Effect of multisensory stimulation on analgesia in term neonates: a randomized controlled trial.

Abstract:

:Many attempts have been made to obtain safe and effective analgesia in newborns. Oral glucose-water has been found to have analgesic properties in neonates. We investigated whether other sensory stimulation added to oral glucose provided more effective analgesia than oral glucose alone. In a randomized prospective double-blind trial, we studied 120 term newborns during heel prick. The babies were divided randomly into six groups of 20, and each group was treated with a different procedure during heel prick: A) control; B) 1 mL 33% oral glucose given 2 min before the heel prick; C) sucking; D) 1 mL 33% oral glucose plus sucking; E) multisensory stimulation including 1 mL 33% oral glucose (sensorial saturation); F) multisensory stimulation without oral glucose. Sensorial saturation consisted in massage, voice, eye contact, and perfume smelling during heel prick. Each heel prick was filmed and assigned a point score according to the Douleur Aiguë du Nouveau-né (DAN) neonatal acute pain scale. Camera recording began 30 s before the heel prick, so it was impossible for the scorers to distinguish procedure A (control) from B (glucose given 2 min before), C (sucking water) from D (sucking glucose), and E (multisensory stimulation and glucose) from F (multisensory stimulation and water) from the video. Procedure E (multisensory stimulation and glucose) was found to be the most effective procedure, and the analgesia was even more effective than that produced by procedure D (sucking glucose). We conclude that sensorial saturation is an effective analgesic technique that potentiates the analgesic effect of oral sugar. It can be used for minor painful procedures on newborns.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Bellieni CV,Bagnoli F,Perrone S,Nenci A,Cordelli DM,Fusi M,Ceccarelli S,Buonocore G

doi

10.1203/00006450-200204000-00010

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

460-3

issue

4

eissn

0031-3998

issn

1530-0447

journal_volume

51

pub_type

临床试验,杂志文章,随机对照试验
  • Deficient alternative complement pathway activity in newborn sera.

    abstract::Neonatal susceptibility to overwhelming bacterial infection is commonly attributed to a relative deficiency in serum opsonic activity. However, few studies have compared the functional capacity of the classical complement pathway with that of the alternative complement pathway in the neonate. The opsonic activity of n...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197912000-00008

    authors: Mills EL,Björksteń B,Quie PG

    更新日期:1979-12-01 00:00:00

  • Glucocorticoid receptor subunit expression in adenotonsillar tissue of children with obstructive sleep apnea.

    abstract::Tonsillectomy and adenoidectomy (T&A) is a frequent surgical procedure in children with obstructive sleep apnea (OSA). Many symptomatic children who do not fulfill the currently recommended criteria for T&A may benefit from topical intranasal steroid therapy. However, the expression of glucocorticoid receptor (GCR) ex...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000150722.34561.E6

    authors: Goldbart AD,Veling MC,Goldman JL,Li RC,Brittian KR,Gozal D

    更新日期:2005-02-01 00:00:00

  • VEGF attenuates hyperoxic injury through decreased apoptosis in explanted rat embryonic lung.

    abstract::Ambient oxygen concentration and vascular endothelial growth factor (VEGF)-A are vital in lung development. Since hypoxia stimulates VEGF-A production and hyperoxia reduces it, we hypothesized that VEGF-A down-regulation by exposure of airways to hyperoxia may result in abnormal lung development. An established model ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e31815b4857

    authors: Esquibies AE,Bazzy-Asaad A,Ghassemi F,Nishio H,Karihaloo A,Cantley LG

    更新日期:2008-01-01 00:00:00

  • Dietary lecithin protects against cholestatic liver disease in cholic acid-fed Abcb4- deficient mice.

