[Pain in neonatology. Non-pharmacological treatment].
Identifieur interne : 000D10 ( Main/Exploration ); précédent : 000D09; suivant : 000D11[Pain in neonatology. Non-pharmacological treatment].
Auteurs : R. Carbajal [France] ; S. Gréteau [France] ; C. Arnaud [France] ; R. Guedj [France]Source :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [ 1769-664X ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Gestion de la douleur.
- Allaitement naturel, Humains, Nouveau-né, Saccharose.
English descriptors
- KwdEn :
- MESH :
- chemical : Sucrose.
- methods : Pain Management.
- Breast Feeding, Humans, Infant, Newborn.
Abstract
Diagnostic and therapeutic skin-breaking procedures have become ubiquitous in current medical practice and neonatology does not constitute an exception. One of the main sources of neonatal pain is procedure-induced pain. It has recently become clear that pain prevention must be a health care priority. Non-pharmacological approaches constitute a first option for the analgesia of common procedures performed in neonatology. This article reviews the non-pharmacological treatments most frequently used in this context: swaddling, tucking, containment, sweet solutions, non-nutritive sucking (NNS), breastfeeding analgesia, breast milk and music. In practice, the dose of 1 to 2mL of 24% or 30% sucrose solution or 30% glucose solution immediately followed by NNS can be given for minor painful procedures in term neonates or those weighing more than 2500g. In the preterm, 0.3mL of a sweet solution (sucrose or glucose) can be given for infants weighing less than 1500g and 0.5mL for those weighing between 1500 and 2500g. The synergistic effect of sweet solutions and NNS has been clearly shown and thus their association is largely justified in practice. For breast-fed term neonates, breastfeeding can be given to sooth procedure-induced pain. All these non-pharmacological options can be effective to relieve pain from minor or moderate procedures. However, when more painful procedures are performed, stronger analgesics must be used.
DOI: 10.1016/j.arcped.2014.07.001
PubMed: 25066701
Affiliations:
Links toward previous steps (curation, corpus...)
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Guedj</name><affiliation wicri:level="3"><nlm:affiliation>Service des urgences pédiatriques, hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-Netter, 75012 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences pédiatriques, hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-Netter, 75012 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</title><idno type="eISSN">1769-664X</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Feeding (MeSH)</term><term>Humans (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Pain Management (methods)</term><term>Sucrose (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allaitement naturel (MeSH)</term><term>Gestion de la douleur (méthodes)</term><term>Humains (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Saccharose (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Sucrose</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Pain Management</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Gestion de la douleur</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Breast Feeding</term><term>Humans</term><term>Infant, Newborn</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allaitement naturel</term><term>Humains</term><term>Nouveau-né</term><term>Saccharose</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Diagnostic and therapeutic skin-breaking procedures have become ubiquitous in current medical practice and neonatology does not constitute an exception. One of the main sources of neonatal pain is procedure-induced pain. It has recently become clear that pain prevention must be a health care priority. Non-pharmacological approaches constitute a first option for the analgesia of common procedures performed in neonatology. This article reviews the non-pharmacological treatments most frequently used in this context: swaddling, tucking, containment, sweet solutions, non-nutritive sucking (NNS), breastfeeding analgesia, breast milk and music. In practice, the dose of 1 to 2mL of 24% or 30% sucrose solution or 30% glucose solution immediately followed by NNS can be given for minor painful procedures in term neonates or those weighing more than 2500g. In the preterm, 0.3mL of a sweet solution (sucrose or glucose) can be given for infants weighing less than 1500g and 0.5mL for those weighing between 1500 and 2500g. The synergistic effect of sweet solutions and NNS has been clearly shown and thus their association is largely justified in practice. For breast-fed term neonates, breastfeeding can be given to sooth procedure-induced pain. All these non-pharmacological options can be effective to relieve pain from minor or moderate procedures. However, when more painful procedures are performed, stronger analgesics must be used. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25066701</PMID><DateCompleted><Year>2015</Year><Month>11</Month><Day>20</Day></DateCompleted><DateRevised><Year>2015</Year><Month>01</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1769-664X</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</Title><ISOAbbreviation>Arch Pediatr</ISOAbbreviation></Journal><ArticleTitle>[Pain in neonatology. Non-pharmacological treatment].</ArticleTitle><Pagination><MedlinePgn>217-21</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.arcped.2014.07.001</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0929-693X(14)00319-4</ELocationID><Abstract><AbstractText>Diagnostic and therapeutic skin-breaking procedures have become ubiquitous in current medical practice and neonatology does not constitute an exception. One of the main sources of neonatal pain is procedure-induced pain. It has recently become clear that pain prevention must be a health care priority. Non-pharmacological approaches constitute a first option for the analgesia of common procedures performed in neonatology. This article reviews the non-pharmacological treatments most frequently used in this context: swaddling, tucking, containment, sweet solutions, non-nutritive sucking (NNS), breastfeeding analgesia, breast milk and music. In practice, the dose of 1 to 2mL of 24% or 30% sucrose solution or 30% glucose solution immediately followed by NNS can be given for minor painful procedures in term neonates or those weighing more than 2500g. In the preterm, 0.3mL of a sweet solution (sucrose or glucose) can be given for infants weighing less than 1500g and 0.5mL for those weighing between 1500 and 2500g. The synergistic effect of sweet solutions and NNS has been clearly shown and thus their association is largely justified in practice. For breast-fed term neonates, breastfeeding can be given to sooth procedure-induced pain. All these non-pharmacological options can be effective to relieve pain from minor or moderate procedures. However, when more painful procedures are performed, stronger analgesics must be used. </AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Carbajal</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Service des urgences pédiatriques, hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-Netter, 75012 Paris, France. Electronic address: ricardo.carbajal@trs.aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gréteau</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Service de pédiatrie, réanimation pédiatrique, néonatologie et urgences pédiatriques, centre hospitalier de Pau, 4, boulevard Hauterive, 64046 Pau cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arnaud</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Service des urgences pédiatriques, hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-Netter, 75012 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guedj</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Service des urgences pédiatriques, hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-Netter, 75012 Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Douleur en néonatologie. Traitements non médicamenteux.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2014</Year><Month>07</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Arch Pediatr</MedlineTA><NlmUniqueID>9421356</NlmUniqueID><ISSNLinking>0929-693X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>57-50-1</RegistryNumber><NameOfSubstance UI="D013395">Sucrose</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001942" MajorTopicYN="N">Breast Feeding</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013395" MajorTopicYN="N">Sucrose</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>05</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>06</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25066701</ArticleId><ArticleId IdType="pii">S0929-693X(14)00319-4</ArticleId><ArticleId IdType="doi">10.1016/j.arcped.2014.07.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Pau</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Carbajal, R" sort="Carbajal, R" uniqKey="Carbajal R" first="R" last="Carbajal">R. Carbajal</name></region><name sortKey="Arnaud, C" sort="Arnaud, C" uniqKey="Arnaud C" first="C" last="Arnaud">C. Arnaud</name><name sortKey="Greteau, S" sort="Greteau, S" uniqKey="Greteau S" first="S" last="Gréteau">S. Gréteau</name><name sortKey="Guedj, R" sort="Guedj, R" uniqKey="Guedj R" first="R" last="Guedj">R. Guedj</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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