Heart rate, oxygen saturation, and skin conductance: A comparison study of acute pain in Brazilian newborns

Jesus, José Alfredo Lacerda de; Tristão, Rosana Maria; Storm, Hanne; Rocha, Adson Ferreira da; Campos, Dioclécio

doi:10.1109/iembs.2011.6090532

Cited by 21 publications

(32 citation statements)

References 29 publications

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“…Another retrospective study also reported that tissue-damaging during a heel stick procedure. 101,103 Heart rate variability is an appropriate measure of response to acute pain and prolonged pain in neonates 22,[104][105][106] ; however, given a lack of the availability of monitoring devices, it may not be clinically applicable.…”

Section: Such As the Neonatal Facialmentioning

confidence: 99%

Pain Assessment and Measurement in Neonates

Cong

McGrath

Cusson

et al. 2013

Advances in Neonatal Care

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Pain assessment and measurement are the cornerstones of pain management. Pain assessment connotes a comprehensive multidimensional description. Conversely, pain measurement provides a numeric quantitative description of each factor illustrating pain qualities. Pain scales provide a composite score used to guide practice and research. The type of infant pain instrument chosen is a significant factor in guiding pain management practice. The purpose of this review was to summarize current infant pain measures by introducing a conceptual framework for pain measurement. Although more than 40 infant pain instruments exist, many were devised solely for research purposes; several of the newly developed instruments largely overlap with existing instruments. Integration of pain management into daily practice remains problematic. Understanding how each instrument measures infant pain allows clinicians to make better decisions about what instrument to use with which infant and in what circumstances. In addition, novel new measurement techniques need further testing.

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Section: Such As the Neonatal Facialmentioning

confidence: 99%

Pain Assessment and Measurement in Neonates

Cong

McGrath

Cusson

et al. 2013

Advances in Neonatal Care

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“…It is in AS that the maturation and differentiation of the CNS and memory consolidation occur and learning patterns of emotional behavior develop 7,12,13,16,17 . QS, compatible with Non Rapid Eye Movement sleep (NREM) in adults, is already identified in the electroencephalogram at 32 weeks of gestation, but is only well developed in the [36][37][38] th week of gestation. It is formed after stabilization networks of specific excitatory and inhibitory components of the thalamus and cortex.…”

Section: Sleep and Prematuritymentioning

confidence: 99%

“…It is therefore difficult to propose, for each type of existing measure, a cut off point or the absolute threshold of pain. Hence, the great variability between the responses of children does not allow a universal score for pain 38 . The dimensions of these physiological indicators can be described through psychophysical parameters of intensity, direction, reactivity, regulation and slope.…”

Section: Pain Measurements In Neonatal Intensive Care Unitmentioning

confidence: 99%

Sleep deprivation, pain and prematurity: a review study

Bonan

Filho

Tristão

et al. 2015

Arq. Neuro-Psiquiatr.

