Manejo de la sedación y la analgesia en unidades de cuidados intensivos neonatales españolas

Ávila-Álvarez, Alejandro; Carbajal, Ricardo; Courtois, Émilie; Pértega-Díaz, Sonia; Muñiz, Javier; Anand, K.J.S.

doi:10.1016/j.anpedi.2015.03.017

Cited by 13 publications

(13 citation statements)

References 57 publications

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Section: Resultsmentioning

confidence: 99%

“…Most of the selected articles were of South American origin (61.0%)[ 10 - 20 ], and the rest of them were of European (27.8%)[ 3 , 5 , 21 - 23 ] and north American[ 24 , 25 ] origin. The main publication country was Brazil ( n = 8)[ 12 - 20 ], followed by Spain ( n = 4)[ 3 , 5 , 21 , 22 ]. The types of studies included in the review were: Bibliographic reviews ( n = 5)[ 3 , 13 , 19 , 22 , 24 ], qualitative studies ( n = 4)[ 12 , 15 , 18 , 20 ], and quantitative studies ( n = 9).…”

Section: Resultsmentioning

confidence: 99%

“…The remaining articles use both methods (scales and physiological or behavioral indicators)[ 13 , 15 - 19 , 24 ]. There was only one article that did not describe how pain was assessed, since it focused on analgesia management in the neonatal ICU[ 21 ]. In general, the procedures that cause pain were therapeutic procedures (venipuncture, aspiration, intubation), environmental stimuli (light, noise), and surgical procedures.…”

Section: Resultsmentioning

confidence: 99%

“…In general, the procedures that cause pain were therapeutic procedures (venipuncture, aspiration, intubation), environmental stimuli (light, noise), and surgical procedures. Both non-pharmacological and pharmacological methods were used for pain management in most studies[ 3 , 12 , 13 , 15 - 17 , 19 , 21 ]. Only one article used pharmacological intervention for pain relief[ 5 ], while only five articles used non-pharmacological measures[ 10 , 18 , 20 , 22 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

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Pain assessment and management in the newborn: A systematized review

García-Rodríguez¹,

Bujan-Bravo²,

Seijo-Bestilleiro³

et al. 2021

WJCC

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BACKGROUND Neonatal pain has been underdiagnosed due to several false beliefs. AIM To determine the status of neonatal pain in newborns who are admitted to intensive care units. METHODS Different databases were searched. Literature reviews and research reports conducted in newborns that were written in English, Spanish, or Portuguese, published between 2010 and 2020, and having free access to the full text were selected. A total of 135 articles were found, and 18 articles were finally reviewed. RESULTS Newborns are exposed to numerous painful procedures. In order to assess their pain levels, several scales have been used, although they are sometimes not correctly interpreted. In terms of pain management, the nursing team plays a very important role based mainly on both pharmacological and non-pharmacological approaches. CONCLUSION Nursing staff members must be well trained in order to identify pain and to interpret the scales correctly. Besides, they have an important role in performing non-pharmacological procedures for pain management.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Pain assessment and management in the newborn: A systematized review

García-Rodríguez¹,

Bujan-Bravo²,

Seijo-Bestilleiro³

et al. 2021

WJCC

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show abstract

“…We employed midazolam and fentanyl for sedation, but chloral hydrate, phenobarbital, and ketamine are also effective options [ 14 ]. However, the most commonly used drug combination is midazolam and fentanyl [ 15 , 16 ]. In this study, no patient required mechanical ventilation during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Central Venous Access With Different Anesthesia Methods in Neonatal Intensive Care Unit

Okumuş¹,

Zübarioğlu²

2021

Cureus

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Background: Ultrasound (US)-guided internal jugular vein (IJV) catheterization in newborns is usually performed in the operating room with general anesthesia. This study aimed to show that US-guided IJV catheterization can be successfully performed with local anesthesia and sedation in newborns.Methods: The files of newborn patients who underwent US-guided IJV catheterization between May 2017 and May 2020 were examined. Two groups were created according to the type of anesthesia applied during the procedure. The general characteristics of the newborns, the success of the procedure, the number of punctures, and the complication rates in both groups were compared.Results: A total of 53 newborns were included in this study. Of the 62 procedures, 30 were performed under general anesthesia (group A) and 32 were performed under sedation (group B). Twenty-six (86.6%) of the newborns in group A and 19 (59.3%) in group B were catheterized at the first puncture. The median puncture numbers in groups A and B were 1 (1-3) and 1 (1-5), respectively. All of the patients in group A were successfully catheterized (n = 30; 100%), and all but one in group B could be catheterized (n = 32; 96.8%).Conclusion: No significant differences in complications or procedural success rates were observed between newborns undergoing general anesthesia or sedation. US-guided IJV catheterization can be safely performed with sedation alone.

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Neonatal Pain and Stress

Fleishman¹,

Mayock²

2018

Avery's Diseases of the Newborn

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Manejo de la sedación y la analgesia en unidades de cuidados intensivos neonatales españolas

Cited by 13 publications

References 57 publications

Pain assessment and management in the newborn: A systematized review

Pain assessment and management in the newborn: A systematized review

Ultrasound-Guided Central Venous Access With Different Anesthesia Methods in Neonatal Intensive Care Unit

Neonatal Pain and Stress

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