Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?

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dc.contributor.authorPrestes, Ana Claudia Yoshikumi
dc.contributor.authorde Cássia Xavier Balda, Rita
dc.contributor.authorSilva Dos Santos, Gianni Mara
dc.contributor.authorde Souza Rugolo, Ligia Maria Suppo [UNESP]
dc.contributor.authorBentlin, Maria Regina [UNESP]
dc.contributor.authorMagalhães, Mauricio
dc.contributor.authorPachi, Paulo Roberto
dc.contributor.authorMarba, Sergio Tadeu Martins
dc.contributor.authorde Siqueira Caldas, Jamil Pedro
dc.contributor.authorGuinsburg, Ruth
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionFaculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP)
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.date.accessioned2015-12-07T15:38:58Z
dc.date.available2015-12-07T15:38:58Z
dc.date.issued2015-10-06
dc.description.abstractTo 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.affiliationDiscipline of Neonatal Pediatrics, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
dc.description.affiliationDepartment of Pediatrics, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, SP, Brazil.
dc.description.affiliationDepartment 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.affiliationDepartment of Pediatrics, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
dc.description.affiliationDepartment 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.affiliationDivision 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.affiliationDiscipline 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.affiliationUnespDepartment of Pediatrics, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, SP, Brazil.
dc.identifierhttp://dx.doi.org/10.1016/j.jped.2015.04.009
dc.identifier.citationJornal De Pediatria, 2015.
dc.identifier.doi10.1016/j.jped.2015.04.009
dc.identifier.fileS0021-75572016000100088.pdf
dc.identifier.issn1678-4782
dc.identifier.lattes2559637400719543
dc.identifier.pubmed26453514
dc.identifier.scieloS0021-75572016000100088
dc.identifier.urihttp://hdl.handle.net/11449/131626
dc.language.isoeng
dc.publisherElsevier B. V.
dc.relation.ispartofJornal De Pediatria
dc.rights.accessRightsAcesso aberto
dc.sourcePubMed
dc.titlePainful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?en
dc.typeArtigo
dcterms.rightsHolderElsevier B. V.
unesp.author.lattes2559637400719543
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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