scholarly journals O-114 Validation Of The Neonatal Pain, Agitation And Sedation Scale For The Assessment Of Sedation In Neonatal Intensive Care Patients

2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A69.1-A69
Author(s):  
V Giordano ◽  
P Deindl ◽  
S Kuttner ◽  
T Waldhör ◽  
T Werther ◽  
...  
2021 ◽  
Author(s):  
Melissa R. Gitman ◽  
Bremy Alburquerque ◽  
Adriana van de Guchte ◽  
Mitchell J. Sullivan ◽  
Ajay Obla ◽  
...  

AbstractActive surveillance in our neonatal intensive care unit identified Staphylococcus aureus cultures from two infants with heterogeneity in methicillin resistance between isolated subclones lacking mecA and mecC. Whole-genome analysis of 4 modified (MODSA) and 4 methicillin-susceptible (MSSA) subclones for each culture identified either truncating mutations in the cyclic diadenosine monophosphate phosphodiesterase enzyme (GdpP), or a nonsynonymous substitution in penicillin binding protein 2 (PBP2). These cases highlight the difficulty in identifying non-mecA/non-mecC-mediated methicillin-resistance in clinical laboratories.


2017 ◽  
Vol 34 (3) ◽  
pp. 345-354 ◽  
Author(s):  
Maria Beatriz Martins LINHARES ◽  
Cláudia Maria GASPARDO

Abstract According to the World Health Organization and the International Association for the Study of Pain, pain is a relevant worldwide problem in the healthcare field. The present study aimed to describe the definition of pediatric pain and the main characteristics, and to examine the findings regarding the impact of pain on the development of the child. The best clinical practices in Neonatal Intensive Care Units should include developmental care and specifically implement pain management, aiming to protect the health and development of the infants. The efficacious non-pharmacological management of neonatal pain includes breastfeeding, skin-to-skin, non-nutritive sucking, facilitated-tucking and swaddling. Sweet solutions also have pain relief effects. Psychologists could actively participate in the implementation of non-pharmacological interventions and in the whole process to sensitize and train the professional teams, to alert parents to protection against pain and to support policymakers in the implementation of pain guidelines in the hospital.


MedPharmRes ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. 1-7
Author(s):  
Hai Thanh Ngo ◽  
Kathleen Fitzsimmons ◽  
Kien Gia To

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.


2018 ◽  
Vol 1 ◽  
pp. 205920431878084 ◽  
Author(s):  
Alexandra Ullsten ◽  
Mats Eriksson ◽  
Maria Klässbo ◽  
Ulrik Volgsten

Infant-directed singing is a medium for parents and infants to communicate in a mutual relationship. Parental infant-directed singing is a multisensory, biopsychosocial communication that applies to ill and vulnerable hospitalised infants. The primary musical features of infant-directed singing are ideal for emotional coordination and sharing between parent and infant without the risk of over-stimulation. In this article, we suggest that parental infant-directed singing is regarded as a nonpharmacological emotion regulation intervention, which may modify the painful experience for both the infant and the parent before, during and after painful procedures in the neonatal intensive care context. Parents have the biopsychosocial resources to alleviate their infant’s pain through infant-directed singing, if they are empowered to do so and coached in this process. A music therapist specialised in neonatal music therapy methods can mentor parents in how to use entrained and attuned live lullaby singing in connection to painful procedures. Pain and the vast amount of painful procedures early in infancy, combined with early parent–infant separation and lack of parental participation in the care of the infant during neonatal intensive care, place arduous strain on the new family’s attachment process and on the infant’s and parents’ mental health, both from a short and long-term perspective. Therefore, we argue with biopsychosocial rationales, that live parental infant-directed singing should be promoted in neonatal pain care worldwide. Consequently, parents should be welcomed round the clock and invited as prescribed pain management for their infant.


Ból ◽  
2018 ◽  
Vol 19 (2) ◽  
pp. 21-32
Author(s):  
Hanna Popowicz ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Katarzyna Kwiecień-Jaguś

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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