Acute Pain, Agitation, Discomfort, Pain, Procedural
Conditions
Brief summary
The goal of this observational study is to develop methods that could provide continual monitoring of comfort levels for preterm neonates in hospitals.
Detailed description
As preterm neonates have not developed ways to communicate how they are feeling like children or adults do, clinicians must rely on their own understanding and professional judgements to decide how comfortable they are. It is known that preterm neonates can display emotion through ways such as facial expressions, body movements and changes in their physiology such as heart rate. The investigators will record both behavioural (audiovisual) and physiologic (heart rate, blood oxygen saturation) signals during routine clinical procedures ranging from comforting, through discomforting to painful that are necessary as part of high-quality medical care.
Interventions
None listed
Sponsors
Newcastle-upon-Tyne Hospitals NHS Trust
Newcastle University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 37 Weeks
Healthy volunteers
No
Inclusion criteria
* Preterm Infants born \<36 completed weeks of gestation * Medically stable * Written informed consent from parents
Exclusion criteria
* Infants with significant brain, spine, or congenital abnormality * Parents unwilling to provide consent * Infants with postmenstrual age \>36 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score Before Procedure | 1 minute recording before procedure | Score provided by nurses from Neonatal Pain, Agitation & Sedation Scale. Pain/Agitation scores range from 0-13, higher scores indicate higher pain/agitation levels. |
| Audiovisual signal Before Procedure | 1 minute starting before procedure | Bedside recording using camera and microphone. |
| Physiologic Signal Before Procedure: Heart Rate | 1 minute starting before procedure | Heart rate captured by bedside ECG monitor |
| Physiologic Signal Before Procedure: Blood Oxygen Saturation | 1 minute starting before procedure | Blood oxygen saturation captured by bedside oximetry monitor |
| Pain Score During Procedure | 1 minute recording during procedure | Score provided by nurses from Neonatal Pain, Agitation & Sedation Scale. Pain/Agitation scores range from 0-13, higher scores indicate higher pain/agitation levels. |
| Audiovisual Signal During Procedure | 1 minute during procedure | Bedside recording using camera and microphone |
| Physiologic Signal During Procedure: Heart Rate | 1 minute during procedure | Heart rate captured by bedside ECG monitor |
| Physiologic Signal During Procedure: Blood Oxygen Saturation | 1 minute during procedure | Blood oxygen saturation captured by bedside oximetry monitor |
| Pain Score After Procedure | 1 minute recording immediately after procedure | Score provided by nurses from Neonatal Pain, Agitation & Sedation Scale. Pain/Agitation scores range from 0-13, higher scores indicate higher pain/agitation levels. |
| Audiovisual Signal After Procedure | 1 minute immediately after procedure | Bedside recording using camera and microphone |
| Physiologic Signal After Procedure: Heart Rate | 1 minute immediately after procedure | Heart rate captured by bedside ECG monitor |
| Physiologic Signal After Procedure: Blood Oxygen Saturation | 1 minute immediately after procedure | Blood oxygen saturation captured by bedside oximetry monitor |
Countries
United Kingdom
Outcome results
None listed