Dimensioning of painful procedures and interventions for acute pain relief in premature infants

Abstract

Objective:to dimension the exposure of premature infants to painful procedures, relating the distribution of the exposure to contextual factors, as well as to describe the pharmacological and non-pharmacological interventions health professionals use during the first two weeks of the infant’s hospitalization at two neonatal services. Method:descriptive-exploratory study in which the professionals registered the painful procedures and pain relief interventions on a specific form in the patient file. Results:the daily average of the 89 premature infants was 5.37 painful procedures, corresponding to 6.56 during the first week of hospitalization and 4.18 during the second week (p<0.0001). The most frequent procedures were nasal/oral (35.85%) and tracheal aspirations (17.17%). The children under invasive ventilation were the most exposed to painful procedures (71.2%). Only 44.9% of the painful procedures received some intervention for the purpose of pain relief, the most frequent being sucrose (78.21%) and continuing sedation (19.82%). Conclusion:acute pain was undertreated at these neonatal services, recommending greater sensitization of the team for the effective use of the existing protocol and implementation of other knowledge transfer strategies to improve neonatal pain management.

Conteúdos Sobre Prematuros Veiculados Por Familiares Em Mídia Social

“…Enfatiza-se que a prematuridade tem ocupado o primeiro lugar nas causas de óbitos nos primeiros cinco anos de vida, desde os anos 1990. 1,22,27 Tais dados mostraram que as mães reconheceram que a criança prematura apresenta especificidades distintas daquelas nascidas a termo, como o peso e o cumprimento e, por isso, necessitam de cuidados específicos, devido às características. Assim, destaca-se a importância do acompanhamento dessas crianças ao longo do desenvolvimento destas, especialmente nos primeiros meses de vida, período no qual se espera que estas alcancem marcos das crianças a termo.…”

Procedimentos dolorosos agudos no recém-nascido pré-termo em uma unidade neonatal

“…Estudo realizado com 89 prematuros em um hospital escola do interior paulista identificou que cada RN foi exposto à média de 75,1 procedimentos dolorosos durante os primeiros 14 dias, resultando em média diária de 5,4 procedimentos por prematuro 12 . Este estudo utilizou uma tabela com 13 procedimentos a mais que o utilizado nesta pesquisa.…”

Development and evaluation of an educational video for families on the relief of acute pain in babies

“…Exposure to acute pain has been documented in research studies carried out in pediatric and neonatal units of several countries. As an example, there is a Brazilian study carried out with 89 premature infants hospitalized in intensive and intermediate neonatal care units in which an exposure of babies to 6,687 painful procedures during their first 14 days of life was verified, with a mean of 75.13 procedures per premature infant and a daily mean of 5.37 painful interventions per baby (1) .…”