Non-nutritive sucking, oral breast milk, and facilitated tucking relieve preterm infant pain during heel-stick procedures: A prospective, randomized controlled trial

Peng, Hsueh Fang; Yin, Ti; Yang, Luke; Wang, Chi; Chang, Yue Cune; Jeng, Mei Jy; Liaw, Jen Jiuan

doi:10.1016/j.ijnurstu.2017.10.001

Cited by 57 publications

(72 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, it can be inferred that integrating BM odor or taste with NNS could be effective in relieving pain due to the weak analgesic effects from the mother’s HBs. These study findings are in line with a previous report that BM, NNS, and facilitated tucking (or swaddling) effectively relieved pain during heel stick (Peng et al, ), and the combined use of mother’s BM + NNS + swaddling on relieving pain caused by venipuncture in preterm infants (Collados‐G?mez et al, ). In this study, however, the integrated sensory stimuli were BM odor and taste (olfactory and gustatory), NNS (oral‐tactile), and HBs (auditory).…”

Section: Discussionsupporting

confidence: 92%

“…The evidence that multisensorial interventions, such as the combination of NNS, oral mother’s BM, and tucking (Peng et al, ), or various combinations of tactile, gustatory, auditory, and visual sensory stimuli (Gitto et al, ) significantly relieve pain during heel stick procedures prompted the researchers to consider examining other combinations of integrated sensory interventions. The benefits of multiple stimuli are supported by the Gate Control Theory (Melzack & Wall, ).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Integration of Different Sensory Interventions From Mother’s Breast Milk for Preterm Infant Pain During Peripheral Venipuncture Procedures: A Prospective Randomized Controlled Trial

Yin

Hsieh

et al. 2019

J of Nursing Scholarship

Self Cite

View full text Add to dashboard Cite

Worldwide, approximately 1 in 10 infants is born preterm, and the number is rising (World Health Organization, 2018). In Taiwan, about 20,000 live births at less than 37 weeks' gestation occur every year; the preterm birth rate is 8% to 10% (Premature Baby Foundation of Taiwan, 2018). Globally, prematurity accounts for 80% of deaths in children under 5 years of age (World Health Organization, 2018). Survival of preterm infants requires admittance to the neonatal intensive care unit (NICU), where they undergo an

show abstract

Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

Integration of Different Sensory Interventions From Mother’s Breast Milk for Preterm Infant Pain During Peripheral Venipuncture Procedures: A Prospective Randomized Controlled Trial

Yin

Hsieh

et al. 2019

J of Nursing Scholarship

Self Cite

View full text Add to dashboard Cite

show abstract

“…Outra maneira eficaz é a associação de métodos que visem o alívio da dor durante procedimentos dolorosos agudo. Um estudo prospectivo, randomizado, realizado com 102 recém-nascidos identificou que para os bebês que receberam sucção + leite materno + contenção e sucção + leite materno durante os procedimentos de punção de calcâneo, as chances de dor moderada a intensa foram 87,4% e 95,7% inferiores às dos bebês que receberam cuidados de rotina, respectivamente 17 .…”

Section: Discussionunclassified

Procedimentos dolorosos agudos no recém-nascido pré-termo em uma unidade neonatal

et al. 2019

View full text Add to dashboard Cite

Objetivo: analisar o número de procedimentos dolorosos agudos e manejo da dor em recém-nascidos pré-termo em uma unidade neonatal. Método: estudo descritivo, transversal. Teve como campo uma unidade neonatal de uma instituição pública de saúde. Os participantes da pesquisa foram recém-nascidos abaixo de 35 semanas. Resultados: foram incluídos 17 recém-nascidos. Foi quantificado um total de 729 procedimentos dolorosos. Em média foram realizados 42,9 procedimentos por recém-nascido durante os primeiros 14 dias de vida, sendo aproximadamente três procedimentos realizados por bebê no serviço diurno. Dentre os procedimentos, o mais frequente foi a punção de calcâneo (23,9%). O manejo predominante foi a contenção facilitada (32,7%). A (re)inserção de pronga foi o segundo procedimento mais realizado. Conclusões: O estudo permitiu apreender que o manejo da dor no recém-nascido pré-termo internado em uma unidade neonatal ainda é um desafio.

show abstract

“…Most commonly, nonnutritive suckling used in combination with other nonpharmacologic pain management techniques is most effective. A prospective, randomized control trial of nonnutritive sucking, oral breast milk, and facilitated tucking conducted by Peng et al 96 found that the combined use of these modalities effectively reduced preterm infants' mild pain and moderate-to-severe pain during heel-stick procedures. These findings are further underscored in the systematic review and meta-analysis of oral sucrose in combination with nonnutritive suckling conducted by Liu et al 74 that the combined therapies can be an alternative for better prevention and management of procedure pain in NICU newborns.…”

Section: Nonpharmacologic Alternativesmentioning

confidence: 99%

Managing Procedural Pain in the Neonate Using an Opioid-sparing Approach

Squillaro

Mahdi

Tran

et al. 2019

Clinical Therapeutics

View full text Add to dashboard Cite

Purpose: Pain in the neonate is often challenging to assess but important to control. Physicians often must balance the need for optimal pain control with the need to minimize oversedation and prolonged opioid use. Both inadequate pain control and overuse of opioids can have long-term consequences, including poor developmental outcomes. The aim of this review is to introduce a comprehensive approach to pain management for physicians, nurses, and surgeons caring for critically ill neonates, focusing on nonopioid alternatives to manage procedural pain. Findings: After review, categories of opioid-sparing interventions identified included (1) nonopioid pharmacologic agents, (2) local and regional anesthesia, and (3) nonpharmacologic alternatives. Nonopioid pharmacologic agents identified for neonatal use included acetaminophen, NSAIDs, dexmedetomidine, and gabapentin. Local and regional anesthesia included neuraxial blockade (spinals and epidurals), subcutaneous injections, and topical anesthesia. Nonpharmacologic agents uniquely available in the neonatal setting included skin-to-skin care, facilitated tucking, sucrose, breastfeeding, and nonnutritive sucking. Implications: The use of various pharmacologic and interventional treatments for neonatal pain management allows for the incorporation of opioidsparing techniques in neonates who are already at risk for poor neurodevelopmental outcomes. A multifactorial approach to pain control is paramount to optimize periprocedural comfort and to minimize the negative sequelae of uncontrolled pain in the neonate.

show abstract

Non-nutritive sucking, oral breast milk, and facilitated tucking relieve preterm infant pain during heel-stick procedures: A prospective, randomized controlled trial

Cited by 57 publications

References 35 publications

Integration of Different Sensory Interventions From Mother’s Breast Milk for Preterm Infant Pain During Peripheral Venipuncture Procedures: A Prospective Randomized Controlled Trial

Integration of Different Sensory Interventions From Mother’s Breast Milk for Preterm Infant Pain During Peripheral Venipuncture Procedures: A Prospective Randomized Controlled Trial

Procedimentos dolorosos agudos no recém-nascido pré-termo em uma unidade neonatal

Managing Procedural Pain in the Neonate Using an Opioid-sparing Approach

Contact Info

Product

Resources

About