Medidas preventivas não farmacológicas para o alívio da dor neonatal
DOI:
https://doi.org/10.33233/eb.v10i3.3861Resumen
O estudo apresenta uma revisão bibliográfica cujo objetivo foi conhecer e divulgar as medidas preventivas e não farmacológicas para o alívio da dor neonatal. Foi realizada busca de artigos científicos através das bases de dados do Medline, Scielo e Lilacs com as palavras-chave: dor; recém-nascido; alívio; não-farmacológico. A literatura revela que as medidas não farmacológicas são capazes de bloquear a transmissão nociceptiva da dor, promovendo o seu alívio e prevenção. Os analgésicos usados nas unidades de terapia intensiva neonatal para reduzir a percepção da dor são mais eficazes quando associados a estas medidas, observando-se sinais de alívio da dor em neonatos durante procedimentos dolorosos. A eficácia das medidas não farmacológicas no alívio da dor em recém-nascidos é bem documentada na literatura. No entanto, ainda não existem conclusões definitivas sobre o esquema de uso de doses específicas para algumas delas.
Palavras-chave: dor, recém-nascido, analgesia, eficácia.
Citas
Franck L, Lawhon G. Environmental and behavioral strategies to prevent and manage neonatal pain. Semin Perinat 1998;22:434-43.
Barker DP, Rutter N. Exposure to invasive procedures in neonatal intensive care unit admissions. Arch Dis Child 1995;72:47-8.
Grunau RE, Whitfield MF, Petrie-Thomas J, Synnes AR, Cepeda, IL, Keidar A et al. The analgesic effect of sucrose in full term infants: a randomized controlled trial. BMJ 1995;310:1498-500.
Fitzgerald M, Beggs S. The neurobiology of pain: developmental aspects. Neuroscientist 2001;7:246-57.
Guinsburg R. Avaliação e tratamento da dor no recém-nascido. J Pediatr 1999;75:149-60.
Anand KJS, Hickey PR. Pain and its effects in the human neonate and fetus. N Engl J Med 1987;317:1321-9.
Christoffel MM. Tão simples.... tão complexo cuidar do recém-nascido que sente dor. Enfermagem Brasil 2007;6:283-4.
Porter FL, Wolf CM, Gold J, Lotsoff D, Miller JP. Pain and pain management in newborn infants: a survey of physicians and nurses. Pediatrics 1997;100:626-32.
Chermont AG, Guinsburg R, Balda RCX, Kopelman BI. What do pediatricians know about pain assessment and treatment in newborn infants? J Pediatr 2003;79:265-72.
Prestes ACY, Guinsburg R, Balda RCX, Marba STM, Rugolo LMSS, Pachi PR, et al. The frequence of pharmacological pain relief in university neonatal intensive care units. J Pediatr (Rio J) 2005;81:405-10.
Corff KE, Seideman R, Venkataraman PS, Lutes L, Yates B. Facilitated tucking: a nonpharmacologic comfort measure for pain in preterm neonates. J Obstet Gynecol Neonatal Nurs 1995;24:143-7.
Taddio A. Opioid analgesia for infants in the neonatal intensive care unit. Clin Perinatol 2002;29:493-509.
Chatterjee T, Chatterjee D. Practical approach to neonatal analgesia. Indian Pediatr 2002;39:437-43.
Stevens B, Gibbins S, Franck LS. Treatment of pain in the neonatal intensive care unit. Pediatr Clin North Am 2000;47:633-50.
Gaspardo CM, Linhares MB, Martinez FE. The efficacy of sucrose for the relief of pain in neonates: a systematic review of the literature. J Pediatr (Rio J) 2005;81:435-42.
Derebent E,YiÄŸit R. Non-pharmacological pain management in newborn. F U SaÄŸlik Bil Dergisi 2008;22:113-8.
Golestan M, Karbasi SA, Modares-Mosadegh M, Sadr-Bafghi M. Analgesic effects of glucose and water in neonates. Acta Med Iran 2007;45:461-5.
Smith BA, Filton TJ, Blass EM. Orally mediated sources of calming in 1- to 3 day-old human infants. Dev Psychol 1990;26:731-7.
Schollin J. Analgesic effect of expressed breast milk in procedural pain in neonates. Acta Paediatr 2004;93:453-5.
Bilgen H, Ozek E, Dilsat C, Örs R. Comparison of sucrose, expressed breast milk, and breast-feeding on neonatal response to heel prick. J Pain 2001;2:301-5.
Overgaard C, Knudsen A. Pain-relieving effect of sucrose in newborns during heel prick. Biol Neonate 1999;75:279-84.
Gormally S, Barr R, Wertheim L, Alkawaf R, Calinoiu N, Young S. Contact and nutrient care giving effects on newborn infant pain responses. Dev Med Child Neurol 2001;43:28-38.
