The analgesic potential of different types of sugar solutions in prevention of procedural pain in term infants


Authors: J. Macko 1;  P. Humpolíček 2;  D. Moravčíková 3;  M. Kotíková 1
Authors‘ workplace: Novorozenecké oddělení Krajské nemocnice T. Bati, Zlín primář MUDr. J. Macko 1;  Centrum polymerních materiálů, Fakulta technologická, Univerzita Tomáše Bati, Zlín vedoucí doc. Ing. R. Čermák, Ph. D. 2;  Ústav porodní asistence, Institut zdravotnických studií, Univerzita Tomáše Bati, Zlín vedoucí Mgr. L. Reslerová, Ph. D. 3
Published in: Čes-slov Pediat 2013; 68 (4): 234-245.
Category: Original Papers

Overview

Background:
In the prevention of procedural pain in neonates of all gestational categories mainly sugar solutions of different types and concentrations are used. Even though this method studying the effect of sugar solutions in concentrations from 5 to 66% has been certified by series of works, no gold standard has been established. An alternative to the use of sugar solutions is breast milk or sensory saturation (complex effect on sensory perceptions of the child).

Methods:
In the present paper, we evaluated parameters of electrical skin conductance (ESC) in a group of full-term or near-term infants in a well-defined painful complaint, which was capillary blood sampling for mandatory screening.

Results and conclusion:
We evaluated the effectiveness of four different concentrations of sugar solutions, widely available and used in clinical practice. We have shown that there are statistically significant differences between genders in selected parameters of the electrical conductivity of the skin as well as differences in the change of character behavior in response to a painful stimulus. We found statistically significant differences in the analgesic effect of certain types and concentrations of sugar solutions.

Key words:
electrical skin conductance, infants, pain, algesimetry, analgesic effect


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Neonatology Paediatrics General practitioner for children and adolescents
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