The frequency of pharmacological pain relief in university neonatal intensive care units
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.2223/JPED.1392 http://hdl.handle.net/11449/68401 |
Resumo: | Objective: To evaluate the use of drugs to relieve the pain of invasive procedures newborn infants cared for at a university hospital NICU. Methods: A prospective cohort study of all newborn infants hospitalized in four NICU during October 2001. The following data were collected: demographic data of the hospitalized newborn infants; clinical morbidity; number of potentially painful procedures and frequency of analgesic administration. Factors associated with the use of analgesia in this cohort of patients were studied by multiple linear regression using SPSS 8.0. Results: Ninety-one newborn infants were admitted to the NICU during the study period (1,025 patient-days). Only 25% of the 1,025 patient-days received systemic analgesia. No specific drugs were administered to relieve acute pain during any of the following painful events: arterial punctures, venous, capillary and lumbar punctures or intubations. For chest tube insertion, 100% of newborn infants received specific analgesia. For the insertion of central catheters 8% of the newborn infants received painkillers. Only nine of the 17 newborn infants that underwent surgical procedures received any analgesic dosage during the postoperative period. For 93% of patients under analgesia the drug of choice was fentanyl. The presence of mechanical ventilation increased the chance of newborn infants receiving painkillers by 6.9 times and the presence of chest tube increased this chance by five times. Conclusion: It is necessary to train health professionals in order to bridge the gap between scientific knowledge regarding newborn infant pain and clinical practice. Copyright © 2005 by Sociedade Brasileira de Pediatria. |
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The frequency of pharmacological pain relief in university neonatal intensive care unitsAcute painAnalgesiaNeonatal intensive care unitNewborn infantPainfentanylanalgesiaartery punctureartificial ventilationcatheterchild carecontrolled studydemographyfemalehospitalizationhumaninfantintensive care unitintubationlumbar puncturemajor clinical studymalemorbiditymultiple linear regression analysispainpostoperative periodtubevein punctureObjective: To evaluate the use of drugs to relieve the pain of invasive procedures newborn infants cared for at a university hospital NICU. Methods: A prospective cohort study of all newborn infants hospitalized in four NICU during October 2001. The following data were collected: demographic data of the hospitalized newborn infants; clinical morbidity; number of potentially painful procedures and frequency of analgesic administration. Factors associated with the use of analgesia in this cohort of patients were studied by multiple linear regression using SPSS 8.0. Results: Ninety-one newborn infants were admitted to the NICU during the study period (1,025 patient-days). Only 25% of the 1,025 patient-days received systemic analgesia. No specific drugs were administered to relieve acute pain during any of the following painful events: arterial punctures, venous, capillary and lumbar punctures or intubations. For chest tube insertion, 100% of newborn infants received specific analgesia. For the insertion of central catheters 8% of the newborn infants received painkillers. Only nine of the 17 newborn infants that underwent surgical procedures received any analgesic dosage during the postoperative period. For 93% of patients under analgesia the drug of choice was fentanyl. The presence of mechanical ventilation increased the chance of newborn infants receiving painkillers by 6.9 times and the presence of chest tube increased this chance by five times. Conclusion: It is necessary to train health professionals in order to bridge the gap between scientific knowledge regarding newborn infant pain and clinical practice. Copyright © 2005 by Sociedade Brasileira de Pediatria.Universidade Federal de São Paulo - Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, SPUNIFESP/EPM, São Paulo, SPFaculdade de Ciências Médicas Universidade Estadual de Campinas (UNICAMP), Campinas, SPMedicine School Universidade Estadual Paulista (UNESP), São Paulo, SPFaculdade de Ciências Médicas da Santa Casa de São PauloMedicine School UNESP, São Paulo, SP, Rua Conde de Irajá, 184/54, CEP 04119-010 - São Paulo, SPMedicine School Universidade Estadual Paulista (UNESP), São Paulo, SPMedicine School UNESP, São Paulo, SPUniversidade Federal de São Paulo (UNIFESP)Universidade Estadual de Campinas (UNICAMP)Universidade Estadual Paulista (Unesp)Faculdade de Ciências Médicas da Santa Casa de São PauloPrestes, Ana Claudia YoshikumiGuinsburg, RuthBalda, Rita C. X.Marba, Sergio T. M.Rugolo, Ligia Maria Suppo de Souza [UNESP]Pachi, Paulo R.Bentlin, Maria Regina [UNESP]2014-05-27T11:21:37Z2014-05-27T11:21:37Z2005-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article405-410application/pdfhttp://dx.doi.org/10.2223/JPED.1392Jornal de Pediatria, v. 81, n. 5, p. 405-410, 2005.0021-7557http://hdl.handle.net/11449/6840110.2223/JPED.13922-s2.0-311444793092-s2.0-31144479309.pdf25596374007195431197755531108177Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal de Pediatria1.6900,704info:eu-repo/semantics/openAccess2024-09-03T13:46:37Zoai:repositorio.unesp.br:11449/68401Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T13:46:37Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The frequency of pharmacological pain relief in university neonatal intensive care units |
