RESUMO
AIM: This study aims to determine if oral dextrose solution can mitigate the pain response to nasogastric tube (NGT) insertion in neonates. METHODS: The study was a double-blinded, placebo-controlled, randomised controlled trial. One hundred and fifty consecutive neonates were randomised into three groups to receive 25% dextrose (D25), or 10% dextrose (D10) or placebo (distilled water). An NGT was inserted after giving 2 mL of one of the solutions orally. Pain response was assessed using the Premature Infant Pain Profile (PIPP), and the duration of cry was noted within 60 s of the intervention. Total PIPP score, duration of cry, change in heart rate and oxygen saturation (SpO2 ) were compared among the three groups. RESULTS: Neonates who received D25 had significantly lesser pain response to NGT insertion in terms of lower PIPP score (P < 0.05) and duration of cry (P = 0.001) compared to D10. There was a significantly smaller increase in heart rate and decrease in SpO2 (P < 0.05). In comparison with placebo, D10 significantly decreased duration of cry (P < 0.05) but not PIPP score. CONCLUSION: Oral D25 was effective in reducing the pain response during NGT insertion in neonates when compared with oral D10 and placebo. Oral D10 was not found to have a potent analgesic effect for the same.
Assuntos
Glucose/administração & dosagem , Intubação Gastrointestinal/efeitos adversos , Dor/prevenção & controle , Administração Oral , Choro , Método Duplo-Cego , Frequência Cardíaca , Humanos , Recém-Nascido , Oxigênio/sangue , Dor/etiologia , Medição da DorAssuntos
Aleitamento Materno , Mães , Mulheres Trabalhadoras/estatística & dados numéricos , Adulto , Aleitamento Materno/psicologia , Aleitamento Materno/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Humanos , Índia/epidemiologia , Fenômenos Fisiológicos da Nutrição do Lactente , Recém-Nascido , Masculino , Mães/psicologia , Formulação de Políticas , Guias de Prática Clínica como Assunto , Gravidez , Fatores Socioeconômicos , População Urbana , Mulheres Trabalhadoras/psicologiaRESUMO
Accurate measurement of temperature is important for detection of fever and hypothermia in pediatric patients. Ideal temperature-measurement technique should be safe, easy, noninvasive, cost effective, time efficient, and should precisely reflect core body temperature. Pulmonary artery is the closest to hypothalamus and best reflects the core temperature. Other sites used are distal esophagus, urinary bladder and nasopharynx. All these methods are invasive and difficult to use in clinical practice. Amongst the noninvasive methods, rectal thermometry is considered to be the closest to core temperature, but it has its own drawbacks. With the current evidence available, tympanic artery thermometry for children more than 2 years of age and temporal artery thermometry in all age groups are taking precedence over other methods.
