sucrose for procedural pain management in infants

Oral sucrose should be included in paediatric emergency department pain management guidelines as one of the possible strategies to utilise for infants during minor painful procedures. Lancet 2011; 377:25. Sucrose for infant pain management will be administered safely to decrease infant pain associated with painful procedures. Pain left unrelieved has been found to lead to long-term consequences such as distress, anxiety, needle fear, parental non-adherence with vaccination administration, and avoidance of medical care. Swaddling/Facilitated Tucking The administration of sucrose with and without non-nutritive sucking (NNS) has been examined for relieving procedural pain in newborn infants. 4. • Comprehensive evidence based guidelines are available to guide effective procedural pain management in neonates, infants and older children. Pain may worsen already compromised physiological states like hypoxia, hypercarbia, acidosis, hyperglycemia or respiratory distress. The aim of pain management should be to achieve maximum comfort for The administration of sucrose with and without non-nutritive sucking (NNS) has been examined for relieving procedural pain in newborn infants. 3. hours a review the neonate’s current procedural pain management plan. Therefore, it is important to ensure pain management Purpose: Numerous studies have shown that infants exhibit less painful signs when given small amounts of sucrose orally for circumcisions, heel sticks, IV sticks, PICC lines, eye exams and other painful procedures. The calming and pain-relieving effects of sucrose are thought to be mediated by endogenous opioid path-ways activated by sweet taste. 2012; 130(5):918-25 (ISSN: 1098-4275) Harrison D; Beggs S; Stevens B. Journal of Paediatrics and Child Health. The effect may be prolonged by administering 2 or three repeat doses at 2 minute intervals during the procedure. Breastfeeding, sucrose and EBM for procedural pain management. 1 These recommendations are based on results from several randomised controlled clinical trials that conclude that sucrose is effective in reducing pain in preterm and term neonates. Assessment of chronic pain in babies is particularly challenging. Heaton PA, Fernando AM, Herd D. Oral sucrose for procedural pain in infants. Oral sucrose and other sweet tasting solutions have long been used for management of pain in infants. Oral Sucrose as an Analgesic Drug for Procedural Pain in Newborn Infants: A Randomised Controlled Trial Slater R, Cornelissen L, Fabrizi L, et al Lancet . Discuss with the nursing and medical team re; additional sucrose dosing or alternative management. Protocol for the use of sucrose solution for procedural pain management Sucrose Reduces distress associated with painful procedures in babies < 3 months of age Is safe, and easily administered. 2.7 Oral sucrose should not be used as an agent to calm a crying infant outside the realm of procedural pain management. 2. Background. 3.4 The amount of sucrose to use is determined based on the following table: Infant Weight / Condition Oral Dosage of Sucrose … Sucrose for procedural pain management in infants. Sucrose (oral) for procedural pain management in infants; Best Practice Clinical Guideline, Assessment and Management of Neonatal Pain - September 2007 Infant gestation Dose 27+1 – 32 weeks gestation 0.1 – 0.5ml 24% Sucrose solution 32+1 weeks gestation 0.5 – 1ml 24% Sucrose solution Using sucrose 24% ampoules Infant 2011; 7(3): 88-91. The aim of this study was to evaluate the effectiveness of oral sucrose in decreasing pain during minor procedures in infants of 1-6 months corrected age. Sucrose may be inadequate for painful procedures lasting longer than this and alternative analgesia should be considered. Chapter 3: Oral sucrose for procedural pain Valid until 1st February 2022 3 management in infants. Careful assessment of pain and distress during procedures is required to evaluate the effectiveness of sucrose analgesia. Steed D, Port L, Connell TG, et al. Volume 41, Issue 9‐10 procedural pain management in infants. NNS in combination with sucrose is more efficacious for reducing procedural pain than when used in isolation (25). (2) For term infants 0 to 12 months, 21 breastfeeding is effective in preventing or decreasing procedural pain in infants and equally effective to sucrose. 2010 ; 376:1225-1232 infant 2011 ; 7 ( 3 ): 88-91 dosing or management... 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