title |
The frequency of pharmacological pain relief in university neonatal intensive care units |
spellingShingle |
The frequency of pharmacological pain relief in university neonatal intensive care units Prestes, Ana Claudia Yoshikumi Acute pain Analgesia Neonatal intensive care unit Newborn infant Pain fentanyl analgesia artery puncture artificial ventilation catheter child care controlled study demography female hospitalization human infant intensive care unit intubation lumbar puncture major clinical study male morbidity multiple linear regression analysis pain postoperative period tube vein puncture |
title_short |
The frequency of pharmacological pain relief in university neonatal intensive care units |
title_full |
The frequency of pharmacological pain relief in university neonatal intensive care units |
title_fullStr |
The frequency of pharmacological pain relief in university neonatal intensive care units |
title_full_unstemmed |
The frequency of pharmacological pain relief in university neonatal intensive care units |
title_sort |
The frequency of pharmacological pain relief in university neonatal intensive care units |
author |
Prestes, Ana Claudia Yoshikumi |
author_facet |
Prestes, Ana Claudia Yoshikumi Guinsburg, Ruth Balda, Rita C. X. Marba, Sergio T. M. Rugolo, Ligia Maria Suppo de Souza [UNESP] Pachi, Paulo R. Bentlin, Maria Regina [UNESP] |
author_role |
author |
author2 |
Guinsburg, Ruth Balda, Rita C. X. Marba, Sergio T. M. Rugolo, Ligia Maria Suppo de Souza [UNESP] Pachi, Paulo R. Bentlin, Maria Regina [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Universidade Estadual de Campinas (UNICAMP) Universidade Estadual Paulista (Unesp) Faculdade de Ciências Médicas da Santa Casa de São Paulo |
dc.contributor.author.fl_str_mv |
Prestes, Ana Claudia Yoshikumi Guinsburg, Ruth Balda, Rita C. X. Marba, Sergio T. M. Rugolo, Ligia Maria Suppo de Souza [UNESP] Pachi, Paulo R. Bentlin, Maria Regina [UNESP] |
dc.subject.por.fl_str_mv |
Acute pain Analgesia Neonatal intensive care unit Newborn infant Pain fentanyl analgesia artery puncture artificial ventilation catheter child care controlled study demography female hospitalization human infant intensive care unit intubation lumbar puncture major clinical study male morbidity multiple linear regression analysis pain postoperative period tube vein puncture |
topic |
Acute pain Analgesia Neonatal intensive care unit Newborn infant Pain fentanyl analgesia artery puncture artificial ventilation catheter child care controlled study demography female hospitalization human infant intensive care unit intubation lumbar puncture major clinical study male morbidity multiple linear regression analysis pain postoperative period tube vein puncture |
description |
Objective: To evaluate the use of drugs to relieve the pain of invasive procedures newborn infants cared for at a university hospital NICU. Methods: A prospective cohort study of all newborn infants hospitalized in four NICU during October 2001. The following data were collected: demographic data of the hospitalized newborn infants; clinical morbidity; number of potentially painful procedures and frequency of analgesic administration. Factors associated with the use of analgesia in this cohort of patients were studied by multiple linear regression using SPSS 8.0. Results: Ninety-one newborn infants were admitted to the NICU during the study period (1,025 patient-days). Only 25% of the 1,025 patient-days received systemic analgesia. No specific drugs were administered to relieve acute pain during any of the following painful events: arterial punctures, venous, capillary and lumbar punctures or intubations. For chest tube insertion, 100% of newborn infants received specific analgesia. For the insertion of central catheters 8% of the newborn infants received painkillers. Only nine of the 17 newborn infants that underwent surgical procedures received any analgesic dosage during the postoperative period. For 93% of patients under analgesia the drug of choice was fentanyl. The presence of mechanical ventilation increased the chance of newborn infants receiving painkillers by 6.9 times and the presence of chest tube increased this chance by five times. Conclusion: It is necessary to train health professionals in order to bridge the gap between scientific knowledge regarding newborn infant pain and clinical practice. Copyright © 2005 by Sociedade Brasileira de Pediatria. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-09-01 2014-05-27T11:21:37Z 2014-05-27T11:21:37Z |
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://dx.doi.org/10.2223/JPED.1392 Jornal de Pediatria, v. 81, n. 5, p. 405-410, 2005. 0021-7557 http://hdl.handle.net/11449/68401 10.2223/JPED.1392 2-s2.0-31144479309 2-s2.0-31144479309.pdf 2559637400719543 1197755531108177 |
url |
http://dx.doi.org/10.2223/JPED.1392 http://hdl.handle.net/11449/68401 |
identifier_str_mv |
Jornal de Pediatria, v. 81, n. 5, p. 405-410, 2005. 0021-7557 10.2223/JPED.1392 2-s2.0-31144479309 2-s2.0-31144479309.pdf 2559637400719543 1197755531108177 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Jornal de Pediatria 1.690 0,704 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
405-410 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
repositoriounesp@unesp.br |
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1810021379688366080 |