Lance

Introduction: The heel-lance (HL) method for blood collection from the newborn is controversial for the pain it causes. This is the first randomized controlled trial on the management and reduction of pain using the music of Wolfgang Amadeus Mozart (“Sonata K. 448”) in premature infants hospitalized in a neonatal intensive care unit (NICU). This study has compared nonpharmacological techniques with standard procedure for reducing pain during HL procedure. Methods: Thirty-five premature infants were enrolled, each for 3 HL procedures, of which each was randomized to 1 of the 3 study arms. Arms were then compared in terms of the Premature Infant Pain Profile (PIPP) changes by analysis of variance (ANOVA). Results: One hundred five HL procedures were available for analysis (35 standard procedure, 35 music, 35 glucose). Median baseline PIPP was 3, and median PIPP after the HL procedure was 5. PIPP scale change was +3 in the control arm, +1 in the glucose arm, +2 in the music arm (p = .008). Discussion: Both glucose and music were safe and effective in limiting pain increase when compared to standard procedure in HL procedures in preterm infants.

scholarly journals Analgesic efficacy and safety of morphine in the Procedural Pain in Premature Infants (Poppi) study: randomised placebo-controlled trial

The Lancet ◽  
2018 ◽  
Vol 392 (10164) ◽  
pp. 2595-2605 ◽  
Author(s):  
Caroline Hartley ◽  
Fiona Moultrie ◽  
Amy Hoskin ◽  
Gabrielle Green ◽  
Vaneesha Monk ◽  
...  
Keyword(s):  
Premature Infants ◽  
Controlled Trial ◽  
Analgesic Efficacy ◽  
Procedural Pain ◽  
Efficacy And Safety

Newborn Infant Parasympathetic Evaluation Index for the Assessment of Procedural Pain in Nonanesthetized Infants: A Multicenter Pilot Study

2020 ◽  
Author(s):  
Wojciech Walas ◽  
Julita Latka-Grot ◽  
Iwona Maroszyńska ◽  
Ewelina Malinowska ◽  
Magdalena Rutkowska ◽  
...  
Keyword(s):  
Newborn Infant ◽  
Roc Analysis ◽  
Operating Characteristic ◽  
Pediatric Intensive Care ◽  
Procedural Pain ◽  
Pain Scales ◽  
Group A ◽  
Noxious Stimuli ◽  
Nonverbal Children ◽  
Newborn Infant Parasympathetic Evaluation

Abstract Objective The aim of this study is to evaluate the ability of the Newborn Infant Parasympathetic Evaluation (NIPE) index to detect the response to nociceptive stimuli in nonanesthetized infants and to compare these results to simultaneous scoring by behavioral scales. Study Design Thirty-six nonanesthetized infants admitted to neonatal/pediatric intensive care unit (N/PICUs) were enrolled to the study. Due to faulty records of the data, three patients had to be excluded. To detect pain caused by noxious stimuli, the heart-rate-variability-derived NIPE index and behavioral pain scales designed for measuring procedural pain in nonverbal children were used. Results Forty-one painful events were available for analysis. We observed in the whole group a statistically significant decrease in NIPE values at 1, 2, and 3 minutes after a painful stimulus, in comparison to the NIPE value at rest and the statistically significant differences between the minimum NIPE value within 3 minutes after the stimulus in comparison to NIPE value at rest in the whole group, as well as in the subgroups of moderate and severe pain. Receiver operating characteristic (ROC) analysis has shown the strong sensitivity and specificity of the NIPE in detecting the noxious stimuli (ROC AUC: 0.767). We also found that the stronger the sensation of pain was, the more rapidly NIPE reached its lowest value. Discussion Our study indicates that the painful procedures are associated with a significant decrease in the NIPE value within 3 minutes after a noxious stimulus. Based on our observation, the minimum value within 3 minutes from the painful procedure seems to be the most distinctive value.

scholarly journals Massage therapy for paediatric procedural pain: A rapid review

2019 ◽  
Author(s):  
Kylie Bernstein ◽  
Mohammad Karkhaneh ◽  
Liliane Zorzela ◽  
Hsing Jou ◽  
Sunita Vohra
Keyword(s):  
Pain Management ◽  
Standard Care ◽  
Complementary Therapies ◽  
Massage Therapy ◽  
Risk Of Bias ◽  
Rapid Review ◽  
Secondary Outcome ◽  
Procedural Pain ◽  
Randomized Controlled ◽  
Pain Scales

