A cross-sectional survey of pain and pharmacological analgesia in Canadian Neonatal Intensive Care Units.
To determine current practices for the use of analgesia in term and preterm neonates cared for in Neonatal Intensive Care Units (NICUs).
One-week survey of medical charts of current patients.
NICUs in Canada.
A total of 14 of 38 invited NICUs participated.
These units were not different on number of beds, admissions per year, or university affiliation from the non-participating units.
Main Outcome Measures
Daily logs were kept of the frequency and type of procedures and analgesia administration for all ill neonates in each NICU during the study period.
The sample consisted of 239 patients.
A total of 2,134 invasive procedures were performed.
Medication was given specifically 18 times for 17 invasive procedures (0.8%). For another 129 invasive procedures, the patient was receiving analgesia for reasons other than the procedure.
Sixteen patients had surgery during the survev period, and another 14 had surgery prior to but within 4 days of the survey.
Fifty-one patients received anaesthesia or analgesia specifically related to surgery (39 times), procedures (35 times), or other reasons (34 times), a total of 108 courses.
Opioids were the most frequently used medications and were given for all reasons, by continuous infusion, intermittent bolus, or sometimes both methods for the same patient. (...)
Mots-clés Pascal : Unité soin intensif, Canada, Amérique du Nord, Amérique, Douleur, Analgésique narcotique, Chimiothérapie, Opiacés, Incidence, Etude transversale, Traitement, Modalité traitement, Indication, Nouveau né, Homme, Epidémiologie
Mots-clés Pascal anglais : Intensive care unit, Canada, North America, America, Pain, Narcotic analgesic, Chemotherapy, Opiates, Incidence, Cross sectional study, Treatment, Application method, Indication, Newborn, Human, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0062733
Code Inist : 002B02B05. Création : 14/05/1998.