Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?

Detalhes bibliográficos
Autor(a) principal: Prestes,Ana Claudia Yoshikumi
Data de Publicação: 2016
Outros Autores: Balda,Rita de Cássia Xavier, Santos,Gianni Mara Silva dos, Rugolo,Ligia Maria Suppo de Souza, Bentlin,Maria Regina, Magalhães,Mauricio, Pachi,Paulo Roberto, Marba,Sergio Tadeu Martins, Caldas,Jamil Pedro de Siqueira, Guinsburg,Ruth
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal de Pediatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088
Resumo: ABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units during one month in 2001, 2006, and 2011. The frequency of analgesic prescription for painful procedures was evaluated. Of the 202 neonatologists, 188 answered a questionnaire giving their opinion on the intensity of pain during lumbar puncture, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture in all study periods. For intubation, 30% received analgesia in the study periods, and 35% (2001), 55% (2006), and 73% (2011) of the neonatologists reported VAS >3 and would prescribe analgesia for this procedure. As for mechanical ventilation, 45% (2001), 64% (2006), and 48% (2011) of patient-days were under analgesia; 56% (2001), 57% (2006), and 26% (2011) of neonatologists reported VAS >3 and said they would use analgesia during mechanical ventilation. For the first three post-operative days, 37% (2001), 78% (2006), and 89% (2011) of the patients received analgesia and more than 90% of neonatologists reported VAS >3 for major surgeries. CONCLUSIONS: Despite an increase in the medical perception of neonatal pain and in analgesic use during painful procedures, the gap between clinical practice and neonatologist perception of analgesia need did not change during the ten-year period.
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spelling Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?Pain measurementPain perceptionPain managementNeonatal intensive care unitsNewbornABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units during one month in 2001, 2006, and 2011. The frequency of analgesic prescription for painful procedures was evaluated. Of the 202 neonatologists, 188 answered a questionnaire giving their opinion on the intensity of pain during lumbar puncture, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture in all study periods. For intubation, 30% received analgesia in the study periods, and 35% (2001), 55% (2006), and 73% (2011) of the neonatologists reported VAS >3 and would prescribe analgesia for this procedure. As for mechanical ventilation, 45% (2001), 64% (2006), and 48% (2011) of patient-days were under analgesia; 56% (2001), 57% (2006), and 26% (2011) of neonatologists reported VAS >3 and said they would use analgesia during mechanical ventilation. For the first three post-operative days, 37% (2001), 78% (2006), and 89% (2011) of the patients received analgesia and more than 90% of neonatologists reported VAS >3 for major surgeries. CONCLUSIONS: Despite an increase in the medical perception of neonatal pain and in analgesic use during painful procedures, the gap between clinical practice and neonatologist perception of analgesia need did not change during the ten-year period.Sociedade Brasileira de Pediatria2016-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088Jornal de Pediatria v.92 n.1 2016reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2015.04.009info:eu-repo/semantics/openAccessPrestes,Ana Claudia YoshikumiBalda,Rita de Cássia XavierSantos,Gianni Mara Silva dosRugolo,Ligia Maria Suppo de SouzaBentlin,Maria ReginaMagalhães,MauricioPachi,Paulo RobertoMarba,Sergio Tadeu MartinsCaldas,Jamil Pedro de SiqueiraGuinsburg,Rutheng2018-04-24T00:00:00Zoai:scielo:S0021-75572016000100088Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2018-04-24T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false
dc.title.none.fl_str_mv Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
title Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
spellingShingle Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
Prestes,Ana Claudia Yoshikumi
Pain measurement
Pain perception
Pain management
Neonatal intensive care units
Newborn
title_short Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
title_full Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
title_fullStr Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
title_full_unstemmed Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
title_sort Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
author Prestes,Ana Claudia Yoshikumi
author_facet Prestes,Ana Claudia Yoshikumi
Balda,Rita de Cássia Xavier
Santos,Gianni Mara Silva dos
Rugolo,Ligia Maria Suppo de Souza
Bentlin,Maria Regina
Magalhães,Mauricio
Pachi,Paulo Roberto
Marba,Sergio Tadeu Martins
Caldas,Jamil Pedro de Siqueira
Guinsburg,Ruth
author_role author
author2 Balda,Rita de Cássia Xavier
Santos,Gianni Mara Silva dos
Rugolo,Ligia Maria Suppo de Souza
Bentlin,Maria Regina
Magalhães,Mauricio
Pachi,Paulo Roberto
Marba,Sergio Tadeu Martins
Caldas,Jamil Pedro de Siqueira
Guinsburg,Ruth
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Prestes,Ana Claudia Yoshikumi
Balda,Rita de Cássia Xavier
Santos,Gianni Mara Silva dos
Rugolo,Ligia Maria Suppo de Souza
Bentlin,Maria Regina
Magalhães,Mauricio
Pachi,Paulo Roberto
Marba,Sergio Tadeu Martins
Caldas,Jamil Pedro de Siqueira
Guinsburg,Ruth
dc.subject.por.fl_str_mv Pain measurement
Pain perception
Pain management
Neonatal intensive care units
Newborn
topic Pain measurement
Pain perception
Pain management
Neonatal intensive care units
Newborn
description ABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units during one month in 2001, 2006, and 2011. The frequency of analgesic prescription for painful procedures was evaluated. Of the 202 neonatologists, 188 answered a questionnaire giving their opinion on the intensity of pain during lumbar puncture, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture in all study periods. For intubation, 30% received analgesia in the study periods, and 35% (2001), 55% (2006), and 73% (2011) of the neonatologists reported VAS >3 and would prescribe analgesia for this procedure. As for mechanical ventilation, 45% (2001), 64% (2006), and 48% (2011) of patient-days were under analgesia; 56% (2001), 57% (2006), and 26% (2011) of neonatologists reported VAS >3 and said they would use analgesia during mechanical ventilation. For the first three post-operative days, 37% (2001), 78% (2006), and 89% (2011) of the patients received analgesia and more than 90% of neonatologists reported VAS >3 for major surgeries. CONCLUSIONS: Despite an increase in the medical perception of neonatal pain and in analgesic use during painful procedures, the gap between clinical practice and neonatologist perception of analgesia need did not change during the ten-year period.
publishDate 2016
dc.date.none.fl_str_mv 2016-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jped.2015.04.009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv Jornal de Pediatria v.92 n.1 2016
reponame:Jornal de Pediatria (Online)
instname:Sociedade Brasileira de Pediatria (SBP)
instacron:SBPE
instname_str Sociedade Brasileira de Pediatria (SBP)
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institution SBPE
reponame_str Jornal de Pediatria (Online)
collection Jornal de Pediatria (Online)
repository.name.fl_str_mv Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)
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