Procedural pain in neonatal units in Kenya.
Arch Dis Child Fetal Neonatal Ed
; 99(6): F464-7, 2014 Nov.
Article
en En
| MEDLINE
| ID: mdl-24996597
ABSTRACT
OBJECTIVES:
To determine the nature and frequency of painful procedures and procedural pain management practices in neonatal units in Kenya.DESIGN:
Cross-sectional survey.SETTING:
Level I and level II neonatal units in Kenya. PATIENTS Ninety-five term and preterm neonates from seven neonatal units.METHODS:
Medical records of neonates admitted for at least 24â h were reviewed to determine the nature and frequency of painful procedures performed in the 24 h period preceding data collection (600 to 600) as well as the pain management interventions (eg, morphine, breastfeeding, skin-to-skin contact, containment, non-nutritive sucking) that accompanied each procedure.RESULTS:
Neonates experienced a total of 404 painful procedures over a 24â h period (mean=4.3, SD 2.0; range 1-12); 270 tissue-damaging (mean=2.85, SD 1.1; range 1-6) and 134 non-tissue-damaging procedures (mean=1.41, SD 1.2; range 0-6). Peripheral cannula insertion (27%) and intramuscular injections (22%) were the most common painful procedures. Ventilated neonates and neonates admitted in level II neonatal units had a higher number of painful procedures than those admitted in level I units (mean 4.76 vs 2.96). Only one procedure had a pain intensity score documented; and none had been performed with any form of analgesia.CONCLUSIONS:
Neonates in Kenya were exposed to numerous tissue-damaging and non-tissue-damaging procedures without any form of analgesia. Our findings suggest that education is needed on how to assess and manage procedural pain in neonatal units in Kenya.Palabras clave
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Banco de datos:
MEDLINE
Asunto principal:
Dolor
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Manejo del Dolor
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Cuidado del Lactante
Tipo de estudio:
Clinical_trials
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Observational_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Male
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Newborn
País como asunto:
Africa
Idioma:
En
Año:
2014
Tipo del documento:
Article