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...

Full description

Bibliographic Details
Main Authors: Penka Petleshkova, Maya Krasteva, IIliyana Pacheva, Nataliya Vilmosh, Snezhana Dragusheva
Format: Article
Language:English
Published: Peytchinski Publishing 2022-10-01
Series:Journal of IMAB
Subjects:
Online Access:https://www.journal-imab-bg.org/issues-2022/issue4/2022vol28-issue4-4618-4621.pdf
_version_ 1811325578284892160
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
format Article
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
work_keys_str_mv AT penkapetleshkova analgesiceffectof25glucoseandnonnutritivesuckingintermnewbornscompativeanalysis
AT mayakrasteva analgesiceffectof25glucoseandnonnutritivesuckingintermnewbornscompativeanalysis
AT iiliyanapacheva analgesiceffectof25glucoseandnonnutritivesuckingintermnewbornscompativeanalysis
AT nataliyavilmosh analgesiceffectof25glucoseandnonnutritivesuckingintermnewbornscompativeanalysis
AT snezhanadragusheva analgesiceffectof25glucoseandnonnutritivesuckingintermnewbornscompativeanalysis