    abstract::Mutations in multidrug resistance 3 gene (MDR3 or ABCB4) underlie progressive familial intrahepatic cholestasis type 3 (PFIC3), a severe pediatric liver disease progressing to cirrhosis. Abcb4-/- mice exhibit slowly developing hepatic lesions that can be accelerated by feeding a cholic acid (CA)-supplemented diet. We ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/pdr.0b013e31802d7780

    authors: Lamireau T,Bouchard G,Yousef IM,Clouzeau-Girard H,Rosenbaum J,Desmoulière A,Tuchweber B

    更新日期:2007-02-01 00:00:00

  • Bilirubin photooxidation products in the urine of jaundiced neonates receiving phototherapy.

    abstract::Bilirubin-IX alpha photooxidation products were detected by high performance liquid chromatography in the urine of neonates undergoing phototherapy for hyperbilirubinemia. The in vivo photoproducts were identified by chromatographic comparison with authentic synthetic standards using two complementary methods. Bilirub...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198408000-00003

    authors: Lightner DA,Linnane WP 3rd,Ahlfors CE

    更新日期:1984-08-01 00:00:00

  • Iron supplementation dose for perinatal iron deficiency differentially alters the neurochemistry of the frontal cortex and hippocampus in adult rats.

    abstract:BACKGROUND:Long-term prefrontal cortex (PFC)- and hippocampus-based cognitive deficits are the sequelae of perinatal iron deficiency, despite iron supplementation starting in the newborn period. Whether high-dose iron supplementation prevents these deficits is yet to be determined. METHODS:Perinatal iron deficiency wa...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2012.143

    authors: Rao R,Tkac I,Unger EL,Ennis K,Hurst A,Schallert T,Connor J,Felt B,Georgieff MK

    更新日期:2013-01-01 00:00:00

  • A chicken model for DGCR6 as a modifier gene in the DiGeorge critical region.

    abstract::DGCR6 is the most centromeric gene in the human DiGeorge critical region and is the only gene in the region with a second functional copy on a repeat localized more distally on chromosome 22. We isolated the chicken ortholog of DGCR6 and showed an embryonic expression pattern that is initially broad but becomes gradua...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000136151.50127.1C

    authors: Hierck BP,Molin DG,Boot MJ,Poelmann RE,Gittenberger-de Groot AC

    更新日期:2004-09-01 00:00:00

  • Biochemical manifestations of oxygen toxicity in the newborn lamb.

    abstract::The purpose of this project was to study the role of lipid peroxidation in oxygen-induced lung injury in the newborn lamb. It was our hypothesis that injury to the microvascular bed of the lung by oxygen would coincide with a burst of peroxidative activity and would be accompanied by an increased rate of excretion of ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199012000-00014

    authors: Hansen TN,Smith CV,Gest AL,Smith HW,Giesler M

    更新日期:1990-12-01 00:00:00

  • Chronic neutropenia and defect in superoxide generation of granulocytes in two patients: enhancement of bactericidal capacity and respiratory burst activity by treatment with recombinant human granulocyte colony-stimulating factor.

    abstract::We have identified two unrelated girls with chronic neutropenia [absolute neutrophil counts (ANC) 10-870 and 10-940/microL in patients 1 and 2, respectively] and severe defect in superoxide anion generation by granulocytes. Formyl-methionyl-leucyl-phenylalanine-induced superoxide release was 1.2 +/- 0.9 and 1.9 +/- 1....

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199501000-00011

    authors: Káposzta R,Maródi L

    更新日期:1995-01-01 00:00:00

  • Assessment of long-term neurodevelopmental outcome following trials of medicinal products in newborn infants.

    abstract::There is significant uncertainty over the role of assessment of long-term neurodevelopmental outcome (LTO) in neonatal clinical trials. A multidisciplinary working group was established to identify key issues in this area and to make recommendations about optimal approaches to evaluate LTO in therapeutic trials in new...

    journal_title:Pediatric research

    pub_type: 杂志文章,评审

    doi:10.1038/s41390-019-0526-1

    authors: Marlow N,Doyle LW,Anderson P,Johnson S,Bhatt-Mehta V,Natalucci G,Darlow BA,Davis JM,Turner MA,International Neonatal Consortium (INC).

