Newborns undergoing painful procedure Signs and Symptoms Infant pain
Conditions
Interventions
Experimental arm one: 1 g of liposomal lidocaine to the dorsum of hand for 30 - 40 minutes prior to venipuncture and 2 ml of placebo water by mouth using a syringe over 1 - 2 minutes prior to venipunc
Sponsors
The Hospital for Sick Children (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All healthy full-term (greater than 37 weeks gestational age) newborn infants (either sex)
Exclusion criteria
Exclusion criteria: 1. Neonatal Intensive Care Unit (NICU) admission 2. Asphyxia, seizures 3. Major birth defects (heart, brain, genetic syndrome) 4. Circumcised during study 5. Receiving analgesia/sedatives
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Infant pain during venipuncture as assessed by facial grimacing response - the score will incorporate three facial actions: brow bulge, eye squeezed shut, naso-labial furrow, during venipuncture. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Visual Analog Scale (VAS), during venipuncture 2. Cry duration, during venipuncture 3. Heart rate, during venipuncture 4. Number of attempts until procedure completion, from first needle poke to completion 5. Endomorphins -1, -2, levels, before and 10 minutes after sucrose/sucrose placebo administration 6. Procedure duration, from first needle poke to completion 7. Lidocaine levels, 5 - 15 minutes after the liposomal lidocaine cream/placebo cream is removed | — |
Countries
Canada
Outcome results
None listed