Dor.Prematuro
Conditions
Interventions
Fifty premature neonates hospitalized in the neonatal ICU will be recruited and randomly divided into two groups: Treated group (n = 25) and Treated group (n = 25). The treated group, with 25 newborns
Procedure/surgery
Sponsors
Universidade Federal de Alfenas
Universidade Federal de Alfenas
Eligibility
Age
1 Days to 30 Weeks
Inclusion criteria
Inclusion criteria: Premature newborns with gestational age 32-36 weeks and 6 days; Newborn requiring venous blood;
Exclusion criteria
Exclusion criteria: Neonates with neurologic, cardiac and gastrointestinal malformations; Neonates using medicines that interfere with hemodynamic parameters (Dobutamine, Dopamine, Fentanyl, Midazolam, Diazepam, Caffeine Citrate, Aminophylline, Chloral Hydrate and Ranitidine); Peripheral venipuncture in the cephalic region.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodynamic stability, heart rate (120 to 160bpm) and oxygen saturation (90 to 100%) were expected, with reduction of behavioral changes (sleep, alertness and crying) in neonates submitted to facilitated containment. To do so, they were evaluated in the following four moments: before peripheral venous puncture (T1); soon after the end of this procedure (T2); 3 minutes after the end of the procedure (T3) and 5 minutes after the procedure (T4). The parameters used were heart rate, oxygen saturation (hemodynamic) and sleep and wake - sleep, alertness and crying (behavioral).;Analyzing the raw data, there seems to have been a slight discrete change in behavioral factors. However, when the hemodynamic parameters (heart rate and oxygen saturation) and behavioral (sleep and wake) parameters of the two groups of neonates were compared, no variation was statistically significant (p> 0.05). In other words, the time of venipuncture did not cause a significant change in the heart rate and oxygen saturation of the baby and, therefore, remained within the normal range. | — |
Secondary
| Measure | Time frame |
|---|---|
| It was expected that there was a stability in the heart rate (120 to 160bpm), oxygen saturation (90 to 100%), these parameters, evaluated before the beginning of the puncture by means of multiparametric monitor evaluation and sleep and wakefulness (alert, sleep and crying) evaluated by the behavior of the treated group that received the facilitated containment during the painful procedure. The evaluation of these parameters was also performed in the four moments: before the beginning of the peripheral venous puncture (T1); soon after the end of this procedure (T2); 3 minutes after the end of the procedure (T3) and 5 minutes after the procedure (T4).;There was stability in all hemodynamic parameters, heart rate (120 to 160bpm) (p = 1.7), oxygen saturation (90 to 100%) (p = 8.9), and behavioral changes alert, sleep and crying) p> 0.05) evaluated in the group that had the containment facilitated. That is, the parameters of heart rate and oxygen saturation did not exceed the standard of normality. | — |
Countries
Brazil
Contacts
Public ContactDenis;Evellin Moreira;Alfredo
Universidade Federal de Alfenas;Universidade Federal de Alfenas
Outcome results
None listed