    更新日期:2019-11-01 00:00:00

  • Gestational age, sex and maternal parity correlate with bone turnover in premature infants.

    abstract::Factors affecting bone turnover in premature infants are not entirely clear but certainly are different from those influencing bones of adults and children. To identify fetal and maternal factors that might influence bone turnover, we prospectively studied 50 infants (30 preterm and 20 full-term) born at Ain Shams Uni...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000160591.70409.C8

    authors: Aly H,Moustafa MF,Amer HA,Hassanein S,Keeves C,Patel K

    更新日期:2005-05-01 00:00:00

  • A piglet survival model of posthypoxic encephalopathy.

    abstract::The aim of this study was to produce a neonatal piglet model which, avoiding vessel ligation, exposed the whole animal to hypoxia and produced dose-dependent clinical encephalopathy and neuropathologic damage similar to that seen after birth asphyxia. Twenty-three piglets were halothane-anesthetized. Hypoxia was induc...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199611000-00014

    authors: Thoresen M,Haaland K,Løberg EM,Whitelaw A,Apricena F,Hankø E,Steen PA

    更新日期:1996-11-01 00:00:00

  • VEGF mRNA and protein concentrations in the developing human eye.

    abstract:BACKGROUND:Vascular endothelial growth factor (VEGF), a well-characterized regulator of angiogenesis, has been mechanistically implicated in retinal neovascularization and in the pathogenesis of retinopathy of prematurity. However, the ontogeny of VEGF expression in the human fetal retina is not well known. Because ret...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2015.15

    authors: Ma IT,McConaghy S,Namachivayam K,Halloran BA,Kurundkar AR,MohanKumar K,Maheshwari A,Ohls RK

    更新日期:2015-04-01 00:00:00

  • The effects of bilirubin on evoked potentials and long-term potentiation in rat hippocampus in vivo.

    abstract::Neonatal jaundice is a common condition that could potentially lead to severe neurotoxicity. In this electrophysiological study we observed the effects of a short-term bilirubin injection on evoked potentials (population spike, PS) and long-term potentiation (LTP) in the hippocampal CA3 region of Sprague Dawley rats i...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000061563.63230.86

    authors: Zhang L,Liu W,Tanswell AK,Luo X

    更新日期:2003-06-01 00:00:00

  • Serum angiogenin levels in children and adolescents with insulin-dependent diabetes mellitus.

    abstract::Microangiopathy, one of the most important complications of diabetes mellitus in humans, is associated with increased angiogenic response and proliferative lesions in various organs. Angiogenin, a polypeptide with a molecular size of 14 kD, is a potent inducer of vascular growth. This study aimed at investigating whet...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199806000-00013

    authors: Malamitsi-Puchner A,Sarandakou A,Dafogianni C,Tziotis J,Bartsocas CS

    更新日期:1998-06-01 00:00:00

  • Measurement of cerebral blood flow in newborn infants using near infrared spectroscopy with indocyanine green.

    abstract::Cerebral blood flow (CBF) measurement by near infrared spectroscopy (NIRS) using oxyhemoglobin (HbO2) as a tracer (CBF-HbO2) needs rapid changes in arterial oxygen saturation (SaO2) which often cannot be achieved in many sick infants. An alternative method based on the same adaptation of the Fick principle using i.v. ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199801000-00006

    authors: Patel J,Marks K,Roberts I,Azzopardi D,Edwards AD

    更新日期:1998-01-01 00:00:00

  • Prostanoid biosynthesis by blood monocytes of children with hyperprostaglandin E syndrome.

