Pain Control Interventions in Preterm Neonates: A Randomized Controlled Trial

Shukla, Vivek V.; Bansal, Satvik Chaitanya; Nimbalkar, Archana; Chapla, Apurva; Phatak, Ajay; Patel, Dipak V.; Nimbalkar, Somashekhar

doi:10.1007/s13312-018-1270-z

Cited by 29 publications

(47 citation statements)

References 20 publications

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“…Shah et al [47] revealed an additive effect of breastfeeding when combined with a pharmacological pain management implementation, such as a topical anaesthetic. In NICUs where expressed breast milk was considered standard care, combining this procedure with skin-to-skin mother care was shown to be more beneficial at reducing neonates' pain [64].…”

Section: Additive Effects Of Combined Pain Management Methodsmentioning

confidence: 99%

Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs

Bucsea

Riddell

2019

Seminars in Fetal and Neonatal Medicine

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Section: Additive Effects Of Combined Pain Management Methodsmentioning

confidence: 99%

Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs

Bucsea

Riddell

2019

Seminars in Fetal and Neonatal Medicine

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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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“…15 Similarly, a randomized controlled trial by Shukla, using the PIPP scale, showed lower pain scores among preterm infants on KMC who underwent heel prick. 16 Chidambaram also compared the mean PIPP scores of infants undergoing heel prick whether on KMC or not. The PIPP scores were lower 15 minutes and 30 minutes after the heel prick.…”

Section: Discussionmentioning

confidence: 99%

The Physiologic Status of Low-Birth-Weight Infants Before and After Kangaroo Mother Care Sessions: A Retrospective Study

Peredo¹,

Villanueva-Uy²

2021

Acta Med Philipp

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Objective. To compare the physiologic status of infants before and after receiving kangaroo mother care (KMC) through assessment of their heart rate (HR), respiratory rate (RR), temperature, oxygen saturation, and pain scores. Methods. We conducted a retrospective study by chart review of all low-birth weight (LBW) infants enrolled in the KMC program of a tertiary medical center. Significance is defined by lower HR, RR, PIPP score and FLACC scale, and significant increase in temperature and oxygen saturation (within normal range) after 4 hours after each KMC session. Results. Out of the 46 LBW weight infants enrolled in the KMC program, only 23 infants had complete chart entries. A total of 99 KMC sessions were analyzed. There was no significant difference in the HR (p = 0.331), RR (p = 0.453), oxygen saturation (p = 0.839), and PIPP (p = 0.387)/FLACC (p = 0.13) scores among the LBW infants before and after the KMC session. However, there was a significantly higher axillary temperature (within normal range) four hours after KMC (p = 0.044). Conclusions. KMC is associated with better thermoregulation even at four hours after the KMC session compared to four hours before. Other physiologic parameters such as heart rate, respiratory rate, oxygen saturation and pain scores were similar four hours before and after the KMC session.

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Pain Control Interventions in Preterm Neonates: A Randomized Controlled Trial

Abstract: Kangaroo mother care with and without Music therapy (with expressed breast milk) significantly reduces pain on heel-prick as compared to expressed breast milk alone. Kangaroo mother care with expressed breast milk should be the first choice as a method for pain control in preterm neonates.

Cited by 29 publications

References 20 publications

Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs

Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs

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

The Physiologic Status of Low-Birth-Weight Infants Before and After Kangaroo Mother Care Sessions: A Retrospective Study

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