Abstract
In the last few years much attention has been devoted to neonatal analgesia, and in particular nonpharmacological analgesia. We know the effectiveness of oral sucrose administration and non-nutritional sucking and some papers exist on these topics. However, there has not been any review of applications of non-pharmacological analgesia. Here we examine the above two methods and other strategies described in the literature, among which: oral glucose, fructose milk or sweeteners; breastfeeding; cuddling; music; vestibular stimulation; kangaroo care, Newborn Individualized Developmental Care and Assessment Program (NIDCAP); sensorial saturation, springloaded lances, supine position, swaddling and facilitated tucking. Seventy-seven studies assessing the efficacy of non-pharmacologic procedures for relieving pain in neonates were identified. It emerges from this review that certain strategies can be combined with oral sucrose and non-nutritional sucking to provide effective and almost complete analgesia for acute pain in neonates.
Current Pediatric Reviews
Title: Non Pharmacological Analgesia for Newborns
Volume: 1 Issue: 3
Author(s): Carlo V. Bellieni and Giuseppe Buonocore
Affiliation:
Keywords: Analgesia, newborn, sucrose, glucose, pain
Abstract: In the last few years much attention has been devoted to neonatal analgesia, and in particular nonpharmacological analgesia. We know the effectiveness of oral sucrose administration and non-nutritional sucking and some papers exist on these topics. However, there has not been any review of applications of non-pharmacological analgesia. Here we examine the above two methods and other strategies described in the literature, among which: oral glucose, fructose milk or sweeteners; breastfeeding; cuddling; music; vestibular stimulation; kangaroo care, Newborn Individualized Developmental Care and Assessment Program (NIDCAP); sensorial saturation, springloaded lances, supine position, swaddling and facilitated tucking. Seventy-seven studies assessing the efficacy of non-pharmacologic procedures for relieving pain in neonates were identified. It emerges from this review that certain strategies can be combined with oral sucrose and non-nutritional sucking to provide effective and almost complete analgesia for acute pain in neonates.
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Cite this article as:
Bellieni V. Carlo and Buonocore Giuseppe, Non Pharmacological Analgesia for Newborns, Current Pediatric Reviews 2005; 1 (3) . https://dx.doi.org/10.2174/157339605774574971
DOI https://dx.doi.org/10.2174/157339605774574971 |
Print ISSN 1573-3963 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6336 |
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