    abstract::Hyperprostaglandin E syndrome (HPS), the prenatal variant of Bartter's syndrome, is characterized by a marked and selective stimulation of prostaglandin E (PGE2) synthesis. In the study group HPS patients showed increased urinary levels of PGE2, an index of renal, and of 11 alpha-hydroxy-9,15-dioxo-2,3,4,5,20-pentanor...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199708000-00019

    authors: Nüsing RM,Schaub TP,Klein T,Schweer H,Seyberth HW

    更新日期:1997-08-01 00:00:00

  • Selective impairment of taurine transport by cyclosporin A in a human placental cell line.

    abstract::We investigated, using a human placental choriocarcinoma cell line as a model, the effects of the immunosuppressive drug cyclosporin A on several placental transport systems mediating the transfer of glucose and amino acids from mother to fetus. The results of the investigation show that the transport system responsib...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199207000-00024

    authors: Ramamoorthy S,Leibach FH,Mahesh VB,Ganapathy V

    更新日期:1992-07-01 00:00:00

  • Kinetics of phytosterol metabolism in neonates receiving parenteral nutrition.

    abstract:BACKGROUND:Phytosterols in soybean oil (SO) lipids likely contribute to parenteral nutrition-associated liver disease (PNALD) in infants. No characterization of phytosterol metabolism has been done in infants receiving SO lipids. METHODS:In a prospective cohort study, 45 neonates (36 SO lipid vs. 9 control) underwent ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2015.78

    authors: Nghiem-Rao TH,Tunc I,Mavis AM,Cao Y,Polzin EM,Firary MF,Wang X,Simpson PM,Patel SB

    更新日期:2015-08-01 00:00:00

  • Association between pesticide usage during pregnancy and neonatal hyperbilirubinemia requiring treatment: the Japan Environment and Children's Study.

    abstract:BACKGROUND:Maternal exposure to pesticides during pregnancy may cause oxidative hemolysis leading to neonatal hyperbilirubinemia. This investigation examined for associations between maternal use of pesticides or repellents during pregnancy and neonatal hyperbilirubinemia requiring phototherapy. METHODS:We used the da...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-1100-6

    authors: Shibazaki T,Motoki N,Misawa Y,Ohira S,Inaba Y,Kanai M,Kurita H,Nakazawa Y,Tsukahara T,Nomiyama T,Japan Environment & Children’s Study (JECS) Group.

    更新日期:2020-08-05 00:00:00

  • Analysis of circulating T gamma/delta lymphocytes and CD16/56 cell populations in children and adolescents with Graves' disease.

    abstract::The aim of the present study was to determine the proportion of gamma/delta T-lymphocytes and CD16/CD56 (CD3- and CD3+) cells in the peripheral blood of children and adolescents with Graves' disease (GD; n = 27; mean age, 15.5 +/- 5.1 y) and nontoxic nodular goiter (NTNG; n = 25; mean age, 15.2 +/- 5.7 y), in comparis...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000076663.94850.44

    authors: Bossowski A,Urban M,Stasiak-Barmuta A

    更新日期:2003-09-01 00:00:00

  • Cases of neuroblastoma missed by the mass screening programs.

    abstract::Twenty-two reported cases of neuroblastoma missed by the mass screening programs were reviewed (six cases in Sapporo City where a quantitative measurement for both vanillylmandelic acid (VMA) and homovanillic acid (HVA) is used and 16 cases in the districts of qualitative judgment only for VMA), and some potential fac...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198912000-00018

    authors: Nishi M,Miyake H,Takeda T,Takasugi N,Sato Y,Hanai J,Kawai T

    更新日期:1989-12-01 00:00:00

  • Immunologic studies of arylsulfatase A in normal and metachromatic leukodystrophy liver.

    abstract::Purified human liver arylsulfatase A on polyacrylamide gel electrophoresis at pH 4.0 is separated into two protein forms with enzymatic activity and two distinct inactive subunits. All of these components were immunologically distinguishable using different antisera preparations. In late infantile metachromatic leukod...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197803000-00007

    authors: Shapira E,DeGregorio RR,Nadler HL

    更新日期:1978-03-01 00:00:00

  • High speed cinemicrographic studies on rabbit tracheal (ciliated) epithelia: determination of the beat pattern of tracheal cilia.

