Arch. Dis. Child

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH REGISTER


[Advanced]
The most recent version of this article was published on 1 September 2005

Arch. Dis. Child. Fetal Neonatal Ed.. Published Online First: 4 May 2005. doi:10.1136/adc.2004.069328
Copyright © 2005 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health
This Article
Right arrow Full Text (Rapid PDF)
Right arrow All Versions of this Article:
adc.2004.069328v1
90/5/F432    most recent
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this link to a friend
Right arrow Similar articles in ADC Online
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ogawa, S.
Right arrow Articles by Tamai, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ogawa, S.
Right arrow Articles by Tamai, H.

Original articles

Venepuncture is preferable to heel lance for blood sampling in term neonates

Satoru Ogawa 1, Tohru Ogihara 1*, Emi Fujiwara 1, Kazumi Ito 1, Mutsumi Nakano 1, Satsuki Nakayama 1, Tomomi Hachiya 1, Naomi Fujimoto 1, Hiroko Abe 1, Satoko Ban 1, Etsuko Ikeda 1 and Hiroshi Tamai 1

1 Osaka Medical College, Japan

* To whom correspondence should be addressed. E-mail: ped025{at}poh.osaka-med.ac.jp.

Accepted 7 March 2005


*   Abstract

Background:The analgesic effect of oral sucrose is generally accepted in newborn infants undergoing painful procedures. For blood sampling, some studies have shown that venepuncture (VP) is less painful than heel lance (HL).

Objective:To determine the least painful and the most effective method among blood sampling by VP or HL with or without sucrose.

Design:Randomized, double-blind placebo- controlled trial.

Subjects:One hundred healthy full-term newborn infants who underwent screening for inborn errors metabolism were randomly allocated to one of four experimental groups (25 infants each).

Intervention and outcome measure:Seven specially trained nurses performed blood sampling in turn at 2 minutes after administration of oral sucrose or water. Neonatal pain was assessed by the Neonatal Facial Coding System (NFCS), as well as by crying.

Results:Without sucrose, the NFCS score was higher in the HL group than the VP group during blood sampling (median: 58 vs. 23, p<0.001). Oral sucrose significantly reduced the score of the HL group (58 vs. 47, p<0.01) and also tended to reduce the score of the VP group (23 vs. 2, p<0.1). However, the HL with sucrose group still had a higher score than the VP without sucrose group (47 vs. 23, p<0.01). Crying and the total procedure time showed the same trends as the NFCS score.

Conclusions:VP is less painful and more effective than HL for blood sampling in newborn infants. Although oral sucrose may have an additive analgesic effect, it is not necessarily required if VP is used for blood sampling.

Keywords: Analgesia, Heel lance, Pain, Sucrose, Venepuncture




This article has been cited by other articles:


Home page
 PediatricsHome page
L. Codipietro, M. Ceccarelli, and A. Ponzone
Breastfeeding or Oral Sucrose Solution in Term Neonates Receiving Heel Lance: A Randomized, Controlled Trial
Pediatrics, September 1, 2008; 122(3): e716 - e721.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH REGISTER
ARCH DIS CHILD FETAL NEONATAL ED ED PRACTICE
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2005 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health