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The aim was to describe current reports in the scientific literature on sleep in the intensive care environment and sleep deprivation associated with painful experiences in premature infant. A systematic search was conducted for studies on sleep, pain, premature birth and care of the newborn. Web of Knowledge, MEDLINE, LILACS, Cochrane Library, PubMed, EMBASE, Scopus, VHL and SciELO databases were consulted. The association between sleep deprivation and pain generates effects that are observed in the brain and the behavioral and physiological activity of preterm infants. Polysomnography in intensive care units and pain management in neonates allow comparison with the first year of life and term infants. We have found few references and evidence that neonatal care programs can influence sleep development and reduce the negative impact of the environment. This evidence is discussed from the perspective of how hospital intervention can improve the development of premature infants.Keywords: sleep, pain, prematurity, polysomnography, neonatal intensive care.RESUMO O objetivo foi descrever o estado atual na literatura científica sobre privação do sono associado a experiências dolorosas no prematuro e o papel na evolução do sono em ambiente de terapia intensiva. Realizou-se uma busca sistemática para estudos sobre sono, dor, prematuridade e programas de atenção ao neonato. Foram consultados as bases Web-of-Knowledge, MEDLINE, LILACS, Biblioteca Cochrane, PubMed, EMBASE, Scopus, BVS e SciELO. A associação entre privação do sono e dor gera efeitos que são observados na atividade cerebral, fisiológica e comportamental dos prematuros. A polissonografia nas unidades intensivas e o manejo da dor em neonatos permitem comparação no primeiro ano de vida com crianças nascidas a termo. Encontraram-se poucas evidências de que programas de cuidado neonatal podem influenciar o desenvolvimento do sono e diminuir o impacto negativo do ambiente. Estas evidências são discutidas na perspectiva de como a intervenção hospitalar pode melhorar o desenvolvimento do prematuro.Palavras-chave: sono, dor, prematuridade, polissonografia, terapia intensiva neonatal.In recent decades there has been a considerable increase in the number of premature births and in the survival rate of these babies as a consequence of also increasing the effectiveness of intervention in Neonatal Intensive Care Unit (NICU). This relatively recent phenomenon has opened various fronts of research on the development of the fetus outside the uterus and its challenges. Among the areas that have aroused more interest and generated publications are the investigations on the development of sleep and pain perception and the future implications of sleep deprivation and exposure to pain at early ages. The uterine environment is suitable for the full growth and development of the human fetus site. The challenge of preterm birth and hospitalization in the NICU promotes an abrupt environmental difference for newborns which can bring challenges for future development. The inst...

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“…The baseline value was determined from a stable 10 seconds prior to the start of the procedure. For GSR, we recorded area under small peaks and peaks per second during the first 30 seconds after start of the procedure . Also for PIPP‐R, the assessment time was the first 30 seconds from start of the procedure …”

Section: Methodsmentioning

confidence: 99%

“…Galvanic skin response measures skin conductance due to “emotional sweating” which reflects pain‐related activation of the sympathetic nervous system and has been used to measure neonatal pain in studies on term and preterm infants. Analyses of GSR are presented with a number of different variables, where area under small peaks and peaks per second has been shown to reflect pain in premature and term infants …”

Section: Introductionmentioning

confidence: 99%

Neurophysiological and behavioral measures of pain during neonatal hip examination

Pettersson

Olsson

Ohlin

et al. 2019

Paediatric and Neonatal Pain

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Introduction The aim of this study was to test the hypothesis that neonatal hip examination causes pain in newborns. Pain assessment using instruments such as the Premature Infant Pain Profile‐Revised (PIPP‐R) scale is recommended, but recently physiological and neurophysiological measures, for example, near‐infrared spectroscopy (NIRS) and galvanic skin response (GSR), have been used as well. Methods Heart auscultation and hip examination were performed, and the response of the newborn was registered by NIRS optodes, GSR electrodes, and a pulse oximeter probe attached to the infant. The face of the newborn was filmed. Heart auscultation was used as a nonpainful reference. Results The pain scores for hip examination were higher than for the heart auscultation. Near‐infrared spectroscopy showed a significant higher increase from baseline in oxygenated hemoglobin (HbO2) on both sides of the cortex at hip examination compared with at heart auscultation (P = .011 and P = .017). Mean PIPP‐R scores for the hip examination compared with heart auscultation increased from 3.0 to 8.1 (P = .000). The GSR analyses of hip examination compared with heart auscultation showed a significant increase in area under small peaks during the hip examination (P = .016), however, not when measured in peaks per second (P = .104). Interrater reliability was calculated for the NIRS interpretations, with an intraclass correlation coefficient (ICC) range of 0.93‐1.0 (P = .000). Discussion Pain in newborns can have negative consequences, and pain prevention and treatment are therefore important. We conclude that neonatal hip examinations are painful and that the pain should be treated, for example, with oral sweet solution. This is a change from present routines during neonatal hip examination and is hoped to lead to a change in national guidelines.

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Heart rate, oxygen saturation, and skin conductance: A comparison study of acute pain in Brazilian newborns

Cited by 21 publications

References 29 publications

Pain Assessment and Measurement in Neonates

Pain Assessment and Measurement in Neonates

Sleep deprivation, pain and prematurity: a review study

Neurophysiological and behavioral measures of pain during neonatal hip examination

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