Clinical, Physiologic, and Biologic Impact of Environmental and Behavioral Interventions in Neonates During a Routine Nursing Procedure

Catelin, Céline; Tordjman, Sylvie; Morin, Vincent; Oger, Emmanuel; Sizun, Jacques

doi:10.1016/j.jpain.2005.07.010

Cited by 69 publications

(58 citation statements)

References 34 publications

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“…Catelin et al (6) showed that cTOI itself may serve as a useful parameter to capture painful and stressful procedures in neonates that might show a decrease and an increase during behavioural interventions. The lack of changes of cTOI in the present study further support the tolerability of NIRS measurements and venous occlusions.…”

Section: Discussionmentioning

confidence: 99%

“…Response to discomfort or pain can be evaluated in term and preterm neonates with scoring systems that include different items, such as facial expression, changes in motor behaviour and alterations in vital parameters. (6,7) The aim of this study was to evaluate the impact of peripheral and cerebral NIRS monitoring and peripheral occlusions on vital parameters, pain score and skin integrity and to make a judgement on tolerance of these measurements. (8) For this purpose we recorded vital parameters, pain scores, skin condition and duration of manipulation.…”

Section: Introductionmentioning

confidence: 99%

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Is NIRS monitoring well tolerated in term and preterm neonates?

2016

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is NIRS monitoring well tolerated in term and preterm neonates?

2016

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“…When forced to lie down during a painful procedure infants will commonly cry and struggle to sit up. 43 Notwithstanding the benefit of sitting during a painful procedure, infants and children receiving vaccinations are traditionally positioned in a supine position for the injections. 44 Three studies investigated the influence of positioning on vaccination pain (see Table 3).…”

Section: Patient Positioningmentioning

confidence: 99%

Minimizing pain during childhood vaccination injections: improving adherence to vaccination schedules

Eden¹,

Macintosh²,

Luthy³

et al. 2014

PHMT

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Pain experienced in childhood can lead to long-term and psychologically detrimental effects. Unfortunately, the most common pain experienced in childhood is caused by vaccinations and may lead to non-adherence to the recommended vaccination schedule. As a result, it is the health care provider's responsibility to take measures to reduce vaccination pain; however, there are a plethora of pain relieving interventions during immunizations and it is unclear which interventions are most cost efficient, timely, and effective. Studies have been conducted to investigate the efficacy of different pain management interventions during vaccinations. This review evaluates various pain relieving interventions and provide health care providers age appropriate guidance on pain relieving interventions during vaccinations. Employment of these strategies may successfully reduce vaccination-associated pain in infants, children, and adolescents, and may improve compliance with the vaccination schedule.

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“…45 Recently, a group from Edmonton presented preliminary shortterm outcome from a large NIDCAP RCT on VLBW infants, which confirms the findings of significantly less mechanical ventilation, lower incidence of chronic lung disease, shorter hospitalization and improved mental development from the earlier smaller trials. 46 Sizun et al 47,48 demonstrated decreased behavioral pain response and fewer hypoxic events during a routine nursing procedure in medical stable preterm infants. Bertelle et al 48 also reported increased duration of sleep by NIDCAP.…”

Section: Scientific Evidencementioning

confidence: 99%

“…46 Sizun et al 47,48 demonstrated decreased behavioral pain response and fewer hypoxic events during a routine nursing procedure in medical stable preterm infants. Bertelle et al 48 also reported increased duration of sleep by NIDCAP. 49 Others have demonstrated less use of sedatives and opioids by implementing NIDCAP.…”

Section: Scientific Evidencementioning

confidence: 99%

Family-centered developmental supportive care: a holistic and humane approach to reduce stress and pain in neonates

2007

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The theoretical framework behind family-centered developmentally supportive care is endorsed by research from several scientific fields such as neuroscience, developmental and family psychology, medicine and nursing. The most developed and well-studied form of developmental care is the newborn individualized care and assessment program (NIDCAP). This program has been shown to reduce stress and pain behaviors, physiologic stress response and decrease the use of sedatives and opioids. In addition, NIDCAP has positive effects on pulmonary morbidity, brain lesions and costs in the newborn period. In the longer term, the program is also reported to improve cognitive outcome and behavior in former very low-birth weight infants. The introduction of NIDCAP is not a trivial process but involves a considerable investment at all levels of the organization. NIDCAP requires some physical changes in the neonatal intensive care unit as well as substantial educational efforts and changes in the practice of care. The findings of the presented NIDCAP studies are encouraging and, equally important, is attractive from an ethical and humane perspective.

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Clinical, Physiologic, and Biologic Impact of Environmental and Behavioral Interventions in Neonates During a Routine Nursing Procedure

Cited by 69 publications

References 34 publications

Is NIRS monitoring well tolerated in term and preterm neonates?

Is NIRS monitoring well tolerated in term and preterm neonates?

Minimizing pain during childhood vaccination injections: improving adherence to vaccination schedules

Family-centered developmental supportive care: a holistic and humane approach to reduce stress and pain in neonates

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