PROTOCOL ON PAINRELIEF IN PRETERM AND NEWBORN BABIES
Purpose
Optimize wellbeing and secure unnecessary pain by presumed painfull procedures.
Reducing stress.
Responsibility
Ideally: Let parents comfort their baby during painful procedures.
Nurses and doctors are responsible for the baby not being unnecessarily exposed to pain. Sucrose 25%/Dextrose 10% can be given without prescription.
Indications
- Blood samplings
- Inserting of canula
- Suctioning from ETT, nostril and throat
- Inserting of a feedingtube OG/NG
- Other painfull procedures
PAIN RECEPTORS ARE FULLY DEVELOPED IN ALL PRETERM AND NEWBORN BABIES.
Equipments
- 25% Sucrose(0,05 – 0,5 ml)/ 10% Dextrose
- cottonswab/ infants own hand or finger
- a small syringe
Procedure
- Ensure that the baby is awake to suck and swallow the sucrose/dextrose.
- The baby should be fully satiesfied and be well positioned with support around the body before the procedure starts.
- Give the baby a proper amount of sucrose/dextrose. The taste receptors are located in the anterior part of the tongue. Offer a cottonswab or the baby’s hand to suck on.
- Wait for 2 minutes before painful procedure starts.
- The pain releasing effect will decrease after 5 minutes.
- Support the baby with your hands during the whole procedure.
- OBSERVE during the procedure especially according to the pain relieving effect.
- allergic reactions
- Make sure the baby is calm before you leave, after the procedure.
Complications
- There is a risk of aspirating if the baby is not awake and is not sucking/swallowing.
- PRECAUTION: In intubated babies, VLBW or extremely preterm babies.
- Small preterm babies not being can have a small droplets on a cottonswab
References
Campbell-Yeo (2011) Procedual Pain management for Neonates Using Nonpharmacological Strategies.
Document Information
Archived Version
Version: 1.0 (Archived)
Published: August 3, 2015
Contributors: Teaching Nurses from Norway and FBNCU Nursing Staff, JK Lone Hospital, SMS Medical College, Jaipur
View: Current Version