Abstract
Objective: To study the physiological and behavioral response to pain.Methods: 80 healthy neonates requiring bilirubin estimation, blood sugar etc. were randomly assigned to receive a venous puncture. All parameters were recorded 10 minutes prior, during and 10 minutes after the procedure. Evaluated NIPS score and RR., HR, NIBP and 02 saturation observed on Datex-Ohmeda multimonitor.Results : After the venepuncture, heart rate (p<0.001 ) and blood pressure (p<0.001 ) were significantly increased in both the groups but more significant increase was present in Group l(>2.5kg) as compared to Group II (>2.5kg). Respiratory rate was also increased but more significant in Group II(p<0.001) whereas Oxygen saturation was decreased in both the groups but more significant in Group I (p<0.001). Median Neonatal Infant Pain Scale (NIPS) score was higher in both the Groups (p<0.001 ).Conclusion : The outcome measures appear to be reliable indices of term neonates responses to painful stimulation. NIPS are suitable instruments for neonatal pain evaluation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Pereira AL, Guinsburg de Almeida, MF, Montriro AC, dos Santos AM, Kopelmen BIet al. Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants.Sao Paulo Med J 1999; Mar 4; 117(2): 72–80.
Anand KJS, Hickey PR. Pain and its effects in the human neonates and fetus.New Eng J Med 1988; 317: 1321–1329.
Mathew PJ, Mathew JL. Assessment and management of pain in infants.Postgraduate Medical Journal 2003; 79: 438–443.
Dollberg S, Stolik-Dollberg O. Prevention and pain management in term and preterm infants.Harefuah 2004 Jan; 143 (1): 54–59,84.
Bozzette M. Observation of pain behavior in the NICU: an exploratory study.J Perinat Neonatal Nurs 1993 Jun;7(l):76–87.
Mclntosh N, Van Veen L, Brameyer H. The pain of heel prick and its measurement in preterm infants.Pain 1993 Jan; 52(1): 71–74.
Linda J, Van Marter, Pryor CC. Management of pain and stress in the NICU. In Cloharty JP, Eichenwald EC, Stark AR, eds.Manual of Neonatal Care. 5th edn. Philadelphia; Lippincott, Williams and Wilkins, 2004; 703–715.
Shah V, Ohlsson. A Venepuncture versus heel lance for blood sampling in term neonates. The Cochrane Library, Issue 2, 2005. http://www.nichd.nih.gov/Cochrane/shah/shah.HTM.
Owens ME, Todt EH. Pain in infancy: Neonatal reaction to heel lance.Pain 1984; 20: 74–77.
Van Cleve L, Johnson L, Andrews S, Hawkins S, Newbold J. Pain response of hospitalized neonates to venipuncture.Neonatal Network 1995; 14: 31–36.
Harmesh Singh, Daljit Singh, R.K. Soni. Comparison of pain response to venepuncture between term and preterm neonates.Indian Pediatr 2000; 179–181.
Gessler P, Cignacco Eet al. Measures for the assessment of pain in neonates as well as a comparison between the Bernese Pain Scale for Neonates (BPSN) with the Premature Infant Pain Profile (PIPP).Klin Pediatr 2004 Jan–Feb; 216(1): 16–20.
Brown L. Phsiologic responses to cutaneous pain in neonates.Neonatal Network 1987; 5: 18–23.
Johnston CC, Stevens B, Craig KD, Grunau RV. Developmental changes in pain expression in premature, full-term, twoand four-month-old infants.Pain 1993 Feb; 52(2): 201–208.
Rushforth JA, Levene MI. Behavioral responses to pain in healthy neonates.Arch Dis Child 1994; 70: 174–176.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Taksande, A.M., Vilhekar, K.Y., Jain, M. et al. Pain response of neonates to venipuncture. Indian J Pediatr 72, 751–753 (2005). https://doi.org/10.1007/BF02734146
Issue Date:
DOI: https://doi.org/10.1007/BF02734146