Advanced search
Start date
Betweenand
(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Analgesic effect of kangaroo position method versus sucrose during heel punctures in newborn: randomized clinical trial

Full text
Author(s):
Liciane Langona Montanholi [1] ; Mariana Firmino Daré [2] ; Adriana Moraes Leite [3] ; Laíse Escalianti Del-Alamo Guarda [4] ; Carmen Gracinda Silvan Scochi [5]
Total Authors: 5
Affiliation:
[1] São Paulo State University. School of Nursing - Brasil
[2] São Paulo State University. School of Nursing - Brasil
[3] São Paulo State University. School of Nursing - Brasil
[4] São Paulo State University. School of Nursing - Brasil
[5] São Paulo State University. School of Nursing - Brasil
Total Affiliations: 5
Document type: Journal article
Source: BrJP; v. 5, n. 4, p. 332-340, 2023-02-17.
Abstract

ABSTRACT BACKGROUND AND OBJECTIVES: 25% sucrose and kangaroo position are effective for neonatal analgesia in single procedures and sucrose is also effective in repeated procedures. Behavioral and physiological responses and adverse effect on newborns submitted to kangaroo position or 25% sucrose for analgesia were compared in two heel punctures applied during the first hours of life. METHODS: Randomized clinical trial with 80 newborns and 40 mothers. Data were collected during two heel punctures. The kangaroo position was performed for three minutes before, during and three minutes after the punctures. Oral 25% sucrose (0.5 mL/kg) was administered two minutes before the punctures and the newborns were kept in a crib. Each data collection was divided into nine phases. The facial action, crying and heart rate data were analyzed using descriptive and comparative analyses. Facial actions, assessed by the Newborn Facial Coding System scale, was used to test the hypothesis. The frequency of gastric side effects was calculated. Ethical aspects were preserved. RESULTS: Facial actions did not differ (p>0.05) between groups in the two data collections. There were no relevant changes in heart rate between and within groups. The newborns in the kangaroo group cried more than in the sucrose group (p<0.05) in the second collection. In the administration of sucrose, more side effects were observed in the first (p=0.02) and second collection (p=0.007). CONCLUSION: The kangaroo position is as effective as the administration of 25% sucrose to relieve pain resulting from two repeated heel punctures. (AU)

FAPESP's process: 12/01938-0 - Analgesic and neonatal comfort effects of skin-to-skin versus sucrose during two repeated and successive heel punctures in neonates: a randomized clinical trial
Grantee:Liciane Langona Montanholi
Support Opportunities: Scholarships in Brazil - Doctorate