Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Prevenire il dolore da prelievo nel neonato

PREVENTION OF PAIN FROM BLOOD SAMPLING IN NEWBORN BABIES

FEDERICO MARCHETTI, EGIDIO BARBI

Clinica Pediatrica, IRCCS “Burlo Garofolo”, Università di Trieste

Novembre 2002 - pagg. 581 -583

Abstract
Newborn babies are frequently exposed to painful procedures and blood sampling is the most frequent one. Recent studies have focused on this aspect and provided useful information. We know for example that blood sampling from the toes is more painful than i.v. sampling, and that anesthetic ointment (EMLA) is less efficacious when applied to toes as compared to venous sites for sampling. Perception of pain can be reduced by simultaneous administration of sugar, breastfeeding or cuddling. Professionals should know and apply all effective measures for avoiding and relieving pain from blood sampling in babies.
Parole chiave
Blood sampling Dolore EMLA Newborn babies Pain prelievo ematico
Suggerite dall'AI
Breastfeeding Dolore neonatale
Classificazione MeSH
Chemical Actions and Uses Pharmacologic Actions Therapeutic Uses Central Nervous System Agents Central Nervous System Depressants Anesthetics
Diagnosis Diagnostic Techniques and Procedures Clinical Laboratory Techniques Specimen Handling Blood Specimen Collection
Physiological Phenomena Diet, Food, and Nutrition Nutritional Physiological Phenomena Child Nutritional Physiological Phenomena Infant Nutritional Physiological Phenomena Breast Feeding (213)
Persons Age Groups Infant Infant, Newborn (284)
Health Services Administration Patient Care Management Disease Management Pain Management (62)
Carbohydrates Polysaccharides Oligosaccharides Disaccharides Sucrose (8)
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Bibliografia
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2. Anand K, Stevens BJ, McGrath PJ. Pain in neonates. Amsterdam: Elsevier Science BV, 2000.
3. Ilbert R, Franck L. Child health. Reducing pain during blood sampling in infants. Clinical Evidence Copyright 2002. BMJ Publishing Group. www.clinicalevidence.com.
4. Shah V, Ohlsson A. Venepuncture versus heel lance for blood sampling in term neonates. In: The Cochrane Library, Issue 3, 2000. Oxford: Update Software 2000.
5. Gray L, Miller LW, Philipp BL, Blass EM. Breastfeeding is analgesic in healthy newborns. Pediatrics 2002;109:500-93.
6. Abad F, Diaz-Gomez NM, Domenech E, Gonzalez D, Robayna M, Feria M. Oral sucrose compares favourably with lidocaine-prilocaine cream for pain relief during venepuncture in neonates. Acta Paediatr 2001;90(2): 160-5.