Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review

Detalhes bibliográficos
Autor(a) principal: Prior,Fátima
Data de Publicação: 2022
Outros Autores: Querido,Débora, Santos,Íris
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152022000300035
Resumo: Abstract Introduction: Although Eutectic Mixture of Local Anesthetics (EMLA) is an easily available solution, it is not yet widely used in neonatal care due to the lack of evidence of an effective administration dosage. Objectives: Identify how EMLA cream is used to reduce pain, without adverse reaction, in newborn infants undergoing painful medical procedures. Methods: A scoping review was conducted to map literature concerning a population, concept, context (PCC) question, considering literature from electronic databases and gray literature, published between 2002 and 2021, with full-text available and with no language restrictions. Results: Twelve documents concerning a 2661 newborn population - from 28 weeks gestational age until full-term newborns - considering EMLA cream efficacy and describing EMLA cream’s amount and skin contact time. Eight protocols recommend the use of an occlusive dressing. One paper identified pallor and erythema reactions. Conclusion: EMLA is effective when used in newborns undergoing painful procedures. Although there is no consensus on EMLA cream’s dosage, the most frequent amount used is 0,5g in pre-term newborns and 1g in full-term newborns. The most common time of skin contact is 60 minutes. Although this is the most frequent dosage, the amount ranges from 0,5 up to 2g, and the time of skin contact ranges from 3 to 180 minutes. Most of the protocols have included occlusive dressing use.
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spelling Eutectic mixture of local anesthetics’ dosage in newborns: a scoping reviewnewbornpainlocal anestheticsEMLA CreamAbstract Introduction: Although Eutectic Mixture of Local Anesthetics (EMLA) is an easily available solution, it is not yet widely used in neonatal care due to the lack of evidence of an effective administration dosage. Objectives: Identify how EMLA cream is used to reduce pain, without adverse reaction, in newborn infants undergoing painful medical procedures. Methods: A scoping review was conducted to map literature concerning a population, concept, context (PCC) question, considering literature from electronic databases and gray literature, published between 2002 and 2021, with full-text available and with no language restrictions. Results: Twelve documents concerning a 2661 newborn population - from 28 weeks gestational age until full-term newborns - considering EMLA cream efficacy and describing EMLA cream’s amount and skin contact time. Eight protocols recommend the use of an occlusive dressing. One paper identified pallor and erythema reactions. Conclusion: EMLA is effective when used in newborns undergoing painful procedures. Although there is no consensus on EMLA cream’s dosage, the most frequent amount used is 0,5g in pre-term newborns and 1g in full-term newborns. The most common time of skin contact is 60 minutes. Although this is the most frequent dosage, the amount ranges from 0,5 up to 2g, and the time of skin contact ranges from 3 to 180 minutes. Most of the protocols have included occlusive dressing use.Instituto Politécnico de Viseu (IPV)2022-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152022000300035Millenium - Journal of Education, Technologies, and Health n.19 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152022000300035Prior,FátimaQuerido,DéboraSantos,Írisinfo:eu-repo/semantics/openAccess2024-02-06T17:10:19Zoai:scielo:S0873-30152022000300035Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:21:54.590354Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
title Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
spellingShingle Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
Prior,Fátima
newborn
pain
local anesthetics
EMLA Cream
title_short Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
title_full Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
title_fullStr Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
title_full_unstemmed Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
title_sort Eutectic mixture of local anesthetics’ dosage in newborns: a scoping review
author Prior,Fátima
author_facet Prior,Fátima
Querido,Débora
Santos,Íris
author_role author
author2 Querido,Débora
Santos,Íris
author2_role author
author
dc.contributor.author.fl_str_mv Prior,Fátima
Querido,Débora
Santos,Íris
dc.subject.por.fl_str_mv newborn
pain
local anesthetics
EMLA Cream
topic newborn
pain
local anesthetics
EMLA Cream
description Abstract Introduction: Although Eutectic Mixture of Local Anesthetics (EMLA) is an easily available solution, it is not yet widely used in neonatal care due to the lack of evidence of an effective administration dosage. Objectives: Identify how EMLA cream is used to reduce pain, without adverse reaction, in newborn infants undergoing painful medical procedures. Methods: A scoping review was conducted to map literature concerning a population, concept, context (PCC) question, considering literature from electronic databases and gray literature, published between 2002 and 2021, with full-text available and with no language restrictions. Results: Twelve documents concerning a 2661 newborn population - from 28 weeks gestational age until full-term newborns - considering EMLA cream efficacy and describing EMLA cream’s amount and skin contact time. Eight protocols recommend the use of an occlusive dressing. One paper identified pallor and erythema reactions. Conclusion: EMLA is effective when used in newborns undergoing painful procedures. Although there is no consensus on EMLA cream’s dosage, the most frequent amount used is 0,5g in pre-term newborns and 1g in full-term newborns. The most common time of skin contact is 60 minutes. Although this is the most frequent dosage, the amount ranges from 0,5 up to 2g, and the time of skin contact ranges from 3 to 180 minutes. Most of the protocols have included occlusive dressing use.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0873-30152022000300035
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Instituto Politécnico de Viseu (IPV)
publisher.none.fl_str_mv Instituto Politécnico de Viseu (IPV)
dc.source.none.fl_str_mv Millenium - Journal of Education, Technologies, and Health n.19 2022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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