Beatriz Castillo Barrio1, Alejandro Rasines Rodríguez1, Cristina Aneiros Suanzes1, Ana Royuela Vicente2, Roberto Ortiz Movilla1, Miguel A Marín Gabriel3,4. 1. Department of Pediatrics, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain. 2. Clinical Biostatistics Unit, Puerta de Hierro Majadahonda University Hospital, Instituto de Investigación Puerta de Hierro (IDIPHIM), Madrid, Spain. 3. Department of Pediatrics, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain. mangel.maringa@salud.madrid.org. 4. Department of Pediatrics, Autónoma University, Madrid, Spain. mangel.maringa@salud.madrid.org.
Abstract
OBJECTIVE: To qualify and quantify clinical practices related to pain assessment and non-pharmacologic analgesia (NPA) in newborns in Spanish public maternity hospitals STUDY DESIGN: We surveyed providers online regarding their use of pain assessment scales, NPA interventions in neonates undergoing procedures, as well parents' presence or absence during interventions. RESULTS: The number of painful procedures and the subjective grading of pain from the responding physicians were similar in all hospitals. Only 12.5% of hospitals used pain scales. No NPA was employed in 37.7% of procedures, with less NPA used in the lower complexity hospitals for venous extraction (p < 0.001) and gastric lavage (p = 0.001). Respondents reported parents' absence during 56.1% of procedures. CONCLUSIONS: Available pain assessment scales and NPA interventions to mitigate pain are being underused. The presence of the parents during painful interventions is low despite the evidence that this may help to reduce newborns' perception of pain.
OBJECTIVE: To qualify and quantify clinical practices related to pain assessment and non-pharmacologic analgesia (NPA) in newborns in Spanish public maternity hospitals STUDY DESIGN: We surveyed providers online regarding their use of pain assessment scales, NPA interventions in neonates undergoing procedures, as well parents' presence or absence during interventions. RESULTS: The number of painful procedures and the subjective grading of pain from the responding physicians were similar in all hospitals. Only 12.5% of hospitals used pain scales. No NPA was employed in 37.7% of procedures, with less NPA used in the lower complexity hospitals for venous extraction (p < 0.001) and gastric lavage (p = 0.001). Respondents reported parents' absence during 56.1% of procedures. CONCLUSIONS: Available pain assessment scales and NPA interventions to mitigate pain are being underused. The presence of the parents during painful interventions is low despite the evidence that this may help to reduce newborns' perception of pain.
Authors: Rebeccah Slater; Laura Cornelissen; Lorenzo Fabrizi; Debbie Patten; Jan Yoxen; Alan Worley; Stewart Boyd; Judith Meek; Maria Fitzgerald Journal: Lancet Date: 2010-10-09 Impact factor: 79.321