Betancourt-Fuentes CE, Espinosa-García JO, Aguilar-Herrera S, García-Chacón MG, Martínez-González MC, Piedra-Santos MD

Language: Spanish
References: 15
Page: 83-88
PDF size: 90.19 Kb.

ABSTRACT

Introduction: Analgesic treatment for painful procedures is very limited in some medical units. There are several nursing procedures performed during the daily neonatal care that cause pain that must be prevented and treated to which there are several nonpharmacology approaches that can easily be done by nurses before the procedures.
Objective: To compare the efficacy of two non-pharmacology strategies to treat and prevent the pain that is caused by nursing procedures in new born infants.
Methodology: A clinical trial was performed in 88 children older than 35 weeks of gestation, who were born in the Gynecology and Pediatric Unit 48 Hospital, in Leon, Guanajuato, state. 44 of them received glucose 30%, per mouth, just two minutes previous to the painful procedure. The rest of the infants were offered non-nutritious suction of a pacifier. Both groups were evaluated during the painful stimulus through a validated scale and they were recorded to verify that evaluation.
Results: There were not differences between two groups. Both procedures showed up similar efficacy to treat and prevent pain.
Discussion: Both non-pharmacology approaches, the use of glucose 30% per mouth and the non-nutritious suction of pacifier, are useful to prevent pain when they are used two minutes previous to the performance of nursing procedures in new born infants. Its use should be instituted as a necessary or mandatory intervention in new born room.

REFERENCES

1. Nandi-R, Fitzgerald-M. Opioid analgesia in the newborn. Eur J Pain 2005; 9(2):105-8.

2. Álvarez-TE. El dolor en los niños, una mirada científica y compasiva. Rev Colomb Anestesiol 1993; 21(1). [en línea] http://www.scare.org.co/rca/archivos/articulos/1993/vol_1/HTML/dolorenninos.htm [Consultado 14/02/2008].

3. Altamirano-NB, Dulzan-MP. El dolor en el feto y en el recién nacido. Rev Enferm Hosp Ital 1997; 1(1) [en línea] http://www.hospitalitaliano.org.ar/docencia/rehi/index.php?contenido=contenido_articulo.php&id_articulo=228 [Consultado 14/02/2008].

4. Anand KJ, Scalzo FM. Can adverse neonatal experiences alter brain development and subsequent behavior? Biol Neonate 2000 Feb;77(2):69-82.

5. Simons-SH, van Dijk-M, Anand-KS, Roofthooft-D, van Lingen- RA, Tibboe-D. Do we still hurt newborn babies? Arch Pediatr Adolesc Med. 2003; 157(11): 1058-64.

6. Vidal-MA, Calderón-E, González-A, Torres-LM. Dolor en neonatos. Rev Soc Esp Dolor 2005; 12(2): 98-111.

7. Ibarra Fernández-AJ, Gil Hermoso-MR, Llanos Ortega-IM, Quesada Ramos-C, Martínez Fajardo-F, Bonillo Madrid-FJ. Escala de valoración del dolor en neonatología. Enfermería Neonatal Agosto 2004. [en línea] http://www.prematuros.cl/webagosto/enfermerianeonatal/valoraciondolor.htm [Consultado 14/02/2008].

8. Anand-KJ, Craig-KD. New perspectives on the definition of pain. Pain. 1996; 67(1): 3-6.

9. Hernández-Hernández Alma, et al. Valoración y manejo del dolor en neonatos. Bol Med Hosp Infant Mex 2004; 61(2):155-159.

10. Gradin-M, Eriksson-M, Holmqvist-G, Holstein-A, Schollin-J. Pain reduction at venipuncture in newborns: oral glucose compared with local anesthetic cream. Pediatrics. 2002; 110(6):1053-7.

11. Álvarez-T. El dolor en los neonatos. Enfoque diagnóstico y terapéutico. Iatreia 2000; 13(4):246-255.

12. Carbajal-R, Chauvet-X, Couderc-S, Olivier Martin-M. Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates. BMJ. 1999; 319(7222):1393-7.

13. Stevens B, Yamada J, Ohlsson A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev 2004;(3): CD00 1069.

14. Lawrence-J, Alcock-D, McGrath-P, Kay-J, MacMurray-SB, Dulberg-C. The development of a tool to assess neonatal pain. Neonat Netw 1993; 12(6):59-66.

15. Evans J. 2001. Comparison chart of multidimensional pain measures for neonates. Handout for paper presented at Developmental Interventions in Neonatal Care Conference, November 4, Washington, DC.