Development
Conditions
Keywords
Preterm infant, pain, neurodevelopment
Brief summary
The purpose of this study is to determine the effect of sucrose 24% for pain prevention on preterm infants. Our hypothesis is that repeated doses of sucrose 24%, given prior to painful procedure,do not impair neurodevelopmental outcomes of preterm infants
Detailed description
preterm infants born at 27-33 weeks gestational age at Sheba Medical Center will be recruited for this study. Prior to invasive procedure infants will be treated with pacifier and swaddling as recommended by the American Academy of Pediatrics and Canadian Pediatric Society. Group 1.Will be treated with Sucrose 24% 0.1-0.5ml on the anterior pat of the tongue 1-3 min prior to invasive procedure. Group 2. Similar to group 1 but breast milk or formula will replace Sucrose. Number of invasive procedures/day will be documented General Movements by Prechtel will be used for developmental assessment at 2,4,6 weeks after birth and at 14-16 weeks corrected age Griffiths developmental scales (GMDS) will be used at 40 weeks, 14-16 weeks corrected age, and 3-6 month corrected age
Interventions
unlimited number of doses par day- current status in our NICU
1-3 minutes prior to every painful procedure, breast milk or formula 0.5-1 ml will be given on the anterior part of the tongue
Sponsors
Study design
Eligibility
Inclusion criteria
* preterm infants born at SMC
Exclusion criteria
* need for intubation * surgery * need for sedation * abnormal head ultrasound * genetic abnormalities * necrotizing enterocolitis * other painful conditions other than routine blood exams
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| neurodevelopmental outcomes | at 6 month corrected age | Griffith mental developmental scaled (gross and fine motor, language, performance, social) and General movements by Prechtel |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| neurodevelopment | at 15 weeks corrected age | Griffith mental developmental scaled (gross and fine motor, language, performance, social) and General movements by Prechtel |
Countries
Israel