Pain, invasive devices, and invasive procedures in neonates during the postoperative period (2010)
- Autor USP: KIMURA, AMÉLIA FUMIKO - EE
- Unidade: EE
- Subjects: PERÍODO PÓS-OPERATÓRIO; DOR; RECÉM-NASCIDO; CIRURGIA (ANÁLISE)
- Language: Inglês
- Abstract: Background: The occurrence of postoperative pain is a result of tissue trauma due to surgical incision, invasive procedures commonly performed during the postoperative period, and placement and maintenance of invasive devices needed to monitor and to facilitate patient's recovery.Objectives: To describe the use of invasive devices during the postoperative period; to describe the frequency of painful and stressing procedures performed during the postoperative period; to describe the prevalence of postoperative pain.Methods: Descriptive study that enrolled neonates undergoing one or more surgical procedures from July 2008 to June 2009. Data from the first 72 hours after surgery were extracted from medical charts and were divided in three 24 hours-periods: immediate postoperative period (IPO), first (1PO) and second (2PO).Results: Records from 43 neonates undergoing 50 surgeries were analyzed. Mean age was 5.9 days, mean weight was 2,495.6g. The most frequently used invasive devices during the IPO, 1PO and 2PO were: peripherally venous catheter (58%, 60%,52.1%), tracheal tube (52%, 52%, 39.6%), gastric tube (42%, 46%, 39.6%), central venous catheter (26%, 28%, 20.8%), PICC (24%, 36%, 35.4%), urethral catheter (20%, 18%, 16.7%), chesttube (16%, 16%, 14.6%). The mean number of painful and stressing procedures performed during the IPO, 1PO and 2PO were 2.44/neonate, 2.2/neonate and 1.56/neonate. Procedures commonly performed during IPO, 1PO and 2PO were: travel tube aspiration (76%, 32%, 24%), arterial puncture (36%, 30%, 12.5%), change of surgical dressing (28%, 30%, 18,7%), hee lance (20%, 6%, 2.1%), gastric tube insertion (18%, 12%, 8.3%). Pain occurrence (measured by the CRIES) during the IPO, 1PO and 2PO was observed in 50%, 40% and 27% of the infants. Pharmacological analgesia was provided for 96%, 98% and 89.6% of the neonates during the IPO, 1PO and 2PO.Conclusion: Pain occurrence was observed despite the use of analgesics. Beyond pain related to the surgical wound, neonates are exposed to numerous invasive devices and painful procedures that cause pain. Results suggest that improvement on neonatal postoperative pain management is needed.
- Título do periódico: Abstracts
- Conference titles: International Symposium on Pediatric Pain
ABNTKIMURA, Amélia Fumiko; BUENO, Mariana; OLIVEIRA, Angélica A. Pain, invasive devices, and invasive procedures in neonates during the postoperative period. Anais.. Acapulco: [s.n.], 2010.
APAKimura, A. F., Bueno, M., & Oliveira, A. A. (2010). Pain, invasive devices, and invasive procedures in neonates during the postoperative period. In Abstracts. Acapulco.
NLMKimura AF, Bueno M, Oliveira AA. Pain, invasive devices, and invasive procedures in neonates during the postoperative period. Abstracts. 2010 ;
VancouverKimura AF, Bueno M, Oliveira AA. Pain, invasive devices, and invasive procedures in neonates during the postoperative period. Abstracts. 2010 ;
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