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Procedural pain guidelines for the newborn in the United Kingdom
1Department of Neonatology, St James University Hospital, Leeds, UK. lizmckechnie@hotmail.com
Objective:
To assess the use of analgesia guidelines for newborn infants in the United Kingdom.
Study Design:
Postal questionnaire to every neonatal unit in the United Kingdom.
Result:
A total of 192 of 244 units replied (78.7% response). Most units had a guideline for elective intubation (70%), sedation for ventilation (78%) post-operative pain (when appropriate) (74%). Less prevalent were guidelines for painful minor procedures (35%). Only 33% of units gave a sweet-tasting solution for analgesia before routine painful procedures and 12% used a topical anesthetic cream.
Conclusion:
Since the last survey in 2000 there has been a modest increased uptake in measures to prevent pain neonatal pain in the United Kingdom, but no pain guideline was present in almost 25% of units and no guideline for routine painful procedures in the majority.
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