Translating evidence: pain treatment in newborns, infants, and toddlers during needle-related procedures.

IF 3.4 Q2 NEUROSCIENCES Pain Reports Pub Date : 2023-03-01 DOI:10.1097/PR9.0000000000001064
Denise Harrison, Mariana Bueno
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Abstract

Introduction: Treatment of pain in preterm, sick, and healthy newborns and infants and toddlers (up to 2 years of age) is consistently reported to be inadequate, and effective strategies are poorly implemented.

Objectives: To present existing evidence of effective pain treatment strategies during needle-related procedures and to highlight initiatives focused on translating evidence into practice.

Methods: This Clinical Update focuses on the 2022 International Association for the Study of Pain Global Year for Translating Pain Knowledge to Practice in the specific population of newborns, infants, and toddlers. Best evidence is reviewed, and existing knowledge translation strategies and programs available to implement evidence into practice are presented.

Results: Effective strategies for newborn and young infants during frequently occurring needle procedures include small volumes of sweet solutions, breastfeeding, or skin-to-skin care when feasible and culturally acceptable. In addition, strategies such as nonnutritive sucking, positioning, swaddling, gentle touch, facilitated tucking, and secure holding can be used. For toddlers, the evidence is less robust, and discerning between pain and distress is challenging. However, strategies recommended for needle-related procedures include upright secure comfort holding by parents/caregivers, age-appropriate distraction, and topical anesthetics. Translation of effective pain management needs to involve the family, who need to be supported and empowered to comfort their child during painful procedures. Organizational, nationwide, and global initiatives aimed at improving implementation of effective pain treatments exist.

Conclusion: There is evidence of effective pain management strategies for newborns, infants, and toddlers, and a great deal of effort is being made to translate knowledge into action.

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翻译证据:新生儿、婴儿和学步儿童在针相关程序中的疼痛治疗。
导读:据报道,对早产儿、患病新生儿和健康新生儿以及婴幼儿(2岁以下)疼痛的治疗一直不足,而且有效的策略执行不力。目的:提出在针相关程序中有效的疼痛治疗策略的现有证据,并强调将证据转化为实践的举措。方法:本临床更新重点关注2022年国际疼痛研究协会全球年将疼痛知识转化为新生儿,婴儿和幼儿特定人群的实践。对最佳证据进行了审查,并提出了现有的知识转化策略和可用于将证据付诸实践的计划。结果:新生儿和幼儿在经常发生的针头手术中有效的策略包括小体积的甜溶液,母乳喂养,或在可行和文化上可接受的皮肤对皮肤护理。此外,可以使用诸如非营养性吸吮、定位、襁褓、轻柔的触摸、方便的收纳和安全的抱着等策略。对于蹒跚学步的孩子来说,证据就不那么确凿了,辨别疼痛和悲伤是很有挑战性的。然而,针相关手术的建议策略包括由父母/护理人员直立安全舒适地握住,适合年龄的分散注意力和局部麻醉。有效的疼痛管理的翻译需要涉及家庭,谁需要支持和授权,以安慰他们的孩子在痛苦的过程中。组织,国家和全球的倡议旨在改善实施有效的疼痛治疗存在。结论:有证据表明,有效的疼痛管理策略的新生儿,婴儿和幼儿,并作出了大量的努力,将知识转化为行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain Reports
Pain Reports Medicine-Anesthesiology and Pain Medicine
CiteScore
7.50
自引率
2.10%
发文量
93
审稿时长
8 weeks
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