Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?

Prestes, Ana Claudia Yoshikumi; Balda, Rita de Cássia Xavier; Santos, Gianni Mara Silva dos; Rugolo, Lígia Maria Suppo de Souza; Bentlin, Maria Regina; Magalhães, Maurício; Pachi, Paulo Roberto; Marba, Sérgio Tadeu Martins; Caldas, Jamil Pedro de Siqueira; Guinsburg, Ruth

doi:10.1016/j.jped.2015.04.009

Cited by 21 publications

(22 citation statements)

References 30 publications

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“…Thus the availability of non-pharmacological analgesia is very important and might be the selling point for the use of analgesia for premature and mature infants [4].…”

Section: Resultsmentioning

confidence: 99%

“…Research indings emphasized that repeated exposure to painful stimuli during early stage of fundamental development of the nervous system leads to persistent behavioral and sensory changes [3]. Despite this fact, the use of appropriate pain relief interventions during potentially painful procedures is unusual in this population [4]. A paradox is still observed between the frequency of conditions that cause pain among young children and the use of appropriate pain relief intervention.…”

Section: Introductionmentioning

confidence: 99%

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Sweet Solution Analgesia

Nuseir¹,

Kassab²,

Al-Azzani³

2017

Pain Relief - From Analgesics to Alternative Therapies

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“…Thus the availability of non-pharmacological analgesia is very important and might be the selling point for the use of analgesia for premature and mature infants [4].…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sweet Solution Analgesia

Nuseir¹,

Kassab²,

Al-Azzani³

2017

Pain Relief - From Analgesics to Alternative Therapies

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“…19 Estudo brasileiro com 202 neonatologistas a fim de confrontar o uso de analgesia versus a percepção de neonatologistas quanto ao emprego de analgésicos para procedimentos dolorosos, encontrou entre seus resultados que mais de 50% dos médicos pesquisados consideraram que a dor desencadeada pela punção lombar não seria intensa ou suficiente para merecer analgesia. 20 Observa-se que a questão do manejo da dor do recém-nascido perpassa toda a equipe multiprofissional apresentando lacunas entre as evidências científicas e a prática clínica.…”

Section: Discussionunclassified

Manejo da dor neonatal pela equipe de enfermagem: uma prática assistencial sedimentada?

et al. 2018

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RESUMO: Objetivo: analisar a prática da equipe de enfermagem quanto ao manejo da dor do recém-nascido internado em Unidade Neonatal. Método: estudo descritivo, abordagem qualitativa, desenvolvido em Unidade Neonatal do Rio de Janeiro, Brasil, com 22 profissionais de enfermagem. Utilizou-se entrevista semiestruturada e dados submetidos à análise de conteúdo. Resultados: maioria mulheres, idades 34-55 anos, com graduação e especialização. Emergiram as categorias: Identificação da dor; Não sistematização do manejo da dor e Uso de medidas farmacológicas e não farmacológicas para controle da dor. Verificou-se que a equipe de enfermagem reconhece que o neonato sente dor, a identifica pelos parâmetros fisiológicos e comportamentais, emprega algumas medidas não farmacológicas para seu controle, porém não utiliza escalas de avaliação da dor, resultando em subtratamento. Conclusões: o manejo da dor não está sedimentado na prática de enfermagem, há necessidade de atualização do conhecimento, implementação de escala de avaliação da dor, com vistas à qualidade da assistência. Descritores: Recém-nascido; Medição da dor; Enfermagem neonatal ABSTRACT: Aim: to analyze nursing practice concerning pain assessment of newborns admitted to a Neonatal Intensive Care Unit (NICU). Methods: descriptive study in a qualitative approach, developed with 22 nursing professionals at a Neonatal Intensive Care Unit in Rio de Janeiro, Brazil. It was used a semi-structured interview and data was submitted to a Content Analysis. Results: the majority of the interviewees were women, aged between 34-55 years, with levels of schooling as undergraduate and specialization/post graduation. The following categories emerged: Pain identification; The Systematization of Nursing Care due to pain management; and Pharmacological and non-Pharmacological use in the control pain. It was verified that the Nursing Team assumes that Newborns feel pain, identifies pain by physiological and behavioral parameters, applies some non-pharmacological measures for its control, but does not use pain assessment scales, resulting in sub-treatment. Conclusions: pain

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“…As a consequence, pain management is not completely effective. When investigating interventions in painful situations, the authors verified a divergence between the discourse and the practice of neonatologists, residents and medical students: although there has been an increase in awareness regarding the recognition and proper management of pain in neonates over the years, the performance of many procedures considered painful was not preceded by analgesia (3,14) . We emphasize the importance of the Brazilian version EDIN being incorporated by professionals who assist neonates, since accurate pain assessment is essential to guide treatment and pain management should be a priority in neonatal care in order to guarantee neonates a more humanized, safer and qualified care.…”

Section: Discussionmentioning

confidence: 99%

Validação da Échelle Douleur Inconfort Nouveau-Né para a cultura brasileira

Dias

Gasparino

Carmona

et al. 2018

Rev. esc. enferm. USP

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Objective:To evaluate the reliability and validity of the Brazilian version of the Échelle Douleur Inconfort Nouveau-Né, which measures prolonged pain in neonates. Method: A methodological study carried out with 96 neonates. The Brazilian versions of the Échelle Douleur Inconfort Nouveau-Né and the Children's and Infants' Postoperative Pain Scale were used for data collection. For reliability, equivalence measured by intraobserver agreement and homogeneity were considered. To evaluate the validity, the convergent construct approach was considered correlating the Brazilian versions of the Échelle Douleur Inconfort Nouveau-Né and the Children's and Infants' Postoperative Pain Scale. Results: In assessing reliability, the coefficient of agreement between observers varied between 0.64 and 0.85 for the items that make up the instrument, and 0.96 for the total score. Cronbach's alpha was 0.82. Regarding the convergent validity evaluation, Spearman correlation coefficient between the values found for both scales was 0.79 (p< 0.0001). Conclusion: The Brazilian version of the Échelle Douleur Inconfort Nouveau-Né is a reliable and valid instrument for assessing prolonged pain in neonates.

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Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?

Abstract: Despite an increase in the medical perception of neonatal pain and in analgesic use during painful procedures, the gap between clinical practice and neonatologist perception of analgesia need did not change during the ten-year period.

Cited by 21 publications

References 30 publications

Sweet Solution Analgesia

Sweet Solution Analgesia

Manejo da dor neonatal pela equipe de enfermagem: uma prática assistencial sedimentada?

Validação da Échelle Douleur Inconfort Nouveau-Né para a cultura brasileira

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