    abstract::High speed cinemicrographs reveal that the ciliary configuration and beat pattern of rabbit tracheal cilia differ significantly from classid descriptions, although the basic forward and return pattern is still observed. The tracheal cilia are short and stout (about 6 mum in length) and are of a slightly bent original ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197602000-00014

    authors: Cheung AT,Jahn TL

    更新日期:1976-02-01 00:00:00

  • In vitro studies of effects of light and riboflavin on DNA and HeLa cells.

    abstract::The widespread use of phototherapy for neonatal hyperbilirubinemia has caused some concern since substances other than bilirubin may be photoactivated. The toxic properties of these photoactivated substances might prove to be more harmful to the neonatal infant than bilirubin. The purpose of the present study was to i...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197503000-00009

    authors: Speck WT,Chen CC,Rosenkranz HS

    更新日期:1975-03-01 00:00:00

  • Spontaneous gonadotropin and testosterone concentration profiles in prepubertal and pubertal boys: temporal relationship between luteinizing hormone and testosterone.

    abstract::To investigate the detailed pattern of change in circulating gonadotropin and testosterone concentrations around the onset of puberty and to determine the temporal relationship between the gonadotropin and testosterone secretion, plasma gonadotropin and testosterone were measured at 20-min intervals for 24 h in 21 nor...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199308000-00026

    authors: Goji K,Tanikaze S

    更新日期:1993-08-01 00:00:00

  • Prenatal antidepressant exposure and child development at kindergarten age: a population-based study.

    abstract:BACKGROUND:Though prenatal antidepressant exposure has been associated with adverse developmental outcomes, the extent to which the effects are due to prenatal drug exposure or underlying maternal mood disturbances is unclear. METHODS:This was a population-based retrospective cohort study using administrative data fro...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-01269-6

    authors: Park M,Hanley GE,Guhn M,Oberlander TF

    更新日期:2020-12-09 00:00:00

  • Rare GATA5 sequence variants identified in individuals with bicuspid aortic valve.

    abstract:BACKGROUND:Bicuspid aortic valve (BAV) is the most common type of congenital heart disease (CHD) and has a proposed genetic etiology. BAV is categorized by cusp fusion, with right-left (R-L) cusp fusion being associated with additional CHD, and right-noncoronary cusp (R-NC) fusion being associated with aortic valve dys...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2014.67

    authors: Bonachea EM,Chang SW,Zender G,LaHaye S,Fitzgerald-Butt S,McBride KL,Garg V

    更新日期:2014-08-01 00:00:00

  • Monocyte chemoattractant protein-1 and its receptor CCR-2 in piglet lungs exposed to inhaled nitric oxide and hyperoxia.

    abstract::Monocyte chemoattractant protein-1 (MCP-1), acting through its C-C chemokine receptor 2 (CCR-2), has important roles in inflammation, angiogenesis, and wound repair. The individual and combined effects of inhaled nitric oxide (NO) and hyperoxia on lung MCP-1 and CCR-2 in relation to lung leukocyte dynamics are unknown...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200111000-00017

    authors: Ekekezie II,Thibeault DW,Garola RE,Truog WE

    更新日期:2001-11-01 00:00:00

  • Clinical and biochemical findings before and after portacaval shunt in a girl with type Ib glycogen storage disease.

    abstract::A girl presented with an important growth retardation, hepatomegaly, fasting hypoglycemia, lactic acidosis, increased serum cholesterol, triglycerides and uric acid, and increased liver glycogen (7.5%). There was no rise in blood glucose after IV galactose or fructose, but glucagon gave a delayed response. Type Ib gly...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198101000-00014

    authors: Corbeel L,Hue L,Lederer B,De Barsy T,Van den Berghe G,Devlieger H,Jaeken J,Bracke P,Eeckels R

    更新日期:1981-01-01 00:00:00