Pain, Acute Clinical Trial
Official title:
The Role of Time Interval Elimination on Pain Control of Preterm Infants by Sucrose Administration
Verified date | July 2022 |
Source | Gulhane School of Medicine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Purpose. It has been demonstrated clearly that sucrose solutions given before a minor painful procedure can reduce pain among newborns. But, there are no entirely accepted conclusions about the time scheduling of sucrose administration prior to heel lance. In a few studies, various time intervals between sucrose intake and heel lance procedure have been proposed. The aim of this study was to obtain a deeper knowledge of the underlying mechanism by investigating whether a different initiation of heel lance in terms of timing would reduce the effect of orally administered sucrose at heel lance among preterm newborns. Methods. A randomized, double-blind trial with a validated, neonatal, pain-scoring scale in Gulhane Medical School Hospital in Ankara, Turkey between March 2019 and January 2021. The trial included 69 preterm newborns undergoing heel lance, who were assigned randomly to 1 of 2 groups, ie, group I, with the 2-minute-time interval of per oral 24% sucrose given prior to heel lance or group II, without a time interval of per oral sucrose given prior to heel lance. Pain-related behavior during blood sampling was measured with the Premature Infants Pain Profile-Revised (PIPP-R). Crying incidence, duration, and heart rate were also recorded. The aim of this study was to help to clarify the mechanism underlying the pain-reducing effect of orally administered sucrose by attempting to determine whether elimination of the time interval prior to heel lance would reduce the effect of oral sucrose among preterm newborns. Investigators hypothesized that there would be a significant difference in pain intensity without a waiting period after sucrose ingestion, measured at 30 and 60 s following heel lance using PIPP-R, and adverse events would be higher.
Status | Completed |
Enrollment | 98 |
Est. completion date | March 30, 2022 |
Est. primary completion date | January 31, 2021 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 1 Day to 90 Days |
Eligibility | Inclusion Criteria: - Infants who are premature born ( = 27 0/7 weeks of gestation) - Infants who are at the postconceptional age from 34 0/7- 37 6/7 weeks of gestation - Normal enterally fed with human milk or formula - Infants whose mothers consented to study participation Exclusion Criteria: - Infants who were born depressed or with birth trauma - Infants who have previous surgery - Infants who have an intraventricular hemorrhage - Infants who show signs of respiratory distress - Infants who have an infection - Infants with significant genetic disorders - Infants who were on sedatives, muscle relaxants, and antiepileptic - Infants who were born to opioid-using mothers - Infants whose parents were unable to provide written informed consent |
Country | Name | City | State |
---|---|---|---|
Turkey | University of Health Sciences, Gulhane Medicine Faculty, Department of Pediatrics, Division of Neonatology | Ankara |
Lead Sponsor | Collaborator |
---|---|
Gulhane School of Medicine | Ankara University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Premature Infant Pain Profile-Revised (PIPP-R) | The PIPP-R is a seven indicator composite pain measure consisting of three behavioural (facials actions of brow bulge, eye squeeze, naso-labial furrow), two physiological (heart rate, oxygen saturation), and two contextual (gestational age, behavioural state) indicators validated for pain measurement in infants 26-44 weeks' gestation. A score of <7 is indicative of minimal pain and a score = 12 is indicative of moderate to severe pain. | 30 seconds | |
Primary | Premature Infant Pain Profile-Revised (PIPP-R) | The PIPP-R is a seven indicator composite pain measure consisting of three behavioural (facials actions of brow bulge, eye squeeze, naso-labial furrow), two physiological (heart rate, oxygen saturation), and two contextual (gestational age, behavioural state) indicators validated for pain measurement in infants 26-44 weeks' gestation. A score of <7 is indicative of minimal pain and a score = 12 is indicative of moderate to severe pain. | 60 seconds | |
Secondary | Crying incidence | The proportion of infants who cry during the heel lance procedure | 120 seconds | |
Secondary | Crying duration | The mean crying time in infants who cry | 120 seconds | |
Secondary | Heart rate | The mean heart beat rate in a minute | 30 seconds | |
Secondary | Heart rate | The mean heart beat rate in a minute | 60 seconds |
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