2012
DOI: 10.1542/peds.2011-1879
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Oral Sucrose and “Facilitated Tucking” for Repeated Pain Relief in Preterms: A Randomized Controlled Trial

Abstract: WHAT'S KNOWN ON THIS SUBJECT: Preterm infants are exposed to inadequately managed painful procedures during their NICU stay, which can lead to altered pain responses. Nonpharmacologic approaches are established for the treatment of single painful procedures, but evidence for their effectiveness across time is lacking. WHAT THIS STUDY ADDS:Oral sucrose with or without the added technique of facilitated tucking has a pain-relieving effect even in extremely premature infants undergoing repeated pain exposures; fa… Show more

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Cited by 102 publications
(66 citation statements)
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“…For example, in the sucrose systematic review, results were pooled for the outcome of the composite pain score Premature Infant Pain Profile (PIPP), 3 during the heel lance procedure. A total of 29 trials studied heel lance as the painful procedure and PIPP was used as an outcome measure in 13 trials, yet only 4 trials were included in the meta-analysis of PIPP scores. Although results showed a statistically significant and clinically relevant −1.76-point reduction in PIPP scores (95% confidence interval [CI] −2.54 to −0.97), the small numbers of included trials limits the strength of the argument supporting the analgesic effects of sucrose.…”
mentioning
confidence: 99%
“…For example, in the sucrose systematic review, results were pooled for the outcome of the composite pain score Premature Infant Pain Profile (PIPP), 3 during the heel lance procedure. A total of 29 trials studied heel lance as the painful procedure and PIPP was used as an outcome measure in 13 trials, yet only 4 trials were included in the meta-analysis of PIPP scores. Although results showed a statistically significant and clinically relevant −1.76-point reduction in PIPP scores (95% confidence interval [CI] −2.54 to −0.97), the small numbers of included trials limits the strength of the argument supporting the analgesic effects of sucrose.…”
mentioning
confidence: 99%
“…Facilitated tucking merupakan salah satu intervensi non-farmakologis untuk menurunkan persepsi nyeri bayi prematur yang terbukti efektif dalam menghilangkan nyeri akut pada neonates (18)(19)(20). Facilitated tucking didefi nisikan sebagai penahanan lengan dan kaki bayi dalam tertekuk, posisi garis tengah dekat dengan tenggorokan (posisi fl eksi fi siologis/midline position).…”
Section: Gambar 1 Integrasi Teori Comfort Kolcaba Dalam Asuhan Keperunclassified
“…However, the available evidence points to a modest reduction in pain scores and physiological fluctuations and a faster return to baseline [56,[60][61][62][63][64][65][66][67][68][69]. To test the comparative effectiveness of different non-pharmacological pain-relieving interventions, either applied alone or in combination to document potential synergism, effectiveness of oral sucrose, facilitated tucking, or both, a prospective study in 71 preterm (24-32 gestational age) neonates was performed in three NICUs in Switzerland [65]. Facilitated tucking alone was Table 15.2 Overview of studies to illustrate the effectiveness of facilitated tucking in preterm neonates, either or not combined with or compared to other complementary interventions (oral sucrose, nonnutritive sucking)…”
Section: Swaddling and Containment Proceduresmentioning
confidence: 99%
“…9/12 infants received a lower PIPP score with facilitated tucking, reflecting the fact that the stress during routine nursing assessment can be reduced by facilitated tucking Corff et al [64] Randomized, crossover study in 30 preterm (25-35 weeks) neonates to compare the impact of facilitated tucking with routine care on vital signs and sleep disruption following heel lancing. A lower heart rate, a shorter crying time and shorter sleep disruption times were documented during facilitated tucking Cignacco et al [65] Randomized controlled trial in 71 (24-32 weeks) neonates to assess the effectiveness of sucrose, facilitated tucking, or both on the pain response following heel lancing, using the Bernese Pain Scale for Neonates. Facilitated tucking was less effective compared to sucrose, but combination of both interventions resulted in a further improvement in the recovery phase Axelin et al [66] Prospective, randomized controlled trial in 20 preterm (24-33 weeks) neonates to assess the impact of facilitated tucking by parents on pain expression (Neonatal Infant Pain Scale, NIPS) and vital signs during endotracheal or pharyngeal suctioning.…”
Section: Referencementioning
confidence: 99%