Pain
Conditions
Keywords
Venepuncture, Pain, Emla cream, Oral sucrose solution, Premature infant, Premature infant admitted to the care baby unit were, included in the study., Programed venepuncture is performed with analgesia.
Brief summary
This randomized bicentric trial will investigate the efficacy of topical EMLA cream with oral sucrose solution compared to oral sucrose solution alone before venepuncture in preterm infants.
Detailed description
Venepuncture is a painful procedure commonly performed in premature infants. Nonpharmacological intervention (oral sucrose solution) can reduce neonatal pain. EMLA cream is an oil in water emulsion of an eutectic mixture of prilocaine and lignocaine; it is an local anesthetic cream. Very few reports have looked at the efficacy of EMLA in preterm infants. This randomized bicentric trial will investigate the efficacy of topical EMLA cream with oral sucrose solution compared to oral sucrose solution alone before venepuncture in preterm infants.
Interventions
venepuncture
Sponsors
Study design
Eligibility
Inclusion criteria
* preterm infants (gestational age between 26 and 37 weeks) * programmed venepuncture * APGAR score (M5)≥ 7 * enteral feeding * written parental consent
Exclusion criteria
* infant requiring oxygen * analgesia or sedation or drugs causing methaemoglobinaemia * congenital porphyria * G6PD deficit * multi organ failure * convulsion * dermatosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Association of oral sucrose solution and EMLA cream will reduce pain responses in premature infant for venepuncture.A combination of physiological and behavioural responses are used for the measurement of pain in neonates : DAN score and PIPP. | in 24 hours | Association of oral sucrose solution and EMLA cream will reduce pain responses in premature infant for venepuncture.A combination of physiological and behavioural responses are used for the measurement of pain in neonates : DAN score and PIPP. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical units providing health care in newborns develop written guidelines and protocols for the management of neonatal pain, like venepuncture with the combination of sucrose oral solution and EMLA cream. | in the 24 hours | Clinical units providing health care in newborns develop written guidelines and protocols for the management of neonatal pain, like venepuncture with the combination of sucrose oral solution and EMLA cream. |
Countries
France