The frequency of pharmacological pain relief in university neonatal intensive care units

Detalhes bibliográficos
Autor(a) principal: Prestes, Ana Claudia Yoshikumi
Data de Publicação: 2005
Outros Autores: Guinsburg, Ruth, Balda, Rita C. X., Marba, Sergio T. M., Rugolo, Ligia Maria Suppo de Souza [UNESP], Pachi, Paulo R., Bentlin, Maria Regina [UNESP]
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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spelling 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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