Leite AM, Castral TC, ScochI CGS. La lactancia puede promover alivio del dolor agudo en recién-nacidos? Rev Bras Enferm 2006;59:538-42.
Ministério da Saúde, Secretaria de PolÃticas de Saúde, Ãrea da Saúde da Criança. Atenção humanizada ao recém-nascido de baixo peso: método mãe-canguru: manual do curso / Secretaria de PolÃticas de Saúde, Ãrea da Saúde da Criança, 1ª ed. BrasÃlia: Ministério da Saúde; 2002.
Johnston CC, Filion F, Snider L, Majnemer A, Limperopoulos C, Walker C et al. Routine sucrose analgesia during the first week of life in neonates younger than 31 weeks' postconceptional age. Pediatrics 2002;110:523-8.
Ludington-Hoe SM, Swinth JY. Developmental aspects of kangaroo care. J Obstet Gynecol Neonatal Nurs 1996;25:691-703.
De Leeuw R, Colin EM, Dunnebier EA, Mirmiran M. Physiologic effects of kangaroo care in very small preterm infants. Biol Neonate 1991;59:149-55.
Bartolomé MS, López-Herce J, Freddi N. Analgesia and sedation in children: practical approach for the most frequent situations. J Pediatr 2007;83:71-82.
Vidal MA, Calderón E, MartÃnez E, Gonzálvez A, Torres LM. Dolor en neonatos. Rev Soc Esp Dolor 2005;12:98-111.
Jorgensen K, Hon D. Pain assessment and management in the newborn infant. J Peri Anesth Nurs 1999;14:349-56.
Field T, Goldson E. Pacifying effects of nonnutritive sucking on term and preterm neonates during heelstick procedures. Pediatrics 1984;74:1012-5.
Caetano LC, Fujinaga CI, Scochi CGS. Non-nutritive sucking in pre-term infants: a bibliographic study. Rev Latinoam Enferm 2003;11:232-6.
Tsao CIJ, Evans S, Meldrum M, Altman T, Zeltzer LK. A Review of CAM for procedural pain in infancy: Part I. Sucrose and non-nutritive sucking. Evid Based Complement Alternat Med 2008;5:371-81.
Carbajal R, Lenclen R, Gajdos V, Jugie M, Paupe A. Crossover trial of analgesic efficacy of glucose and pacifier in very preterm neonates during subcutaneous injections. Pediatrics 2002;110:389-93.
Silva YP, Gomez RS, Máximo TA, Silva ACS. Sedation and analgesia in neonatology. Rev Bras Anestesiol 2007;57:575-87.
Collins C T, Ryan P, Crowther CA, McPhee AJ, Paterson S, Hiller JE. Effect of bottles, cups, and dummies on breast feeding in preterm infants: a randomized controlled trial. BMJ 2004;329:193-8.
Mitchell A, Waltman PA. Oral sucrose and pain relief for preterm infants. Pain Manag Nurs 2003;4:62-69.
Abad F, DÃaz N, Domenech E, Robayna M, Rico J. Oral sweet solution reduces pain-related behavior in preterm infants. Acta Paediatr 1996;85:854-8.
Blass E, Miller L. Effects of colostrum in newborn humans: dissociation between analgesic and cardiac effects. J Dev Behav Pediatr 1996;22:385-90.
Akman I, Ozek E, Bilgen H, Ozdogan T, Cebeci D. Sweet solutions and pacifiers for pain relief in newborn infants. Pain 2002;3:199-202.
Blass EM, Hoffmeyer LB. Sucrose as an analgesic for newborn infants. Pediatrics 1991;87:215-8.
Castral TC, Warnock F, Leite AM, Haas VJ, Scochi CGS. The effects of skin-to-skin contact during acute pain in preterm newborns. Eur J Pain 2008;12:464-71.
Anand KJ, Barton BA, Mcintosh N, Lagercrantz H, Pelausa E, Young TE et al. Analgesia and sedation in preterm neonates who require ventilatory support: results from the NOPAIN trial. Neonatal outcome and prolonged analgesia in neonates. Arch Pediatr Adolesc Med 1999;153:331-8.
Anand KJS and the International Evidence-Based Group for Neonatal Pain. Consensus statement for the prevention and management of pain in the newborn. Arch Pediatr Adolesc Med 2001;155:173-80.
Arnon S, Shapsa A, Forman L, Regev R, Bauer S, Litmanovitz I et al. Live music is beneficial to preterm infants in the neonatal intensive care unit environment. Birth 2006;33:131-6.
Golianu B, Krane E, Seybold J, Almgren C, Anand KJ. Non-pharmacological techniques for pain management in neonates. Semin Perinatol 2007;31:318-22.
