Pediatricians' focus of sight at pain assessment during a neonatal heel puncture.

Autor: Silva ES; Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Pediatria, Disciplina de Pediatria Neonatal - São Paulo, SP, Brasil., Barros MCM; Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Pediatria, Disciplina de Pediatria Neonatal - São Paulo, SP, Brasil., Borten JBL; Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Pediatria, Disciplina de Pediatria Neonatal - São Paulo, SP, Brasil., Carlini LP; Centro Universitario FEI, Departamento de Engenharia Elétrica, Laboratório de Processamento de Imagens - São Bernardo do Campo, SP, Brasil., Balda RCX; Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Pediatria, Disciplina de Pediatria Neonatal - São Paulo, SP, Brasil., Orsi RN; Centro Universitario FEI, Departamento de Engenharia Elétrica, Laboratório de Processamento de Imagens - São Bernardo do Campo, SP, Brasil., Heiderich TM; Centro Universitario FEI, Departamento de Engenharia Elétrica, Laboratório de Processamento de Imagens - São Bernardo do Campo, SP, Brasil., Thomaz CE; Centro Universitario FEI, Departamento de Engenharia Elétrica, Laboratório de Processamento de Imagens - São Bernardo do Campo, SP, Brasil., Guinsburg R; Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Pediatria, Disciplina de Pediatria Neonatal - São Paulo, SP, Brasil.
Jazyk: angličtina
Zdroj: Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo [Rev Paul Pediatr] 2023 Dec 11; Vol. 42, pp. e2023089. Date of Electronic Publication: 2023 Dec 11 (Print Publication: 2023).
DOI: 10.1590/1984-0462/2024/42/2023089
Abstrakt: Objective: To evaluate the focus of pediatricians' gaze during the heel prick of neonates.
Methods: Prospective study in which pediatricians wearing eye tracker glasses evaluated neonatal pain before/after a heel prtick. Pediatricians scored the pain they perceived in the neonate in a verbal analogue numerical scale (0=no pain; 10=maximum pain). The outcomes measured were number and time of visual fixations in upper face, lower face, and hands, in two 10-second periods, before (pre) and after the puncture (post). These outcomes were compared between the periods, and according to pediatricians' pain perception: absent/mild (score: 0-5) and moderate/intense (score: 6-10).
Results: 24 pediatricians (31 years old, 92% female) evaluated 24 neonates. The median score attributed to neonatal pain during the heel prick was 7.0 (Interquartile range: 5-8). Compared to pre-, in the post-periods, more pediatricians fixed their gaze on the lower face (63 vs. 92%; p=0.036) and the number of visual fixations was greater on the lower face (2.0 vs. 5.0; p=0.018). There was no difference in the number and time of visual fixations according to the intensity of pain.
Conclusions: At bedside, pediatricians change their focus of attention on the neonatal face after a painful procedure, focusing mainly on the lower part of the face.
Databáze: MEDLINE
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