Sedoanalgesia in neonatal units

Fernández, María Gracia Espinosa; González‐Pacheco, Noelia; Sánchez-Redondo, María Dolores; Cernada, María; Martín, Ana; Pérez-Muñuzuri, Alejandro; Boix, Héctor; Couce, María L.

doi:10.1016/j.anpede.2020.10.006

Cited by 2 publications

(1 citation statement)

References 42 publications

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“…Premature birth leads to insufficient intrauterine nutrition reserve and is accompanied by functional dysplasia of various body systems, which results in the weakening of disease prevention and immune function, as well as higher mortality rates (Patil et al, 2021; Risnes et al, 2021). While the advanced development of medical technology has decreased the births and mortality of premature infants (Glover & Manuck, 2018), most procedures involved in medical care are traumatic and painful, especially for premature infants who may spend weeks or even months in the neonatal intensive care unit (NICU) during which period they may undergo various painful procedures (Bucsea & Pillai Riddell, 2019; Espinosa Fernández et al, 2021). Compared with full‐term infants, premature infants with insufficient lung maturity, unstable blood flow, fragile blood vessels, and delayed neural development result in an increase number of invasive procedures, such as venipuncture and blood procurement which are the most common and frequent operation (Ream & Lehwald, 2018; Zer et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Effects of kangaroo care on pain relief in premature infants during painful procedures: A meta‐analysis

Zhang

et al. 2022

Specialist Pediatric Nursing

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AIM This study aimed to evaluate effects of kangaroo care on pain relief in premature infants during painful procedures. Design A meta‐analysis. Methods Eight databases (Cochrane Library, PubMed, Embase, Web of Science, China Biology Medicine [CBM], China Science and Technology Journal Database [CSTJ], China National Knowledge Infrastructure [CNKI], and WanFang Data) were systematically reviewed from inception to November 2021 for randomized controlled and crossover trials. Results Thirteen studies, including 2311 infants (kangaroo care: 1153, control: 1158) were analyzed. Kangaroo care had a moderate effect on pain relief during painful procedures in premature infants at a gestational age of 32–36 + 6 weeks but no effect at 28–31 + 6 weeks. Furthermore, 15 or 30 min of kangaroo care had a moderate effect and could markedly relieve pain at the instant of and 30/60 s after, had a small effect at 90 s after, and no effect at 120 s after the procedure. Practice Implications Kangaroo care may be an effective nonpharmacologic alternative therapy to relieve procedural pain in premature infants born at a gestational age of 32–36 + 6 weeks.

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Section: Introductionmentioning

confidence: 99%

Effects of kangaroo care on pain relief in premature infants during painful procedures: A meta‐analysis

Zhang

et al. 2022

Specialist Pediatric Nursing

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Effect of Non-Pharmacological Methods in the Reduction of Neonatal Pain: Systematic Review and Meta-Analysis

García-Valdivieso

Yáñez-Araque

Moncunill-Martínez

et al. 2023

IJERPH

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In neonatology, neonates have traditionally been considered incapable of feeling pain, due to the immaturity of their nervous system. Currently, there is sufficient information on the perception of pain in neonates; however, this treatment at this crucial stage for development requires a better approach. For this reason, the aim of this study was to analyse the efficacy of non-pharmacological analgesia interventions during heel prick, and to assess their effects on heart rate (HR), premature infant pain profile (PIPP) and O2 saturation. A systematic review and meta-analysis was performed following the guidelines of the preferred reporting items for systematic reviews and meta-analyses (PRISMA), and the Cochrane collaboration handbook. The databases PubMed, Cochrane Library, Web of Science, Scopus, CINAHL and Science Direct were searched until the end of January 2022. The DerSimonian and Laird methods were used to estimate the effect size with a 95% confidence interval (CI95%). Effect size estimates were 0.05 (95% CI: −0.19, 0.29) for HR, −0.02 (95% CI: −0.24, 0.21) for PIPP scale, and −0.12 (95% CI: −0.29, 0.05) for O2 saturation. The non-pharmacological interventions analysed (breastfeeding, kangaroo-mother care method, oral sucrose and non-nutritive sucking) were not statistically significant in reducing neonatal pain, but did influence the decrease in pain score and a faster stabilisation of vital signs.

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Sedoanalgesia in neonatal units

Cited by 2 publications

References 42 publications

Effects of kangaroo care on pain relief in premature infants during painful procedures: A meta‐analysis

Effects of kangaroo care on pain relief in premature infants during painful procedures: A meta‐analysis

Effect of Non-Pharmacological Methods in the Reduction of Neonatal Pain: Systematic Review and Meta-Analysis

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