The Effect of Oral Sucrose on Neonatal Pain during Circumcision When Combined with Topical Anesthesia

2.50
Hdl Handle:
http://hdl.handle.net/10755/147163
Type:
Presentation
Title:
The Effect of Oral Sucrose on Neonatal Pain during Circumcision When Combined with Topical Anesthesia
Abstract:
The Effect of Oral Sucrose on Neonatal Pain during Circumcision When Combined with Topical Anesthesia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Donahue, Kathleen M., RNC, MSN, IBCLC, RLC
P.I. Institution Name:Doylestown Hospital
Title:Staff Nurse
[Scientific session research presentation] Background: Circumcision is one of the most commonly performed surgical procedures in the United States. Neonatal pain is often not managed appropriately. Oral sucrose has become an important non-pharmacologic intervention for neonatal pain. Methods: A retrospective chart review of a convenience sample of newborns who received circumcisions from March to November 2006.  The first group of neonates received only topical anesthesia. The second group received topical anesthesia and 24% oral sucrose. The pain scale (NIPS) score of each group was compared before, during and after the procedure.Results:  The experimental (oral sucrose) group included 155 medical records and the comparison group included 150 medical records. The groups did not differ by gestational age, birth weight, pre-, during or post-circumcision pain scores. The oral sucrose did not have a significantly different effect on any pain scores.  A secondary finding was that during circumcision, pain scores did differ depending on topical anesthesia used. Neonates (N=305) receiving EMLA cream had significantly less pain than neonates receiving topical lidocaine spray (p= .05).Conclusions:  Oral sucrose did not make a difference in neonatal pain during circumcision. A secondary recommendation is to examine the type of anesthesia provided for circumcisions. Limitations: The NIPS pain scale was a new tool implemented 4 weeks prior to the chart review. The use of oral sucrose was a new standard of care introduced during the chart review.  Education began in December 2005 for both. Two observers were not used during data collection, therefore inter-rater reliability was not known for the NIPS tool.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Effect of Oral Sucrose on Neonatal Pain during Circumcision When Combined with Topical Anesthesiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147163-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Effect of Oral Sucrose on Neonatal Pain during Circumcision When Combined with Topical Anesthesia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Donahue, Kathleen M., RNC, MSN, IBCLC, RLC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Doylestown Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kmdrn@msn.com</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Background:&nbsp;Circumcision is one of the most commonly performed surgical procedures in the United States. Neonatal pain is often not managed appropriately.&nbsp;Oral sucrose has become an important non-pharmacologic intervention for neonatal pain. Methods:&nbsp;A retrospective chart review of a convenience sample of newborns who received circumcisions from March to November 2006.&nbsp; The first group of neonates received only topical anesthesia.&nbsp;The second group received topical anesthesia and 24% oral sucrose. The pain scale (NIPS) score of each group was compared before, during and after the procedure.Results:&nbsp; The experimental (oral sucrose) group included 155 medical records and the comparison group included 150 medical records. The groups did not differ by gestational age, birth weight, pre-, during or post-circumcision pain scores.&nbsp;The oral sucrose did not have a significantly different effect on any pain scores.&nbsp; A secondary finding was that during circumcision, pain scores did differ depending on topical anesthesia used.&nbsp;Neonates (N=305) receiving EMLA cream had significantly less pain than neonates receiving topical lidocaine spray (p= .05).Conclusions:&nbsp; Oral sucrose did not make a difference in neonatal pain during circumcision.&nbsp;A secondary recommendation is to examine the type of anesthesia provided for circumcisions.&nbsp;Limitations:&nbsp;The NIPS pain scale was a new tool implemented 4 weeks prior to the chart review. The use of oral sucrose was a new standard of care introduced during the chart review.&nbsp; Education began in December 2005 for both.&nbsp;Two observers were not used during data collection, therefore inter-rater reliability was not known for the NIPS tool.</td></tr></table>en_GB
dc.date.available2011-10-26T09:29:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:29:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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