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Sedation and analge...
Sedation and analgesia for neonates in NICUs across the United Kingdom : The Europain survey.
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- Carbajal, Ricardo (författare)
- Trousseau Hospital, Paris, France; Inserm U953, Paris, France; UPMC, Paris, France
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- Courtois, Emilie (författare)
- Trousseau Hospital, Paris, France; Inserm U953, Paris, France; UPMC, Paris, France
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- Eriksson, Mats, 1959- (författare)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Stress och smärta i nyföddhetsperioden
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- Lagercrantz, Hugo (författare)
- Karolinska University Hospital, Stockholm, Sweden
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- Boyle, Elaine M (författare)
- University of Leicester, Leicester, UK
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(creator_code:org_t)
- 2014-06-09
- 2014
- Engelska.
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Ingår i: Archives of Disease in Childhood. - London, United Kingdom : BMJ Group. - 1359-2998 .- 1468-2052. ; 99 (Suppl 1), s. A62-A62
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Pain and stress induced by mechanical ventilation, invasive procedures, or painful diseases supports the use of sedation/analgesia (S/A) in newborns admitted to Neonatal Units (NNUs). To date, these practices have not been studied on a large scale.Objective: To determine current clinical practices regarding the use of S/A drugs in NNUs across the United Kingdom (UK).Design/Methods: A European epidemiological observational study on clinical practices regarding bedside use of S/A collected data for all neonates in participating NNUs until the infant left the unit (discharge, death, transfer) or for up to 28 days. Data collection occurred via an online database for 1 month at each NNU. Neonates up to 44 weeks gestation were included.Results: From February 2013 to May 2013, 66 UK NNUs collected data on 2691 eligible neonates. Of these, 713 received tracheal ventilation and 1978 had spontaneous breathing or non-invasive ventilation. The median (IQR) gestational age of ventilated neonates [32.1 (27.9-38.6)] was lower than for non-ventilated neonates [37.0 (34.1-39.7), p < 0.001]. Overall, more ventilated neonates [83.0% (n = 592)] received S/A drugs than non-ventilated neonates [7.4% (n = 147); p < 0.001]. The table shows S/A drugs used in ventilated neonates. fetalneonatal;99/Suppl_1/A62-b/T1T1T1 Abstract PC.77 Table Ventilated and S/A, n = 592 Non-ventilated, and S/A n = 147 Fentanyl 105 (17.7%) 4 (2;7%) Midazolam 55 (9.3%) 3 (2.0%) Paracetamol 17 (2.9%) 92 (62.6%) Morphine 592 (91.6%) 44 (29.9%) Sufentanil 2 (0.3%) 0 Neuroblocker 352 (59.4%) 0 CONCLUSIONS: Most ventilated but few non-ventilated neonates receive S/A therapy in UK NNUs. Wide variations in rates of S/A use and drugs used exist among centres.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Pain
- Newborn
- Neonatal
- Pain Assessment
- Caring Sciences w. Medical Focus
- Omvårdnadsforskning med medicinsk inriktning
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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