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 [UNIFESP]
dc.contributor.authorBalda, Rita de Cássia Xavier [UNIFESP]
dc.contributor.authorSantos, Gianni Mara Silva dos [UNIFESP]
dc.contributor.authorRugolo, Lígia Maria Sousa Suppo
dc.contributor.authorBentlin, Maria Regina
dc.contributor.authorMagalhaes, Mauricio
dc.contributor.authorPachi, Paulo Roberto
dc.contributor.authorMarba, Sérgio Tadeu Martins
dc.contributor.authorde Siqueira Caldas, Jamil Pedro
dc.contributor.authorGuinsburg, Ruth [UNIFESP]
dc.date.accessioned2019-01-21T10:30:07Z
dc.date.available2019-01-21T10:30:07Z
dc.date.issued2016
dc.description.abstractObjective: 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 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 (VASen
dc.description.abstractpain > 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 analgesiaen
dc.description.abstract56% (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. (C) 2015 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.en
dc.description.affiliationDivisão de Medicina Neonatal, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
dc.description.affiliationDepartamento de Pediatria, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, SP, Brasil
dc.description.affiliationDepartamento de Pediatria, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
dc.description.affiliationServiço de Neonatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brasil
dc.description.affiliationDepartamento de Pediatria, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil
dc.description.affiliationDivisão de Neonatologia, Hospital da Mulher Prof. Dr. José Aristodemo Pinotti, Centro de Atenção Integral à Saúde da Mulher (CAISM), Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil
dc.description.affiliationUnifespDivisão de Medicina Neonatal, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil
dc.description.affiliationUnifespUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil
dc.description.sourceWeb of Science
dc.format.extent88-95
dc.identifierhttp://dx.doi.org/10.1016/j.jped.2015.04.009
dc.identifier.citationJornal De Pediatria. Rio de janeiro, rj, v. 92, n. 1, p. 88-95, 2016.
dc.identifier.doi10.1016/j.jped.2015.04.009
dc.identifier.fileS0021-75572016000100088.pdf
dc.identifier.issn0021-7557
dc.identifier.scieloS0021-75572016000100088
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/49594
dc.identifier.wosWOS:000371471300014
dc.language.isoeng
dc.publisherSoc brasil pediatria
dc.relation.ispartofJornal De Pediatria
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPain Measurementen
dc.subjectPain Perceptionen
dc.subjectPain Managementen
dc.subjectNeonatal Intensive Care Unitsen
dc.subjectNewbornMetabolic Stress Responsesen
dc.subjectIntensive-Care Unitsen
dc.subjectRandomized-Trialen
dc.subjectLumbar Punctureen
dc.subjectMorphineen
dc.subjectPremedicationen
dc.subjectIntubationen
dc.subjectManagementen
dc.subjectChildrenen
dc.subjectNewbornsen
dc.titlePainful procedures and analgesia in the nicu: what has changed in the medical perception and practice in a ten-year period?en
dc.titleProcedimentos dolorosos e analgesia em UTI Neonatal: o que mudou na opinião e na prática profissional em dez anos?pt
dc.typeinfo:eu-repo/semantics/article
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