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

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dc.contributor.authorPrestes, Ana Claudia Yoshikumi
dc.contributor.authorGuinsburg, Ruth
dc.contributor.authorBalda, Rita C. X.
dc.contributor.authorMarba, Sergio T. M.
dc.contributor.authorRugolo, Ligia Maria Suppo de Souza [UNESP]
dc.contributor.authorPachi, Paulo R.
dc.contributor.authorBentlin, Maria Regina [UNESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionFaculdade de Ciências Médicas da Santa Casa de São Paulo
dc.date.accessioned2014-05-27T11:21:37Z
dc.date.available2014-05-27T11:21:37Z
dc.date.issued2005-09-01
dc.description.abstractObjective: 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.en
dc.description.affiliationUniversidade Federal de São Paulo - Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, SP
dc.description.affiliationUNIFESP/EPM, São Paulo, SP
dc.description.affiliationFaculdade de Ciências Médicas Universidade Estadual de Campinas (UNICAMP), Campinas, SP
dc.description.affiliationMedicine School Universidade Estadual Paulista (UNESP), São Paulo, SP
dc.description.affiliationFaculdade de Ciências Médicas da Santa Casa de São Paulo
dc.description.affiliationMedicine School UNESP, São Paulo, SP
dc.description.affiliation, Rua Conde de Irajá, 184/54, CEP 04119-010 - São Paulo, SP
dc.description.affiliationUnespMedicine School Universidade Estadual Paulista (UNESP), São Paulo, SP
dc.description.affiliationUnespMedicine School UNESP, São Paulo, SP
dc.format.extent405-410
dc.identifierhttp://dx.doi.org/10.2223/JPED.1392
dc.identifier.citationJornal de Pediatria, v. 81, n. 5, p. 405-410, 2005.
dc.identifier.doi10.2223/JPED.1392
dc.identifier.file2-s2.0-31144479309.pdf
dc.identifier.issn0021-7557
dc.identifier.lattes2559637400719543
dc.identifier.lattes1197755531108177
dc.identifier.scopus2-s2.0-31144479309
dc.identifier.urihttp://hdl.handle.net/11449/68401
dc.language.isoeng
dc.relation.ispartofJornal de Pediatria
dc.relation.ispartofjcr1.690
dc.relation.ispartofsjr0,704
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAcute pain
dc.subjectAnalgesia
dc.subjectNeonatal intensive care unit
dc.subjectNewborn infant
dc.subjectPain
dc.subjectfentanyl
dc.subjectanalgesia
dc.subjectartery puncture
dc.subjectartificial ventilation
dc.subjectcatheter
dc.subjectchild care
dc.subjectcontrolled study
dc.subjectdemography
dc.subjectfemale
dc.subjecthospitalization
dc.subjecthuman
dc.subjectinfant
dc.subjectintensive care unit
dc.subjectintubation
dc.subjectlumbar puncture
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmorbidity
dc.subjectmultiple linear regression analysis
dc.subjectpain
dc.subjectpostoperative period
dc.subjecttube
dc.subjectvein puncture
dc.titleThe frequency of pharmacological pain relief in university neonatal intensive care unitsen
dc.typeArtigo
dcterms.licensehttp://www.jped.com.br/SobreoJPed.aspx
unesp.author.lattes2559637400719543
unesp.author.lattes1197755531108177
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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