Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
dc.contributor.author | Prestes, Ana Claudia Yoshikumi | |
dc.contributor.author | de Cássia Xavier Balda, Rita | |
dc.contributor.author | Silva Dos Santos, Gianni Mara | |
dc.contributor.author | de Souza Rugolo, Ligia Maria Suppo [UNESP] | |
dc.contributor.author | Bentlin, Maria Regina [UNESP] | |
dc.contributor.author | Magalhães, Mauricio | |
dc.contributor.author | Pachi, Paulo Roberto | |
dc.contributor.author | Marba, Sergio Tadeu Martins | |
dc.contributor.author | de Siqueira Caldas, Jamil Pedro | |
dc.contributor.author | Guinsburg, Ruth | |
dc.contributor.institution | Universidade Federal de São Paulo (UNIFESP) | |
dc.contributor.institution | Universidade Estadual Paulista (Unesp) | |
dc.contributor.institution | Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP) | |
dc.contributor.institution | Universidade Estadual de Campinas (UNICAMP) | |
dc.date.accessioned | 2015-12-07T15:38:58Z | |
dc.date.available | 2015-12-07T15:38:58Z | |
dc.date.issued | 2015-10-06 | |
dc.description.abstract | To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units (NICUs) during one month in 2001, 2006, and 2011. The frequency of analgesic 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 (LP), tracheal intubation, mechanical ventilation (MV), and postoperative period (PO) using a 10-cm visual analogic scale (VAS; pain >3cm). For LP, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for LP 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 MV, 45% (2001), 64% (2006), and 48% (2011) of patient-days were under analgesia; 56% (2001), 57% (2006), and 26% (2011) of neonatologists reported VAS >3 and said they would use analgesia during MV. For the first three PO 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. 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. | en |
dc.description.affiliation | Discipline of Neonatal Pediatrics, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. | |
dc.description.affiliation | Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. | |
dc.description.affiliation | Department of Pediatrics, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, SP, Brazil. | |
dc.description.affiliation | Department of Pediatrics, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil; Service of Neonatology, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil. | |
dc.description.affiliation | Department of Pediatrics, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil. | |
dc.description.affiliation | Department of Pediatrics, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil; Apoio a Assistência e Pesquisa, Hospital da Mulher Prof. Dr. Aristodemo Pinotti (CAISM), Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil. | |
dc.description.affiliation | Division of Neonatology, Hospital da Mulher Prof. Dr. José Aristodemo Pinotti, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil. | |
dc.description.affiliation | Discipline of Neonatal Pediatrics, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Electronic address: ruthgbr@netpoint.com.br. | |
dc.description.affiliationUnesp | Department of Pediatrics, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, SP, Brazil. | |
dc.identifier | http://dx.doi.org/10.1016/j.jped.2015.04.009 | |
dc.identifier.citation | Jornal De Pediatria, 2015. | |
dc.identifier.doi | 10.1016/j.jped.2015.04.009 | |
dc.identifier.file | S0021-75572016000100088.pdf | |
dc.identifier.issn | 1678-4782 | |
dc.identifier.lattes | 2559637400719543 | |
dc.identifier.pubmed | 26453514 | |
dc.identifier.scielo | S0021-75572016000100088 | |
dc.identifier.uri | http://hdl.handle.net/11449/131626 | |
dc.language.iso | eng | |
dc.publisher | Elsevier B. V. | |
dc.relation.ispartof | Jornal De Pediatria | |
dc.rights.accessRights | Acesso aberto | |
dc.source | PubMed | |
dc.title | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? | en |
dc.type | Artigo | |
dcterms.rightsHolder | Elsevier B. V. | |
unesp.author.lattes | 2559637400719543 | |
unesp.campus | Universidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu | pt |
unesp.department | Pediatria - FMB | pt |
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