Epidemiology of painful procedures performed in neonates: A systematic review of observational studies


Autoria(s): Cruz, Dulce; Fernandes, Ananda; Oliveira, Catarina
Data(s)

01/02/2016

01/02/2016

2016

2016

Resumo

Procedural pain in neonates has been a concern in the last two decades. The purpose of this review was to provide a critical appraisal and a synthesis of the published epidemiological studies about procedural pain in neonates admitted to intensive care units. The aims were to determine the frequency of painful procedures and pain management interventions as well as to identify their predictors. Academic Search, CINAHL, LILACS, Medic Latina, MEDLINE and SciELO databases were searched for observational studies on procedural pain in neonates admitted to intensive care units. Studies in which neonatal data could not be extracted from the paediatric population were excluded. Eighteen studies were included in the review. Six studies with the same study duration, the first 14 days of the neonate life or admission in the unit of care, identified 6832 to 42,413 invasive procedures, with an average of 7.5-17.3 per neonate per day. The most frequent procedures were heel lance, suctioning, venepuncture and insertion of peripheral venous catheter. Pharmacological and nonpharmacological approaches were inconsistently applied. Predictors of the frequency of procedures and analgesic use included the neonate's clinical condition, day of unit stay, type of procedure, parental presence and pain assessment. The existence of pain protocols was not a predictor of analgesia. Painful procedures were performed frequently and often with inadequate pain management. Unlike neonate clinical factors, organizational factors may be modified to promote a context of care more favourable to pain management. © 2015 European Pain Federation - EFIC®

Identificador

Cruz, M. D., Fernandes, A. M., & Oliveira, C. R. (2016). Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European journal of pain (London, England), 20(4), 489–98. http://doi.org/10.1002/ejp.757

http://www.ncbi.nlm.nih.gov/pubmed/26223408

http://onlinelibrary.wiley.com/doi/10.1002/ejp.757/pdf

http://hdl.handle.net/10174/17192

dcruz@uevora.pt

nd

nd

239

10.1002/ejp.757

Idioma(s)

eng

Publicador

European journal of pain

Direitos

openAccess

Palavras-Chave #pain #neonate #infant #procedure #epidemiology
Tipo

article