Arch Pediat Adol Med
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Arch Pediat Adol Med · Nov 2003
Randomized Controlled Trial Clinical TrialA randomized trial of eutectic mixture of local anesthetics during lumbar puncture in newborns.
To determine the efficacy of a topical anesthetic cream, eutectic mixture of local anesthetics (EMLA), in alleviating pain associated with lumbar puncture in newborns. ⋯ Lumbar puncture in newborns produces pain responses. Eutectic mixture of local anesthetics is an efficacious agent for reducing the pain associated with needle insertion and withdrawal during lumbar puncture in newborns.
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Arch Pediat Adol Med · Nov 2003
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of a new lancet device (BD QuikHeel) on pain response and success of procedure in term neonates.
To evaluate 2 heel lancet devices in terms of pain response and success of the procedure in neonates undergoing the newborn screening test. ⋯ The BD QuikHeel lancet is superior to the BD Safety-Flow lancet for blood collection in term neonates undergoing the newborn screening test.
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Arch Pediat Adol Med · Nov 2003
Clinical Trial Controlled Clinical TrialKangaroo care is effective in diminishing pain response in preterm neonates.
To test the efficacy of maternal skin-to-skin contact, or kangaroo care (KC), on diminishing the pain response of preterm neonates to heel lancing. ⋯ For preterm neonates who are 32 weeks' postmenstrual age or older, KC seems to effectively decrease pain from heel lancing. Further study is needed to determine if younger neonates or those requiring assistance in breathing, or older infants or toddlers, would benefit from KC, or if it would remain effective over several procedures. Given its effectiveness, and that parents of neonates in critical care units want to participate more in comforting their children, KC is a potentially beneficial strategy for promoting family health.
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Arch Pediat Adol Med · Nov 2003
Do we still hurt newborn babies? A prospective study of procedural pain and analgesia in neonates.
Despite an increasing awareness regarding pain management in neonates and the availability of published guidelines for the treatment of procedural pain, preterm neonates experience pain leading to short- and long-term detrimental effects. ⋯ Clinicians estimated that most neonatal intensive care unit procedures are painful, but only a third of the neonates received appropriate analgesic therapy. Despite the accumulating evidence that neonatal procedural pain is harmful, analgesic treatment for painful procedures is limited. Systematic approaches are required to reduce the occurrence of pain and to improve the analgesic treatment of repetitive pain in neonates.
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Arch Pediat Adol Med · Nov 2003
Deep sedation with propofol by nonanesthesiologists: a prospective pediatric experience.
The need to perform procedural sedation for children has increased in recent years, and so has the experience of nonanesthesiologists in this field. The use of propofol increases the success of satisfactory deep sedation, but it can produce rapid and profound decreases in level of consciousness and cardiorespiratory function. Data are needed to assess the safety of this drug outside an anesthesiology setting. ⋯ In this experience, the use of propofol with concurrent oxygen administration allowed sedations in children with no significant complications for colonoscopies and painful procedures. Complications in the group of upper endoscopies appear too high for recommending propofol in a sedation unit with residents in attendance. This protocol of procedural sedation by nonanesthesiologists allowed a significant increase in the number of procedures performed with sedation and saved anesthesiology resources.