Comparison of the analgesic effect of oral sucrose and/or music in preterm neonates: A double-blind randomized clinical trial

Barandouzi, Zahra Amirkhanzadeh; Keshavarz, Maryam; Montazeri, Ali; Ashayeri, Hassan; Rajaei, Zahra

doi:10.1016/j.ctim.2019.102271

Cited by 21 publications

(39 citation statements)

References 30 publications

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“…Discrepancies were resolved by discussion and consensus. The overall results showed that 27 RCTs had a low (69.2%), 17‐43 7 had a moderate (17.9%) 44‐50 and 5 had a high (12.8%) risk of bias 51‐55 …”

Section: Resultsmentioning

confidence: 98%

“…Regarding the type of music selected (Table 1 and Table 2), the majority of studies ( n = 26, 66.7%) used lullaby‐style interventions (soothing sounds; repetitive patterns of rhythm; and slower pitch and tempo, with only vocal, musical instruments or both), 17‐22,24,26,30‐33,35,37,39,40,42,43,45,46,50‐55 such as Brahms lullaby ( n = 5, 12.82%) 17,18,22,31,39 and cultural lullabies (specific to the country or language) ( n = 8, 20.51%) 22,26,28,31,32,37,40,51 23,44,47‐49 .…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies (33.3%) reported the analgesic effects of music interventions (Table 1). The Premature Infant Pain Profile (PIPP) was the most frequent tool to assess the PTIs' pain response ( n = 9, 69.2%) 17‐19,21‐24,26,28 . Salivary cortisol concentration, 18 serum cortisol, 19,26 β‐endorphin concentrations, 19 PIPP‐Revised scale, 20 the Neonatal Infant Pain Scale (NIPS), 21 the Neonatal Facial Coding System (NFCS) Scale 25 and the Neonatal Pain, Agitation and Sedation Scale (N‐PASS) were also used to assess this outcome 27…”

Section: Resultsmentioning

confidence: 99%

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Clinical benefits of music‐based interventions on preterm infants' health: A systematic review of randomised trials

et al. 2022

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Aim This systematic review aimed to differentiate and isolate the results of different music‐based interventions used with preterm infants in the neonatal intensive care unit and explore their clinical benefits. Methods The last search was performed on 5 July 2021 on Web of Science, Scopus, EMBASE, PsycINFO, CINAHL, LILACS and CENTRAL. Only randomised clinical trials that explored the health benefits of music‐based interventions were considered. Results A total of 39 studies were included. All music‐based interventions were divided into music medicine and music therapy. The overall results suggested that music medicine interventions were associated with a significant improvement in pain relief; in turn, improvements in cardiac and respiratory function, weight gain, eating behaviour, and quiet alert and sleep states were more consistent in studies that followed a music therapy approach with the presence of a music therapist. Conclusion This review supports the beneficial effects of music‐based interventions on the health of preterm infants in a neonatal intensive care unit; however, it also offers suggestions for future studies in order to increase the number of interventions with music therapists, since the results of music therapy approaches were more consistent for physiological and behavioural outcomes.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Clinical benefits of music‐based interventions on preterm infants' health: A systematic review of randomised trials

et al. 2022

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“…Several interventions other than sucrose have been shown in 11 studies to reduce pain in neonates undergoing infusion, venipuncture, or other procedures that require needle insertion in neonates. The intervention consists of a combination of sucrose and a pacifier (Gao et al, 2018), combination sucrose with music (Barandouzi et al, 2020;Shah et al, 2017). Other combination is kangaroo mother care (Sen & Manav, 2020;Shukla et al, 2018), andbreastfeeding (Collados-Gomez et al, 2018;Fitri et al, 2020) To reduce pain in babies, use kangaroo care (skin to skin) for newborns before and after heel punctures, and give non-nutritive sucking, with sucrose solution, pacifiers, or breastfeeding for newborns for a few minutes before taking action (Kyle & Carman, 2014) (Potter, P & Perry, 2016).…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Oral Sucrose on Pain During Invasive Procedures in Premature Infants: Scoping Review

