The respiratory physiotherapy causes pain in newborns? A systematic review

Zanelat, Camila Ferreira; Rocha, Flávia Rodrigues; Lopes, Gabriela Menezes; Ferreira, Juliana Rodrigues; Gabriel, Leticia Silva; Oliveira, Trícia Guerra e

doi:10.1590/1980-5918.030.001.ar01

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…A systematic review suggested that airway suctioning, and chest compressions caused pain in neonates. However, because of methodological differences between studies, the authors concluded that more studies using adequate designs are needed to evaluate if physiotherapy techniques really cause pain in the neonate [14].…”

Section: Introductionmentioning

confidence: 99%

O método reequilíbrio tóraco-abdominal não aumenta a dor avaliada pela Neonatal Infant Pain Scale: estudo clínico randomizado

et al. 2021

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Objetivo: Comparar em recém-nascidos com taquipneia transitória se o método reequilíbrio tóraco-abdominal (RTA) aumentou a dor imediatamente após. Métodos: Estudo de ensaio clínico randomizado. Quarenta e nove recém-nascidos com diagnóstico de taquipneia transitória com menos de 72 horas de vida, foram incluídos para receber fisioterapia respiratória. Os participantes receberam os cuidados usuais e uma sessão de fisioterapia convencional ou do método reequilíbrio tóraco-abdominal. Foram registradas a escala NIPS (Neonatal Infant Pain Scale), a saturação periférica de oxigênio, a frequência cardíaca, a frequência respiratória e a temperatura axilar antes e depois da fisioterapia. Para as comparações entre as medidas, foram utilizados o teste de ANOVA de Kruskal-Wallis e o teste de McNemar. O risco relativo de dor após os procedimentos foi calculado usando o modelo de regressão de Poisson (estimação robusta). Foi considerado o nível de significância de 5% para todas as análises (p < 0,05). Resultados: O método RTA não foi associado a dor. Após a fisioterapia respiratória, a escala NIPS reduziu (2 versus 3, p < 0,001) e a proporção de recém-nascidos com dor também reduziu (10,2% versus 28,6%, p = 0,02). O risco relativo de dor após a fisioterapia respiratória em comparação a antes, foi de 0,3 (IC 95% 0,15-0,41; p = 0,02), a frequência respiratória diminuiu (58 versus 70, p < 0,001) e a saturação periférica de oxigênio aumentou (98% versus 96%, p < 0,001). Conclusão: Em recém-nascidos com taquipneia transitória nas primeiras 72 horas de vida, o método RTA não influenciou a avaliação da dor, a fisioterapia respiratória foi segura e reduziu a dor imediatamente após.

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Section: Introductionmentioning

confidence: 99%

O método reequilíbrio tóraco-abdominal não aumenta a dor avaliada pela Neonatal Infant Pain Scale: estudo clínico randomizado

et al. 2021

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“…One study 7 noted that 50 PI experienced 643 acute painful procedures during their NICU stay (i.e., 23 painful procedures per day). Furthermore, healthcare professionals consider airway aspiration to be the most frequent and painful procedure for infants [7][8][9][10] . Among the procedures that cause pain in respiratory physiotherapy, aspiration is the most common procedure and the one that causes most pain to the newborn (NB) (72.7%) 10 .…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, healthcare professionals consider airway aspiration to be the most frequent and painful procedure for infants [7][8][9][10] . Among the procedures that cause pain in respiratory physiotherapy, aspiration is the most common procedure and the one that causes most pain to the newborn (NB) (72.7%) 10 . Among the painful and invasive procedures performed during hospitalization, observed in a study, there was an average of 6.6 procedures per day of RN hospitalization, with an average of 27.9 per hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Reliability and internal consistency in the assessment of neonatal pain in preterm infants during tracheal aspiration: prospective study

