Oral Sucrose and “Facilitated Tucking” for Repeated Pain Relief in Preterms: a Randomized Controlled Trial
ARTICLE Oral Sucrose and “Facilitated Tucking” for Repeated Pain Relief in Preterms: A Randomized Controlled Trial AUTHORS: Eva L. Cignacco, PhD, RM,a Gila Sellam, MSN, WHAT’S KNOWN ON THIS SUBJECT: Preterm infants are exposed RN,a Lillian Stoffel, BSN, RN,b Roland Gerull, MD,b Mathias to inadequately managed painful procedures during their NICU Nelle, MD,b Kanwaljeet J. S. Anand, Prof, MBBS, DPhil,c and stay, which can lead to altered pain responses. Nonpharmacologic Sandra Engberg, Prof, PhD, CRNP, FAANa,d approaches are established for the treatment of single painful aInstitute of Nursing Science, University of Basel, Basel, procedures, but evidence for their effectiveness across time is Switzerland; bDivision of Neonatology, Children’s Hospital, lacking. University Hospital Bern, Bern, Switzerland; cPediatric Critical Care Medicine, Le Bonheur Children’s Hospital, University of Tennessee Health Science Center, Memphis, Tennessee; and WHAT THIS STUDY ADDS: Oral sucrose with or without the added dSchool of Nursing, University of Pittsburgh, Pittsburgh, technique of facilitated tucking has a pain-relieving effect even in Pennsylvania extremely premature infants undergoing repeated pain KEY WORDS exposures; facilitated tucking alone seems to be less effective for infant premature, pain, analgesia, nonpharmacologic pain relief, repeated pain exposures over time. sucrose, facilitated tucking ABBREVIATIONS BPSN—Bernese Pain Scale for Neonates B-BPSN—behavioral Bernese Pain Scale for Neonates score FT—facilitated tucking GA—gestational age abstract NPI—nonpharmacologic intervention P-BPSN—physiological Bernese Pain Scale for Neonates score OBJECTIVES: To test the comparative effectiveness of 2 nonpharmaco- T-BPSN—total Bernese Pain Scale for Neonates score logic pain-relieving interventions administered alone or in combination Dr Cignacco, primary investigator, was responsible for across time for repeated heel sticks in preterm infants.
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