Abstract
Rev Bras Ter Intensiva. 2021;33(3):434-439
DOI 10.5935/0103-507X.20210058
To evaluate pain intensity during arterial puncture performed in newborns admitted to a neonatal progressive care unit and to evaluate the perception of health professionals regarding neonatal pain.
This was an observational analytical study in which 62 arterial punctures were performed in 35 neonates. Pain was assessed during collection using the Premature Infant Pain Profile scale. The health professionals responsible for collection evaluated pain using a verbal numerical scale ranging from zero to ten. The data were subjected to descriptive statistical analysis using the Statistical Package for the Social Science software.
Among the newborns, 30.6% (n = 19) had no pain or mild pain (0 - 6), 24.2% (n = 15) had mild to moderate pain (7 - 11) and 45.2% (28) had severe pain (12 - 21). It was found that health professionals identified pain during the procedure.
Arterial puncture is considered a painful procedure that can result in mild to severe pain. The adoption of systematic evaluation strategies is necessary to enable appropriate therapeutic intervention.
Abstract
Rev Bras Ter Intensiva. 2019;31(1):21-26
DOI 10.5935/0103-507X.20190007
This study sought to describe and quantify the pharmacological and nonpharmacological strategies used to relieve the pain/stress of neonates during hospitalization in neonatal intensive care units.
This quantitative, longitudinal, and descriptive study examined 50 neonates from neonatal intensive care unit admission to discharge.
A total of 9,948 painful/stressful procedures were recorded (mean = 11.25 ± 6.3) per day per neonate. A total of 11,722 pain-management and relief interventions were performed, of which 11,495 (98.1%) were nonpharmacological strategies, and 227 (1.9%) were pharmacological interventions. On average, each neonate received 235 pain-management and treatment interventions during hospitalization, 13 nonpharmacological interventions per day, and one pharmacological intervention every 2 days.
Neonates receive few specific measures for pain relief given the high number of painful and stressful procedures performed during hospitalization. Thus, it is essential to implement effective pain-relief protocols.
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