Publicação
Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?
| Resumo: | ABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units 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, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture 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 mechanical ventilation, 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 mechanical ventilation. For the first three post-operative 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. CONCLUSIONS: 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. |
|---|---|
| Autores principais: | Prestes,Ana Claudia Yoshikumi |
| Outros Autores: | Balda,Rita de Cássia Xavier; Santos,Gianni Mara Silva dos; Rugolo,Ligia Maria Suppo de Souza; Bentlin,Maria Regina; Magalhães,Mauricio; Pachi,Paulo Roberto; Marba,Sergio Tadeu Martins; Caldas,Jamil Pedro de Siqueira; Guinsburg,Ruth |
| Assunto: | Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| Ano: | 2016 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | IBICT |
| Idioma: | inglês |
| Origem: | Oasisbr |
| _version_ | 1871506955707613184 |
|---|---|
| author | Prestes,Ana Claudia Yoshikumi |
| author2 | Balda,Rita de Cássia Xavier Santos,Gianni Mara Silva dos Rugolo,Ligia Maria Suppo de Souza Bentlin,Maria Regina Magalhães,Mauricio Pachi,Paulo Roberto Marba,Sergio Tadeu Martins Caldas,Jamil Pedro de Siqueira Guinsburg,Ruth |
| author2_role | author author author author author author author author author |
| author_facet | Prestes,Ana Claudia Yoshikumi Balda,Rita de Cássia Xavier Santos,Gianni Mara Silva dos Rugolo,Ligia Maria Suppo de Souza Bentlin,Maria Regina Magalhães,Mauricio Pachi,Paulo Roberto Marba,Sergio Tadeu Martins Caldas,Jamil Pedro de Siqueira Guinsburg,Ruth |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Prestes,Ana Claudia Yoshikumi\"},{\"Person.name\":\"Balda,Rita de Cássia Xavier\"},{\"Person.name\":\"Santos,Gianni Mara Silva dos\"},{\"Person.name\":\"Rugolo,Ligia Maria Suppo de Souza\"},{\"Person.name\":\"Bentlin,Maria Regina\"},{\"Person.name\":\"Magalhães,Mauricio\"},{\"Person.name\":\"Pachi,Paulo Roberto\"},{\"Person.name\":\"Marba,Sergio Tadeu Martins\"},{\"Person.name\":\"Caldas,Jamil Pedro de Siqueira\"},{\"Person.name\":\"Guinsburg,Ruth\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Prestes,Ana Claudia Yoshikumi Balda,Rita de Cássia Xavier Santos,Gianni Mara Silva dos Rugolo,Ligia Maria Suppo de Souza Bentlin,Maria Regina Magalhães,Mauricio Pachi,Paulo Roberto Marba,Sergio Tadeu Martins Caldas,Jamil Pedro de Siqueira Guinsburg,Ruth |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| datacite.titles.title.fl_str_mv | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| dc.creator.none.fl_str_mv | Prestes,Ana Claudia Yoshikumi Balda,Rita de Cássia Xavier Santos,Gianni Mara Silva dos Rugolo,Ligia Maria Suppo de Souza Bentlin,Maria Regina Magalhães,Mauricio Pachi,Paulo Roberto Marba,Sergio Tadeu Martins Caldas,Jamil Pedro de Siqueira Guinsburg,Ruth |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Brasileira de Pediatria |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Jornal de Pediatria v.92 n.1 2016 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
| dc.subject.none.fl_str_mv | Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| dc.title.fl_str_mv | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | ABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units 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, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture 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 mechanical ventilation, 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 mechanical ventilation. For the first three post-operative 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. CONCLUSIONS: 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. |
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| identifier.url.fl_str_mv | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088 |
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| person_str_mv | Prestes,Ana Claudia Yoshikumi Balda,Rita de Cássia Xavier Santos,Gianni Mara Silva dos Rugolo,Ligia Maria Suppo de Souza Bentlin,Maria Regina Magalhães,Mauricio Pachi,Paulo Roberto Marba,Sergio Tadeu Martins Caldas,Jamil Pedro de Siqueira Guinsburg,Ruth |
| publishDate | 2016 |
| publisher.none.fl_str_mv | Sociedade Brasileira de Pediatria |
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| spelling | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period?Prestes,Ana Claudia YoshikumiBalda,Rita de Cássia XavierSantos,Gianni Mara Silva dosRugolo,Ligia Maria Suppo de SouzaBentlin,Maria ReginaMagalhães,MauricioPachi,Paulo RobertoMarba,Sergio Tadeu MartinsCaldas,Jamil Pedro de SiqueiraGuinsburg,RuthPain measurementPain perceptionPain managementNeonatal intensive care unitsNewbornopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088URLHasVersion2016-02-01ABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units 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, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture 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 mechanical ventilation, 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 mechanical ventilation. For the first three post-operative 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. CONCLUSIONS: 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.engtext/htmlSociedade Brasileira de PediatriaJornal de Pediatria v.92 n.1 2016reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPEjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? Prestes,Ana Claudia Yoshikumi Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| title | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| title_full | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| title_fullStr | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| title_full_unstemmed | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| title_short | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| title_sort | Painful procedures and analgesia in the NICU: what has changed in the medical perception and practice in a ten-year period? |
| topic | Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| topic_facet | Pain measurement Pain perception Pain management Neonatal intensive care units Newborn |
| url | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572016000100088 |
| visible | 1 |
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