ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS
Non-nutritive sucking and oral uptake of glucose 25% are often non-pharmacological methods used to manage procedural pain in newborns. Aim: To compare the effect of using non-nutritive suction (NNS) and Sol.Glucosae 25% for reducing/eliminating neonatal pain due to heel prick. Material and methods...
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Format: | Article |
Language: | English |
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Peytchinski Publishing
2022-10-01
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Series: | Journal of IMAB |
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Online Access: | https://www.journal-imab-bg.org/issues-2022/issue4/2022vol28-issue4-4618-4621.pdf |
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author | Penka Petleshkova Maya Krasteva IIliyana Pacheva Nataliya Vilmosh Snezhana Dragusheva |
author_facet | Penka Petleshkova Maya Krasteva IIliyana Pacheva Nataliya Vilmosh Snezhana Dragusheva |
author_sort | Penka Petleshkova |
collection | DOAJ |
description | Non-nutritive sucking and oral uptake of glucose 25% are often non-pharmacological methods used to manage procedural pain in newborns.
Aim: To compare the effect of using non-nutritive suction (NNS) and Sol.Glucosae 25% for reducing/eliminating neonatal pain due to heel prick.
Material and methods: Term infants were studied: group (A), NNS, n = 40, and group (B) oral uptake of Sol.Glucosae 25%, n = 40. The severity of procedural pain was assessed using the Neonatal Facial Coding System (NFCS) scale: 30 seconds before the procedure, at the 30th second and at the 5th minute after the procedure. Physiological pain markers were monitored at these intervals: respiratory, heart rate, transcutaneous saturation (tSpO2), arterial blood pressure.
Results and Discussion: Newborns in a group (B) had a lower evaluation at the 5th minute compared to those treated with non-nutritive suckling(A). There are significant differences in heart rate, breathing frequency and before the procedure. The intake of Sol. Glucose 25% compared to NNS causes a higher heart rate and a decrease in at the 30th second after the painful procedure. In contrast to the heart rate, for respiratory rate and tSpO2 at 5th min. we reported lower than the norms in both groups A and B.
Conclusion: Unlike NNS, glucose intake eliminates pain within 5 minutes after a heel prick. Excluding arterial blood pressure, all other physiological pain markers undergo changes before the procedure but not after it. |
first_indexed | 2024-04-13T14:35:48Z |
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id | doaj.art-394af08f3d9b4670a90d9bd472f88e51 |
institution | Directory Open Access Journal |
issn | 1312-773X |
language | English |
last_indexed | 2024-04-13T14:35:48Z |
publishDate | 2022-10-01 |
publisher | Peytchinski Publishing |
record_format | Article |
series | Journal of IMAB |
spelling | doaj.art-394af08f3d9b4670a90d9bd472f88e512022-12-22T02:43:02ZengPeytchinski PublishingJournal of IMAB1312-773X2022-10-012844618462110.5272/jimab.2022284.4618ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSISPenka Petleshkova0https://orcid.org/0000-0002-4966-3257Maya Krasteva1https://orcid.org/0000-0002-9418-751XIIliyana Pacheva2https://orcid.org/0000-0003-0461-9065Nataliya Vilmosh3https://orcid.org/0000-0001-7984-1256Snezhana Dragusheva4https://orcid.org/0000-0003-4159-4864Department of Obstetrics and Gynecology, Medical Faculty, Medical University -Plovdiv, Bulgaria.Department of Obstetrics and Gynecology, Medical Faculty, Medical University -Plovdiv, Bulgaria.Department of Pediatrics and Genetic Diseases, Medical Faculty, Medical University -Plovdiv, Bulgaria.Department of Pharmacology and Clinical Pharmacology, Medical Faculty, Medical University - Plovdiv, Bulgaria.Department Nursing Care, Faculty of Public Health (EPH), Medical University - Plovdiv, Bulgaria.Non-nutritive sucking and oral uptake of glucose 25% are often non-pharmacological methods used to manage procedural pain in newborns. Aim: To compare the effect of using non-nutritive suction (NNS) and Sol.Glucosae 25% for reducing/eliminating neonatal pain due to heel prick. Material and methods: Term infants were studied: group (A), NNS, n = 40, and group (B) oral uptake of Sol.Glucosae 25%, n = 40. The severity of procedural pain was assessed using the Neonatal Facial Coding System (NFCS) scale: 30 seconds before the procedure, at the 30th second and at the 5th minute after the procedure. Physiological pain markers were monitored at these intervals: respiratory, heart rate, transcutaneous saturation (tSpO2), arterial blood pressure. Results and Discussion: Newborns in a group (B) had a lower evaluation at the 5th minute compared to those treated with non-nutritive suckling(A). There are significant differences in heart rate, breathing frequency and before the procedure. The intake of Sol. Glucose 25% compared to NNS causes a higher heart rate and a decrease in at the 30th second after the painful procedure. In contrast to the heart rate, for respiratory rate and tSpO2 at 5th min. we reported lower than the norms in both groups A and B. Conclusion: Unlike NNS, glucose intake eliminates pain within 5 minutes after a heel prick. Excluding arterial blood pressure, all other physiological pain markers undergo changes before the procedure but not after it.https://www.journal-imab-bg.org/issues-2022/issue4/2022vol28-issue4-4618-4621.pdfneonatal painnon-nutritive sucklingsweet solutionphysiological markers of pain |
spellingShingle | Penka Petleshkova Maya Krasteva IIliyana Pacheva Nataliya Vilmosh Snezhana Dragusheva ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS Journal of IMAB neonatal pain non-nutritive suckling sweet solution physiological markers of pain |
title | ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS |
title_full | ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS |
title_fullStr | ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS |
title_full_unstemmed | ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS |
title_short | ANALGESIC ЕFFECT OF 25% GLUCOSE AND NON-NUTRITIVE SUCKING IN TERM NEWBORNS – COMPATIVE ANALYSIS |
title_sort | analgesic еffect of 25 glucose and non nutritive sucking in term newborns compative analysis |
topic | neonatal pain non-nutritive suckling sweet solution physiological markers of pain |
url | https://www.journal-imab-bg.org/issues-2022/issue4/2022vol28-issue4-4618-4621.pdf |
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