A Cross-Sectional Survey of Pain and Pharmacological Analgesia in Canadian Neonatal Intensive Care Units

Johnston, Céleste; Collinge, Judith M.; Henderson, Sheryl L.; Anand, K.J.S.

doi:10.1097/00002508-199712000-00008

Cited by 210 publications

(158 citation statements)

References 17 publications

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“…17 Swedish NICUs reported using pharmacological analgesia during mechanical ventilation but not information about the type or frequency of drugs used; 15 33 (37%) of 90 Italian NICUs reported routine use of opioids for mechanical ventilation. 16 The results of a survey done in 1993-94 in 14 Canadian NICUs showed that 51 (21%) of 239 neonates received analgesia or anaesthesia, or both, during 1 week.…”

Section: Discussionmentioning

confidence: 99%

“…16 The results of a survey done in 1993-94 in 14 Canadian NICUs showed that 51 (21%) of 239 neonates received analgesia or anaesthesia, or both, during 1 week. 17 In a prospective study of 217 patients (aged >28 days to 18 years) given neuromuscular blockers in PICUs, 70% were given sedatives and 72% opioids. 18 In another prospective study, 338 critically ill children were treated with 24 diff erent sedatives and analgesics in 20 PICUs in the The sizes of the dots indicate the magnitude of the standardised diff erence between groups for each variable before and after propensity score matching (appendix).…”

Section: Discussionmentioning

confidence: 99%

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Sedation and analgesia practices in neonatal intensive care units (EUROPAIN): results from a prospective cohort study

Carbajal

Eriksson

Courtois

et al. 2015

The Lancet Respiratory Medicine

155

133

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sedation and analgesia practices in neonatal intensive care units (EUROPAIN): results from a prospective cohort study

Carbajal

Eriksson

Courtois

et al. 2015

The Lancet Respiratory Medicine

155

133

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“…Respiratory distress syndrome (RDS) is the most common reason for the hospitalization of preterm and term newborns in the neonatal intensive care units (NICUs) (1). Neonatal intubation and mechanical ventilation are stressful procedures that require premedication.…”

Section: Introductionmentioning

confidence: 99%

Effect of Fentanyl and Morphine on Gallbladder Dimensions in Newborns Admitted to the Neonatal Intensive Care Unit: A Randomized Double-Blinded Clinical Trial

Naderi

Goodarzi

Naziri³

et al. 2017

Iran J Pediatr

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Background: The effect of fentanyl and morphine, two most frequently used drugs for premedication in general anesthesia, on gallbladder of newborns, has not been sufficiently investigated. Intubation and mechanical ventilation in a neonatal respiratory distress syndrome are stressful procedures, in which these two drugs are used to reduce stress and pain. We studied the effect of these drugs on neonatal bile system during these procedures

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“…A study demonstrated that two to eight painful procedures per day were performed in neonates with gestational age from 27 to 31 weeks during their first two weeks of life (1) .…”

Section: Introductionmentioning

confidence: 99%

Dimensionamento da dor durante a instalação do cateter central de inserção periférica em neonatos

et al. 2010

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Objective: To measure pain in neonates during placement of central line catheter via peripheral insertion by comparing pain at the moment of the introduction of the catheter and pain at the progression of the catheter. Methods: This was a descriptive exploratory study with 28 neonates from a large teaching hospital in Sao Paulo city. Data were collected with the Premature Infant Pain Profile (PIPP) 15 seconds prior the initial introduction of the catheter, during the initial introduction of the catheter (30 seconds), and during the progression of the catheter (30 seconds). Results: The majority of neonates (59.1%) had a score e" 7 on the PIPP, moderate to high pain intensity, during the initial introduction of the catheter. A greater number of neonates (45.5%) who did not receive analgesic or sedative medication had score e" 7 on the PIPP, moderate to high pain intensity, during the progression of the catheter. Conclusion: There is a need for adoption of use of analgesic medication in the neonatal unit, since neonates often undergo invasive and painful procedures. Key words: Neonatal Nursing; Measurement of Pain; Neonatal Critical Care Unit. RESUMOObjetivo: Dimensionar a dor durante a instalação do cateter central de inserção periférica, comparando o momento da punção venosa com a progressão do cateter. Métodos: Estudo descritivo exploratório com coleta prospectiva dos dados realizado na unidade neonatal de um hospital-escola de grande porte da cidade de São Paulo. Avaliou-se a resposta dolorosa ao procedimento de inserção do cateter em 28 neonatos utilizando-se a escala Premature Infant Pain Profile (PIPP) nas etapas de pré-punção (15 segundos), punção venosa (30 segundos) e progressão do cateter (30 segundos). Resultados: O escore PIPP maior ou igual a sete, indicativo de dor moderada a intensa, ocorreu em 13 RN (59,1%) na primeira punção venosa e 10 RN (45,5%) na progressão do cateter do grupo que não recebeu analgésico ou sedativo. Conclusão: Os resultados apontam para a necessidade de se adotar medidas analgésicas, uma vez que neonatos internados em unidade de terapia intensiva neonatal são freqüentemente submetidos a procedimentos invasivos e dolorosos. Descritores: Enfermagem neonatal; Medição de dor; Terapia intensiva neonatal. RESUMENObjetivo: Medir la intensidad del dolor durante la instalación del catéter central de inserción periférica, comparando el momento de la punción venosa con la progresión del catéter. Métodos: Estudio descriptivo exploratorio con recolección prospectiva de los datos realizado en la unidad neonatal de un hospital-escuela de gran porte de la ciudad de Sao Paulo. Se evaluó la respuesta dolorosa al procedimiento de inserción del catéter en 28 neonatos, utilizándose la escala Premature Infant Pain Profile (PIPP) en las etapas de pre-punción (15 segundos), punción venosa (30 segundos) y progresión del catéter (30 segundos). Resultados: El puntaje PIPP mayor o igual a siete, indicativo de dolor moderado a intenso ocurrió en 13 RN (59,1%) en la primera punción venosa y 10 RN ...

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A Cross-Sectional Survey of Pain and Pharmacological Analgesia in Canadian Neonatal Intensive Care Units

Abstract: Postoperative pain in neonates in Canadian NICUs appears to be consistently treated, primarily with opioid analgesics, but analgesia, opioid or nonopioid is rarely given for nonsurgical invasive procedures.

Cited by 210 publications

References 17 publications

Sedation and analgesia practices in neonatal intensive care units (EUROPAIN): results from a prospective cohort study

Sedation and analgesia practices in neonatal intensive care units (EUROPAIN): results from a prospective cohort study

Effect of Fentanyl and Morphine on Gallbladder Dimensions in Newborns Admitted to the Neonatal Intensive Care Unit: A Randomized Double-Blinded Clinical Trial

Dimensionamento da dor durante a instalação do cateter central de inserção periférica em neonatos

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