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 [UNIFESP]
Data de Publicação: 2016
Outros Autores: Balda, Rita de Cássia Xavier [UNIFESP], Santos, Gianni Mara Silva dos [UNIFESP], Rugolo, Lígia Maria Sousa Suppo, Bentlin, Maria Regina, Magalhaes, Mauricio, Pachi, Paulo Roberto, Marba, Sérgio Tadeu Martins, de Siqueira Caldas, Jamil Pedro, Guinsburg, Ruth [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1016/j.jped.2015.04.009
http://repositorio.unifesp.br/handle/11600/49594
Resumo: 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 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
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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?Procedimentos dolorosos e analgesia em UTI Neonatal: o que mudou na opinião e na prática profissional em dez anos?Pain MeasurementPain PerceptionPain ManagementNeonatal Intensive Care UnitsNewbornMetabolic Stress ResponsesIntensive-Care UnitsRandomized-TrialLumbar PunctureMorphinePremedicationIntubationManagementChildrenNewbornsObjective: 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 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 (VASpain > 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 analgesia56% (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. (C) 2015 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.Divisão de Medicina Neonatal, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, BrasilUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrasilDepartamento de Pediatria, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, SP, BrasilDepartamento de Pediatria, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, BrasilServiço de Neonatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, BrasilDepartamento de Pediatria, Universidade Estadual de Campinas (Unicamp), Campinas, SP, BrasilDivisão de Neonatologia, Hospital da Mulher Prof. Dr. José Aristodemo Pinotti, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas (UNICAMP), Campinas, SP, BrasilDivisão de Medicina Neonatal, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, BrasilUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrasilWeb of ScienceSoc brasil pediatria2019-01-21T10:30:07Z2019-01-21T10:30:07Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion88-95http://dx.doi.org/10.1016/j.jped.2015.04.009Jornal De Pediatria. Rio de janeiro, rj, v. 92, n. 1, p. 88-95, 2016.10.1016/j.jped.2015.04.009S0021-75572016000100088.pdf0021-7557S0021-75572016000100088http://repositorio.unifesp.br/handle/11600/49594WOS:000371471300014engJornal De Pediatriainfo:eu-repo/semantics/openAccessPrestes, Ana Claudia Yoshikumi [UNIFESP]Balda, Rita de Cássia Xavier [UNIFESP]Santos, Gianni Mara Silva dos [UNIFESP]Rugolo, Lígia Maria Sousa SuppoBentlin, Maria ReginaMagalhaes, MauricioPachi, Paulo RobertoMarba, Sérgio Tadeu Martinsde Siqueira Caldas, Jamil PedroGuinsburg, Ruth [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-02-07T21:01:44Zoai:repositorio.unifesp.br/:11600/49594Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-02-07T21:01:44Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)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?
Procedimentos dolorosos e analgesia em UTI Neonatal: o que mudou na opinião e na prática profissional em dez anos?
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 [UNIFESP]
Pain Measurement
Pain Perception
Pain Management
Neonatal Intensive Care Units
NewbornMetabolic Stress Responses
Intensive-Care Units
Randomized-Trial
Lumbar Puncture
Morphine
Premedication
Intubation
Management
Children
Newborns
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 [UNIFESP]
author_facet Prestes, Ana Claudia Yoshikumi [UNIFESP]
Balda, Rita de Cássia Xavier [UNIFESP]
Santos, Gianni Mara Silva dos [UNIFESP]
Rugolo, Lígia Maria Sousa Suppo
Bentlin, Maria Regina
Magalhaes, Mauricio
Pachi, Paulo Roberto
Marba, Sérgio Tadeu Martins
de Siqueira Caldas, Jamil Pedro
Guinsburg, Ruth [UNIFESP]
author_role author
author2 Balda, Rita de Cássia Xavier [UNIFESP]
Santos, Gianni Mara Silva dos [UNIFESP]
Rugolo, Lígia Maria Sousa Suppo
Bentlin, Maria Regina
Magalhaes, Mauricio
Pachi, Paulo Roberto
Marba, Sérgio Tadeu Martins
de Siqueira Caldas, Jamil Pedro
Guinsburg, Ruth [UNIFESP]
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Prestes, Ana Claudia Yoshikumi [UNIFESP]
Balda, Rita de Cássia Xavier [UNIFESP]
Santos, Gianni Mara Silva dos [UNIFESP]
Rugolo, Lígia Maria Sousa Suppo
Bentlin, Maria Regina
Magalhaes, Mauricio
Pachi, Paulo Roberto
Marba, Sérgio Tadeu Martins
de Siqueira Caldas, Jamil Pedro
Guinsburg, Ruth [UNIFESP]
dc.subject.por.fl_str_mv Pain Measurement
Pain Perception
Pain Management
Neonatal Intensive Care Units
NewbornMetabolic Stress Responses
Intensive-Care Units
Randomized-Trial
Lumbar Puncture
Morphine
Premedication
Intubation
Management
Children
Newborns
topic Pain Measurement
Pain Perception
Pain Management
Neonatal Intensive Care Units
NewbornMetabolic Stress Responses
Intensive-Care Units
Randomized-Trial
Lumbar Puncture
Morphine
Premedication
Intubation
Management
Children
Newborns
description 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 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
publishDate 2016
dc.date.none.fl_str_mv 2016
2019-01-21T10:30:07Z
2019-01-21T10:30:07Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.jped.2015.04.009
Jornal De Pediatria. Rio de janeiro, rj, v. 92, n. 1, p. 88-95, 2016.
10.1016/j.jped.2015.04.009
S0021-75572016000100088.pdf
0021-7557
S0021-75572016000100088
http://repositorio.unifesp.br/handle/11600/49594
WOS:000371471300014
url http://dx.doi.org/10.1016/j.jped.2015.04.009
http://repositorio.unifesp.br/handle/11600/49594
identifier_str_mv Jornal De Pediatria. Rio de janeiro, rj, v. 92, n. 1, p. 88-95, 2016.
10.1016/j.jped.2015.04.009
S0021-75572016000100088.pdf
0021-7557
S0021-75572016000100088
WOS:000371471300014
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Jornal De Pediatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 88-95
dc.publisher.none.fl_str_mv Soc brasil pediatria
publisher.none.fl_str_mv Soc brasil pediatria
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268387675602944

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