Pain, Acute, Premature
Conditions
Keywords
premature, pain score, Picc line
Brief summary
Peripheral central catheter application, especially in extremely low birth weight premature babies, is an intensive care follow-up procedure. There are many clinical studies in areas such as catheter type, skin disinfection, catheter duration, catheter infection. In our practice, it was observed that premature baby was less uncomfortable, the number of trials decreased, and the change in body temperature was less with the application of hot skin disinfection in our practice. With a prospective randomized study, the investigators wanted to document their observational data scientifically.
Detailed description
Babies under 32 gestation week and 1250 g who are treated at level 3 NICU and need peripheral central catheter will be included in the study. In the preparation of peripheral central catheter application, skin cleaning is performed with povidone iodine in our clinic. The investigators used during the povidione iodine preparation phase after heating the bain-marie method with sterile conditions. The investigators predicted that the premature baby would have less discomfort with warm povidion iodine. To demonstrate this, it was planned to take both video recordings during the application and N-PASS evaluation by an experienced person who does not know the povidone iodine temperature used .In preparation of the catheter except the person who did povidone iodine skin cleansing, nobody knows the heat. The catheters were administered by a single experienced person. The study was designed to be unaware of the povidin iodine application temperature of the person applying the catheter and the N-PASS assessment.
Interventions
OTHERwarm group/cold group
sequential randomization
Sponsors
Umraniye Education and Research Hospital
Zekai Tahir Burak Women's Health Research and Education Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
No minimum to 1 Months
Healthy volunteers
No
Inclusion criteria
below 32 gestational weeks and / or 1250 grams preterm babies neonates requiring total parenteral nutrition, antibiotic therapy for at least 7 days, -
Exclusion criteria
major congenital anomalilies refusal to sign consent patient with previously attemped or placed central lines \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change feeling of pain and restlessness in premature | every 10 seconds before the 5 minutes and during the procedure | Evaluation of pain score in the patient during the procedure with n-pass evaluation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| protection of body temperature | before 5 min, during procedure | body temperature monitoring before and during the incubator with skin temperature probe |
Countries
Turkey (Türkiye)
Contacts
Primary Contactfunda atay
Outcome results
None listed