Dan Ni Wang1, Kyla Lavery2, Stacey Dalgleish3, Alexandra Howlett3, Vivian E Hill2, Stephanie A Dotchin2. 1. Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. danni.wang1@ucalgary.ca. 2. Section of Ophthalmology, Department of Surgery, University of Calgary, Calgary, AB, Canada. 3. Department of Pediatrics, University of Calgary, Calgary, AB, Canada.
Abstract
OBJECTIVE: To evaluate the effectiveness in reducing pain by giving oral sucrose and non-pharmacological comfort measures prior to topical administration of mydriatic eye drops on premature infants undergoing retinopathy of prematurity (ROP) screening eye exams in a neonatal intensive care unit (NICU). STUDY DESIGN: A prospective quality improvement study was conducted in the NICU where infants were given oral sucrose prior to administration of mydriatic eye drops while a second person performed facilitated tucking and containment. Premature Infant Pain Profile (PIPP) scores were recorded during eye drop administration and compared to a group that did not receive any comfort measures. RESULT: Sixty-eight infants were enrolled. Mean PIPP scores increased an average of 1.5 (SD = 1.5) during administration of mydriatic drops without comfort measures compared to 0.6 (SD = 0.8) when comfort measures were used. This difference was statistically significant (p < 0.001). CONCLUSIONS: Oral sucrose and simple comfort measures can be effective in reducing pain associated with mydriatic eye drops.
OBJECTIVE: To evaluate the effectiveness in reducing pain by giving oral sucrose and non-pharmacological comfort measures prior to topical administration of mydriatic eye drops on premature infants undergoing retinopathy of prematurity (ROP) screening eye exams in a neonatal intensive care unit (NICU). STUDY DESIGN: A prospective quality improvement study was conducted in the NICU where infants were given oral sucrose prior to administration of mydriatic eye drops while a second person performed facilitated tucking and containment. Premature Infant Pain Profile (PIPP) scores were recorded during eye drop administration and compared to a group that did not receive any comfort measures. RESULT: Sixty-eight infants were enrolled. Mean PIPP scores increased an average of 1.5 (SD = 1.5) during administration of mydriatic drops without comfort measures compared to 0.6 (SD = 0.8) when comfort measures were used. This difference was statistically significant (p < 0.001). CONCLUSIONS: Oral sucrose and simple comfort measures can be effective in reducing pain associated with mydriatic eye drops.
Authors: Anita Mitchell; Richard W Hall; Stephen W Erickson; Charlotte Yates; Scott Lowery; Howard Hendrickson Journal: Curr Eye Res Date: 2016-05-09 Impact factor: 2.424
Authors: Lieselotte Kirchner; Valerie Jeitler; Arnold Pollak; Andrea Müllner-Eidenböck; Robert Weinzettel; Raimund Kraschl; Thomas Waldhör; Martin Wald Journal: Retina Date: 2009-05 Impact factor: 4.256