Oral sucrose solution as a pre-immunization analgesic
A randomized controlled study
Keywords:
oral sucrose, FLACC scale, Breast feeding, Pentavac, AnalgesiaAbstract
Introduction: Painful procedures without adequate analgesia cause pain and suffering. The administration of oral sucrose is the most frequently studied behavioural and environmental intervention for the relief of procedural pain in newborn. Breast feeding is also an intervention studied frequently. Material and methods: The present study was a randomized controlled study conducted to assess and compare the analgesic effect of orally administered sucrose with that of breast feeding and controls during immunization in healthy infants using a validated behavioural acute pain rating scale. Approval was taken from institutional ethics committee prior to commencement of the study. 100 infants who met the inclusion criteria were included as study participants. They were randomly allocated into three groups, A (sucrose) and B (breast feeding) and C (control) [no intervention] of 33 to 34 infants each. Infants in group A (sucrose) receiving Inj Pentavac were given 2.0 ml of 24% oral sucrose 2 mins prior to vaccination and the infants behavior before and after the injection was observed and scored on FLACC Pain rating scale. Infants in group B (breast feeding) were breast fed 10 minutes prior to receiving vaccination and were also observed and scored on FLACC Pain rating scale.
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References
Craig KD, Lilley CM, Gilbert CA. Social barriers to optimal pain management in infants and children. Clin J Pain. 1996;12:232–42. [PubMed]
Anand KJS, Hickey PR. Pain and its effects in the human neonate and fetus. N Engl J Med. 1987;317:1321–1329. [PubMed]
Rodrigues AC, Guinsburg R. Pain evaluation after a non-nociceptive stimulus in preterm infants during the first 28 days of life. Early Hum Dev. 2013;89:75–9. [PubMed]
Grunau RE. Neonatal pain in very preterm infants: Long-term effects on brain, neurodevelopment and pain reactivity. Rambam Maimonides Med J. 2013;4:e0025. [PubMed]
Denk F, McMahon SB, Tracey I. Pain vulnerability: A neurobiological perspective. Nat Neurosci. 2014;17:192–200. [PubMed]
Low LA, Fitzgerald M. Acute pain and a motivational pathway in adult rats: Influence of early life pain experience. PLos One. 2012;7:e34316. [PubMed]
Schwaller F, Fitzgerald M. The consequences of pain in early life: Injury-induced plasticity in developing pain pathways. Eur J Neurosci. 2014;39:344–52. [PubMed]
Carbajal R, Chauvet X, Couderc S, Olivier-Martin M. Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates. BMJ : British Medical Journal. 1999;319(7222):1393-1397.
Lewindon PJ, Harkness L, Lewindon N. Randomised controlled trial of sucrose by mouth for the relief of infant crying after immunisation. Arch Dis Child. 1998;78(5):453–6.[PubMed]
Blass EM, Hoffmeyer LB. Sucrose as an analgesic for newborns infants. Pediatrics. 1991;87:215–218.[PubMed]
Blass EM. Milk-induced hypoalgesia in human newborns. Pediatrics.1997 ;99:825–829. [PubMed]
Rushforth JA, Levene MI. Effect of sucrose on crying in response to heel stab. Arch Dis Child. 1993;69:388–389. [PubMed]
Haouari N, Wood C, Griffiths G, Levene M. The analgesic effect of sucrose in full term infants: a randomised controlled trial. BMJ. 1995;310:1498–1500. [PubMed]
Blass E, Fitzgerald E, Kehoe P. Interactions between sucrose, pain and isolation distress. Pharmacol Biochem Behav. 1987;26:483–489. doi: 10.1016/0091-3057(87)90153-5. [PubMed]
Curtis SJ, Jou H, Ali S, Vandermeer B, Klassen T. A randomized controlled trial of sucrose and/or pacifier as analgesia for infants receiving venipuncture in a pediatric emergency department. BMC Pediatrics. 2007;7:27.
Elserafy FA, Alsaedi SA, Louwrens J, Sadiq BB, Mersal AY. Oral sucrose and a pacifier for pain relief during simple procedures in preterm infants: a randomized controlled trial. Annals of Saudi Medicine. 2009;29(3):184-188.
Sahebihag MH, Hosseinzadeh M, Mohammadpourasl A, Kosha A. The effect of breastfeeding, oral sucrose and combination of oral sucrose and breastfeeding in infant’s pain relief during vaccination. Iranian Journal of Nursing and Midwifery Research. 2011;16(1):
Hatfield LA. Neonatal pain: What’s age got to do with it? Surgical Neurology International. 2014;5(Suppl 13):S479-S489.
Stevens B, Yamada J, Ohlsson A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev. 2010;1:CD001069. [PubMed]
Stevens B, Taddio A, Ohlsson A, Einarson T. The efficacy of sucrose for relieving procedural pain in neonates—a systematic review and meta-analysis. Acta Paediatr. 1997;86:837–842. [PubMed]
Efe E, Savaser S. The effect of two different methods used during peripheral venous blood collection on pain reduction in neonates. Agri. 2007;19(2):49–56. [PubMed]
Carbajal R, Veerapen S, Couderc S, Jugie M, Ville Y. Analgesic effect of breast feeding in term neonates: randomised controlled trial. BMJ. 2003;326(7379):13. [PubMed]
Bauer K, Ketteler J, Hellwing M, Laurenz M, Versmold H. Oral glucose before vein puncture relieves neonates of pain, but stress is still evidenced by increase in oxygen consumption energy expenditure and heart rate. Pediatrics. 2004;55(4):695–700. [PubMed]
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