Procedimientos dolorosos y manejo del dolor en recién nacidos hospitalizados en Unidad de Cuidados Intensivos*

Objective: To characterize painful procedures, analgesic strategies, vital signs, and pain scores in hospitalized newborns. Method: This is a primary, observational, prospective clinical study, developed in a Brazilian public hospital. Demographic data, painful procedures, pain relief measures, vita...

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Detalles Bibliográficos
Autores: Rocha, Vanderlei Amadeu da, Silva, Isília Aparecida, Cruz-Machado, Sanseray da Silveira, Bueno, Mariana
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Revista da Escola de Enfermagem da USP (Online)
Idioma:portugués
inglés
OAI Identifier:oai:revistas.usp.br:article/192628
Acceso en línea:https://www.revistas.usp.br/reeusp/article/view/192628
Access Level:acceso abierto
Palabra clave:Pain
Infant, Newborn
Critical Care
Dor
Recém-Nascido
Cuidados Críticos
Dolor
Recién Nacido
Descripción
Sumario:Objective: To characterize painful procedures, analgesic strategies, vital signs, and pain scores in hospitalized newborns. Method: This is a primary, observational, prospective clinical study, developed in a Brazilian public hospital. Demographic data, painful procedures, pain relief measures, vital signs, and pain scores were collected from the clinical records of 90 newborns admitted to the intensive care unit and evaluated between admission and the third day of admission. For statistical analysis, the software Statistic Package for the Social Sciences and the R Software were used. Results: Newborns underwent 2,732 painful procedures, 540 non-pharmacological and 216 pharmacological strategies. The most frequently performed procedure was the heel prick (20.96%). The most commonly recorded non-pharmacological strategy was dim lighting (28.33%) and continuous fentanyl (48.83%) was the main pharmacological measure adopted. Pain score and vital signs show variability in the period evaluated. Conclusion: Despite the high number of painful procedures, pain assessment records do not reflect procedural pain and the use of analgesic strategies was insufficient.