Abstract Background Pain is a common paediatric problem, and procedural pain, in particular, can be difficult to manage. Complementary therapies are often sought for pain management, including massage therapy (MT). We assessed the evidence for use of MT for acute procedural pain management in children. Methods We searched five main databases for (i) primary studies in English, (ii) included children 0 to 18 years of age, (iii) compared MT for procedural pain management to standard care alone or placebo, and (iv) measured pain as the primary or secondary outcome. The data were extracted by one author and verified by a second author. Randomized controlled trials were evaluated using the Cochrane Risk of Bias tool. Results Eleven paediatric trials of procedural pain in neonatal, burn, and oncology populations, a total of 771 participants, were identified. Eight reported statistically significant reductions in pain after MT compared to standard care. Pain was measured using validated pain scales, or physiologic indicators. The studies were heterogeneous in population, techniques, and outcome measures used. No adverse events associated with MT were identified. Conclusion MT may be an effective nonpharmacologic adjunct for management of procedural pain in children.

Efficacy of Sucrose to Reduce Pain in Premature Infants during Eye Examinations for Retinopathy of Prematurity

2005 ◽  
Vol 39 (6) ◽  
pp. 1029-1033 ◽  
Author(s):  
Peter Gal ◽  
Grace E Kissling ◽  
William O Young ◽  
Kimberly K Dunaway ◽  
Virginia A Marsh ◽  
...  
Keyword(s):  
Premature Infants ◽  
Retinopathy Of Prematurity ◽  
Ophthalmic Solution ◽  
Procedural Pain ◽  
Pain Response ◽  
Sterile Water ◽  
Topical Anesthetic ◽  
Double Blind ◽  
Eye Examination ◽  
Oral Sucrose

BACKGROUND: Eye examinations for retinopathy of prematurity (ROP) are painful to the neonate. The use of topical anesthetic for eye examinations to evaluate ROP is routine in our neonatal intensive care unit (NICU), but does not completely suppress painful responses. Sweet solutions have been shown to reduce procedural pain in newborns. OBJECTIVE: To examine whether the addition of sucrose 24% to topical anesthetic improves procedural pain control during the ROP eye examination. METHODS: Neonates born at ⩽30 weeks' gestation were included in this placebo-controlled, double-blind, crossover study. Patients were randomly assigned to receive treatment with either proparacaine HCl ophthalmic solution 0.5% plus 2 mL of sucrose 24% or proparacaine HCl ophthalmic solution 0.5% plus 2 mL of sterile water (placebo) prior to an eye examination. In a subsequent eye examination, each patient received the alternate treatment. Oral sucrose and sterile water were prepared in the pharmacy in identical syringes, and physicians, nurses, and pharmacists in the NICU were blinded to the treatment given. Pain was measured using the Premature Infant Pain Profile (PIPP) scoring system, which measures both physical and physiologic measures of pain, and the scores were simultaneously assessed by 2 study nurses. PIPP scores were recorded 1 and 5 minutes before and after the eye examination and during initial placement of the eye speculum. The same ophthalmologist performed all eye examinations. Several different definitions of a pain response were investigated. RESULTS: Twenty-three infants were studied, with 12 receiving sucrose and 11 receiving placebo as the first treatment. For 3 of the 5 definitions of pain response, patients experienced significantly less pain at speculum insertion with sucrose than with placebo. After the ROP examination, pain responses were similar with either sucrose or placebo. CONCLUSIONS: Oral sucrose may reduce the immediate pain response in premature infants undergoing eye examination for ROP.

scholarly journals A study to assess the effectiveness of manual pressure on lumbar region to reduce pain during Intra Muscular Injection among Infants

2020 ◽  
Vol 11 (3) ◽  
pp. 4218-4221
Author(s):  
Kala Barathi S ◽  
Merlin P
Keyword(s):  
Health Care ◽  
Intramuscular Injection ◽  
Rating Scale ◽  
Demographic Variable ◽  
Emotional Experience ◽  
Procedural Pain ◽  
Blood Collection ◽  
Lumbar Region ◽  
Seek Health Care ◽  
Manual Pressure

