Objective:
The objective of this study was to evaluate the effect of repeated painful stimuli on short-term pain response in healthy, term, large for gestational age newborns by measuring the regional cerebral oxygen saturation (rScO2), and behavioral and physiological responses.
Methods:
We compared term large for gestational age infants who received repeated painful stimuli (study group) with term, appropriate for gestational age infants (control group). A pulse oximeter and a near-infrared spectroscopy probe were connected to babies during the study period, and the responses of the babies were recorded by video, from which the crying time and the Neonatal Infant Pain Scale were obtained. The heart rate, peripheral oxygen saturation (SpO2), and rScO2 data were sampled every 1 second and exported to a personal computer via digital output during the study period. The maximum heart rate, the minimum SpO2, and peak, baseline, and mean rScO2 measurements following skin puncture were recorded. Data were compared within 1 group and between the 2 groups.
Results:
After the heel prick, crying time (P<0.001) and Neonatal Infant Pain Scale scores (P=0.024) increased, and SpO2 levels decreased significantly (P=0.012) in the study group versus the control group. Although mean rScO2 increased significantly within 1 group (P<0.001), it was not significant between the 2 groups. The percent change in rScO2 was greater in the study group (5.2 [2.5 to 9.3]) compared with the control group (2.8 [1.1 to 8.2], P=0.037).
Conclusion:
We showed that rScO2 values changed significantly within the first few days of life in babies who received more painful stimuli compared with the control group, similar to behavioral and physiological responses.
Purpose: Successful resuscitation and early defibrillation are critical
in survival after in- or out-of-hospital cardiopulmonary arrest. This
study aimed to determine the knowledge, skills, and attitudes of the
pediatric healthcare professionals about the defibrillator use and to
offer solutions if there was room for improvement. Procedures: This was
a multicenter survey study. Findings: The study included 716 healthcare
professionals with an average age of 30.1 ± 5.8 years; 50% (n=358) were
pediatric residents and 41.3% (n=296) had less than three years of
professional experience. Self-declared level of knowledge about
defibrillation/cardioversion was low-to-medium for 66.5% (n=476);
60.8% (n=435) had never practiced these procedures and 22.2% (n=159)
had never received any training about defibrillator use. There was a
significant relationship between professional experience and the
proportion of participants who correctly responded to the first-shock
dose for defibrillation but not for cardioversion. Conclusion:
Professional experience is crucial in the correct defibrillator use.
However, the defibrillation/cardioversion procedures are prone to errors
since they are not commonly applied in day to day practice. An ideal
approach to improve the experience of personnel could be to use
practical training with case-based simulations and to educate the
personnel about the features of the defibrillators available in their
clinics.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.