Nufus¹,

Salsabilah²,

Aeni³

et al. 2021

Jurnal Mitra Kesehatan

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Introduction: Nowadays premature births continue to be common, it caused the infant necessitating treatment. Invasive procedures, such as the placement of an peripheral intravenous catheters or the drawing of blood, should be carried out while the baby is being cared for. Some intervention needed, sucrose is one approach to make invasive procedure less painful. This study aims to determine the effectiveness of oral sucrose in reducing the pain of invasive procedures in premature infants. Method: This study is a scoping review, and 11 articles were selected from Proquest, ScienceDirect, Willy Online, PubMed, and EBSCO (CINAHL) databases. Results: In eight of the articles, giving oral sucrose two minutes before the invasive procedure was effective in reducing pain, while sucrose was not effective in reducing pain in infants in the other three of the articles, during or after procedures. Conclusion: According to these studies, giving oral sucrose to premature infant before invasive procedure is significant reducing the pain during invasive procedure.

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“…However, varying effectiveness has been reported. Existing evidence suggests that the combination of non-pharmacological measures may be more effective (2,43,44).…”

Section: Non-pharmacological Approaches and Oral Sweet Solutionsmentioning

confidence: 99%

Changes in Physicians' Perceptions and Practices on Neonatal Pain Management Over the Past 20 Years. A Survey Conducted at Two Time-Points

et al. 2021

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Intense research for more than three decades expelled the view that neonates do not experience pain. The aim of this survey was to investigate whether the Greek physicians involved in neonatal intensive care have changed their perceptions regarding neonatal pain, adapting their management practices to the knowledge that have emerged in the past 20-years. This study is a survey conducted at two time-points, 20 years apart. Anonymous questionnaires were distributed to 117 and 145 physicians working in neonatal intensive care units (NICUs) all over Greece in years 2000 and 2019, respectively. The response rate was 90.6 and 80.7% in 2000 and 2019, respectively. All respondents, at both time-points, believed that neonates experience pain, which has serious acute and long-term consequences, while the vast majority considered analgesia-sedation (A-S) during painful interventions as obligatory. Utilization of NICU protocols and pain assessment tools remained low although increased significantly between 2000 and 2019. The use of systemic A-S postoperatively was high at both time-points, while its implementation in infants subjected to prolonged pain, specifically mechanical ventilation, increased significantly by 2019. Systemic or local analgesia for acute procedural pain was used by lower proportions of physicians in 2019, except for the tracheal intubation. In contrast, the use of sweet solutions and non-pharmacological measures prior to or during bedside procedures significantly increased over time. Opioid administration significantly increased, while a shift from morphine to fentanyl was observed. International literature and perinatal–neonatal congresses were stated as the main sources of updating physicians' knowledge and improving management practice on neonatal pain prevention and treatment. In conclusion, Greek NICU-physicians' perceptions that neonates can experience pain with potentially serious acute and long-term consequences remained strong over the past 20 years. Although physicians' practices on neonatal pain management improved, they are still suboptimal, while significant differences exist among centers. Continuing education, globally accepted management protocols, and readily applied pain assessment tools would further improve the management of procedural pain and stress in neonates.

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Comparison of the analgesic effect of oral sucrose and/or music in preterm neonates: A double-blind randomized clinical trial

Cited by 21 publications

References 30 publications

Clinical benefits of music‐based interventions on preterm infants' health: A systematic review of randomised trials

Clinical benefits of music‐based interventions on preterm infants' health: A systematic review of randomised trials

The Effectiveness of Oral Sucrose on Pain During Invasive Procedures in Premature Infants: Scoping Review

Changes in Physicians' Perceptions and Practices on Neonatal Pain Management Over the Past 20 Years. A Survey Conducted at Two Time-Points

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