Pain is an undesirable tactile and emotional experience related with real or potential tissue harm. Pain prompts people to seek health care more often than any other symptom. It is one of the most important areas of care because people cannot function fully when they are in pain. Pain prompts people to seek health care more often than any other symptom. Painful procedures in the hospital are blood collection, intramuscular injection and intravenous injection etc. this procedural pain is relieved by non pharmacological measures. Procedural pain is the most common cause for pain during provision of nursing care. So as the part of nursing profession, it is our responsibility to use effective strategies to reduce procedural pain. Especially in infant’s routine immunization, bruises and childhood illness mean that pain is a part of everyday experiences of all children and infants. Because infants cannot describe their pain and emotions, it is important to observe the behavioural response of the children to assess the pain. So the present study is done to determine the effectiveness of manual pressure on lumbar region to reduce pain during intramuscular injection among infants in selected hospital, Thiruvalur. Quantitative approach with quasi experimental design was adopted to conduct this study with 60 infants who were selected with purposive sampling technique. The data was collected using structured questionnaire to assess the demographic variable and FLACC pain rating scale for assessing the pain level. The results of the study are out of 60 samples (56.6%) had moderate pain and (43.4%) had mild pain in the experimental group.

scholarly journals Multidimensional pain assessment of preterm newborns at the 1st, 3rd and 7th days of life

2007 ◽  
Vol 125 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Ana Beatriz Mello Serpa ◽  
Ruth Guinsburg ◽  
Rita de Cássia Xavier Balda ◽  
Amélia Miyashiro Nunes dos Santos ◽  
Kelsy Catherina Nena Areco ◽  
...  
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Premature Infants ◽  
Pain Assessment ◽  
Pain Scale ◽  
Preterm Neonates ◽  
Blood Collection ◽  
Coding System ◽  
Mean Values ◽  
Infant Pain

CONTEXT AND OBJECTIVE: It is challenge to assess and treat pain in premature infants. The objective of this study was to compare the multidimensional pain assessment of preterm neonates subjected to an acute pain stimulus at 24 hours, 72 hours and seven days of life. DESIGN AND SETTING: Prospective cohort study, at Universidade Federal de São Paulo. METHODS: Eleven neonates with gestational age less than 37 weeks that needed venepuncture for blood collection were studied. The exclusion criteria were Apgar score < 7 at five minutes, presence of any central nervous system abnormality, and discharge or death before seven days of life. Venepuncture was performed in the dorsum of the hand, and the heart rate, oxygen saturation and pain scales [Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS), and Premature Infant Pain Profile (PIPP)] were assessed at 24 hours, 72 hours and 7 days of life. NFCS and NIPS were evaluated prior to procedure (Tpre), during venepuncture (T0), and two (T2) and five (T5) minutes after needle withdrawal. Heart rate, O2 saturation and PIPP were measured at Tpre and T0. Mean values were compared by repeated-measurement analysis of variance. RESULTS: The pain parameters did not differ at 24 hours, 72 hours and 7 days of life: heart rate (p = 0.22), oxygen saturation (p = 0.69), NFCS (p = 0.40), NIPS (p = 0.32) and PIPP (p = 0.56). CONCLUSION: Homogeneous pain scores were observed following venepuncture in premature infants during their first week of life.

scholarly journals Procedural Pain Assessment in Infants Without Analgosedation: Comparison of Newborn Infant Parasympathetic Evaluation and Skin Conductance Activity - A Pilot Study

2022 ◽  
Vol 9 ◽  
Author(s):  
Wojciech Walas ◽  
Zenon P. Halaba ◽  
Tomasz Szczapa ◽  
Julita Latka-Grot ◽  
Iwona Maroszyńska ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Newborn Infant ◽  
Skin Conductance ◽  
Pain Assessment ◽  
New Technologies ◽  
Procedural Pain ◽  
Pain Scales ◽  
Scale Scores ◽  
Newborn Infant Parasympathetic Evaluation

Objective: New technologies to measure pain responses, such as heart rate variability and skin conductance hold promise in the development of tools that can be reliable and quantifiable of detecting pain. The main objective of this study was to assess the capability of two monitors i.e., Newborn Infant Parasympathetic Evaluation (NIPE) and Skin Conductance Algesimeter for detecting procedural pain in non-anesthetized infants.Materials and Methods: Thirty-three non-anesthetized infants were enrolled to the study. To detect pain caused by heel stick, NIPE, and Skin Conductance monitors and behavioral pain scales were used. Three minutes before and just after heel stick, pain was evaluated by behavioral scales, and simultaneously over the whole period by NIPE and SCA.Results: A statistically significant decrease of NIPE Index and an increase of SCA values were found after the HS procedure. There were no statistically significant differences between the decrease in NIPEi values and the increase in PPS values between subgroups based on pain assessment by behavioral-scale scores.Conclusion: Both NIPE and SCA can be useful for detection of procedural pain and may constitue an additional valuable tool for better handling of pain among patients treated in NICUs. More studies on larger groups of patients are needed.

Sign in / Sign up

Export Citation Format

Share Document