Pain response of neonates to venipuncture.

Autor: Taksande AM, Vilhekar KY, Jain M, Chitre D, Taksande, Amar M, Vilhekar, K Y, Jain, M, Chitre, D
Zdroj: Indian Journal of Pediatrics; Sep2005, Vol. 72 Issue 9, p751-753, 3p
Abstrakt: Objective: To study the physiological and behavioral response to pain.Methods: 80 healthy neonates requiring bilirubin estimation, blood sugar etc, were randomly assigned to receive a venous puncture. All parameters were recorded 10 minutes prior, during and 10 minutes after the procedure. Evaluated NIPS score and RR. HR, NIBP and O2 saturation observed on Datex-Ohmeda multimonitor.Results: After the venepuncture, heart rate (p<0.001) and blood pressure (p<0.001) were significantly increased in both the groups but more significant increase was present in Group I (>2.5 kg) as compared to Group II (>2.5 kg). Respiratory rate was also increased but more significant in Group II (p<0.001) whereas oxygen saturation was decreased in both the groups but more significant in Group I (p<0.001). Median Neonatal Infant Pain Scale (NIPS) score was higher in both the Groups (p<0.001).Conclusion: The outcome measures appear to be reliable indices of term neonates responses to painful stimulation. NIPS are suitable instruments for neonatal pain evaluation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index