Oliveira,

Formiga,

Ramos

et al. 2022

BRJP

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BACKGROUND AND OBJECTIVES:Inadequate pain assessment in preterm infants (PI) is a persistent problem. Currently, a precise pain assessment is one of the main challenges for health professionals in the intensive care units (NICU). The objective of this study was to verify the correlation between the Neonatal Infant Pain Scale (NIPS) and Premature Infant Pain Prole -Revised (PIPP-R), internal consistency, and inter-evaluator reliability on pain assessment during aspiration in PI. METHODS: Prospective observational study with low birth weight PI (< 2500 g), hemodynamically stable, minimal or no sedation, under mechanical ventilation, continuous positive airway pressure, nasal cannula oxygen, or ambient air, and needing aspiration during hospitalization in the neonatal intensive care unit in the period from 2019 to 2020.. PI were evaluated during three different aspiration procedures: without intervention (1), using gentle touch (2), and using sucrose (3). NIPS and PIPP-R instruments were applied, while internal consistency was determined using Cronbach's alpha, reliability using the intraclass correlation coefficient, and concurrent validity using Spearman's correlation coefficient. RESULTS: Fifty PIs requiring tracheal aspiration were evaluated. NIPS and PIPP-R showed high (Cronbach α: 0.824) and moderate (Cronbach α: 0.655

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“…observed that 50 newborns prematurely passed 643 painful procedures acute during all the hospitalization in the NICU, being the equivalent to 23 painful procedures per day (7) . Many professionals considered the painful procedures performed daily in neonates suction endotracheal and/or the various air as the most frequent procedure and further cause pain in newborns (8)(9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

Correlation Between he Ratio Pipp-R and Nips and Inter-Rater Reliability to Evaluate Pain During the Procedure Suction in Newborn Premature

Oliveira¹,

Formiga²,

Ramos³

et al. 2021

Preprint

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Objectives:To verify the Correlation between the Neonatal Infant Pain Scale (NIPS) and Premature Infant Pain Profile – Revised (PIPP-R), the internal consistency of each scale, and assess the reliability between evaluators in the assessment of pain during the aspiration procedure in premature newborns. Methods: an observational, prospective study. Participated in the study, 50 infants who met the following criteria for inclusion: Newborn (NB) preterm (GA> 26 weeks and <36 weeks and five days) with low birth weight (<2500 g), hemodynamically stable, with minimal sedation or without sedation or mechanical ventilation in CPAP or catheter nose of O2 or the air environment that needed to perform the procedure of vacuum in the period of hospitalization. The evaluation of the newborns occurred during three different aspiration procedures; aspiration 1 (no intervention), aspiration 2 (use of gentle touch), and aspiration 3 (use of sucrose). They have applied two evaluation instruments, NIPS and PIPP-R. that Cronbach's alpha determined the internal consistency, reliability between evaluators by the coefficient of Correlation intraclass, validity competitor by Spearman test. Results: Internal Consistency was high for NIPS (r= 0.824) and moderate for PIPP-R (0.655). Reliability between raters was high respectively in the three conditions 0.991; 0.987; 0.993 on the NIPS scale and 0.997; 0.986; 0.977 on the PIPP-R scale. One observed concurrent validity Only in the first aspiration. Conclusion: the NIPS seems to have a better utility clinic than PIPP-R; however, the two scales showed good reliability among the evaluators, and internal consistency, being a good choice for evaluation of pain during the procedure of aspiration.

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The respiratory physiotherapy causes pain in newborns? A systematic review

Cited by 5 publications

References 21 publications

O método reequilíbrio tóraco-abdominal não aumenta a dor avaliada pela Neonatal Infant Pain Scale: estudo clínico randomizado

O método reequilíbrio tóraco-abdominal não aumenta a dor avaliada pela Neonatal Infant Pain Scale: estudo clínico randomizado

Reliability and internal consistency in the assessment of neonatal pain in preterm infants during tracheal aspiration: prospective study

Correlation Between he Ratio Pipp-R and Nips and Inter-Rater Reliability to Evaluate Pain During the Procedure Suction in Newborn Premature

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