Prevention and Management of Pain and Stress in the Neonate

Clinicians estimated that most neonatal intensive care unit procedures are painful, but only a third of the neonates received appropriate analgesic therapy. Despite the accumulating evidence that neonatal procedural pain is harmful, analgesic treatment for painful procedures is limited. Systematic approaches are required to reduce the occurrence of pain and to improve the analgesic treatment of repetitive pain in neonates.

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Evaluation of a New Lancet Device (BD QuikHeel) on Pain Response and Success of Procedure in Term Neonates

Shah

Taddio²,

Kulasekaran³

et al. 2003

Arch Pediatr Adolesc Med

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Objective: To evaluate 2 heel lancet devices in terms of pain response and success of the procedure in neonates undergoing the newborn screening test.Design: Randomized trial.Setting: Tenth level, mother-and-baby unit of a university-affiliated hospital. Patients: Eighty term neonates.Interventions: Heel lance using either the BD SafetyFlow lancet (SF) or the BD QuikHeel lancet (QH). Main Outcome Measures:Facial grimacing score (brow bulge, eye squeezed shut, and nasolabial furrow [range, 0%-100%]), cry duration, duration of the procedure, and number of punctures required to collect the blood.Results: Forty neonates were enrolled in each group. There were no differences in the demographic characteristics between groups. During the first skin puncture, the median score (25th-75th percentile) for facial grimacing was 100% (76%-100%) for the SF compared with 73% (42%-100%) for the QH (P=.02). For cry duration, it was 6 seconds (0-9 seconds) vs 0 seconds (0-6 seconds), respectively (P=.01). Pain scores during blood collection (ie, squeezing) did not differ between groups (P=.09). The procedure took less time to perform in the QH group (140 seconds Conclusion:The BD QuikHeel lancet is superior to the BD Safety-Flow lancet for blood collection in term neonates undergoing the newborn screening test.

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Prevention and Management of Pain and Stress in the Neonate

Cited by 294 publications

References 90 publications

Consensus Statement for the Prevention and Management of Pain in the Newborn

Consensus Statement for the Prevention and Management of Pain in the Newborn

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Evaluation of a New Lancet Device (BD QuikHeel) on Pain Response and Success of Procedure in Term Neonates

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