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Updated: May 6, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Oral sucrose for pain control in nonneonate infants during minor painful procedures
Jamie Michelle McCall1, Claire DeCristofaro, Lydia Elliott
1WNC Family Medical Center, PLLC, Hendersonville, North Carolina.
Insights
Oral sucrose solution effectively reduces pain in infants aged 1-12 months during immunizations and venipuncture. This analgesic is easy to administer and widely available for minor painful procedures.
Area of Science:
- Pediatrics
- Pain Management
- Pharmacology
Background:
- Infants frequently undergo painful procedures like immunizations and venipuncture within the first year of life.
- Effective pain management is crucial for infant well-being during these common medical interventions.
Purpose of the Study:
- To evaluate the efficacy of oral sucrose as an analgesic for painful procedures in infants.
- To provide guidance on the appropriate use of oral sucrose for pain reduction in infants.
Main Methods:
- Systematic review of evidence-based literature.
- Inclusion of original clinical trials, reviews, and clinical practice guidelines.
Main Results:
- A 24% oral sucrose solution, administered at 2 mL two minutes prior to procedures, is effective in reducing pain.
- This method is proven effective for immunizations and venipuncture in infants aged 1-12 months in outpatient settings.
Conclusions:
- Oral sucrose is a recommended pain reduction intervention for infants up to 12 months undergoing minor painful procedures.
- Its effectiveness, safety profile, ease of use, and availability make it a practical choice.
- Further research is recommended on optimal dosing, concentration, and combination with non-pharmacologic interventions.
Purpose:
To provide information regarding the effective use of oral sucrose as an analgesic for immunization and venipuncture procedures in the older infant.
Data Sources:
Evidence-based literature including original clinical trials, reviews, and clinical practice guidelines.
Conclusions:
Most infants are exposed to multiple minor painful procedures during the first year of life. Oral sucrose solution in a 24% concentration at a dose of 2 mL approximately 2 min prior to the painful procedure has been shown effective in reducing pain during immunizations and venipuncture in the outpatient setting in infants aged 1-12 months old.
Implications For Practice:
Oral sucrose solution should be used as a pain reduction intervention in infants up to 12 months of age undergoing minor painful procedures. Its proven effectiveness as an analgesic, low rate of minor adverse events, ease of administration, and excellent availability make sucrose a good choice for this purpose. Additional research is needed regarding dose response in different infant age groups, optimal concentration of sucrose solution, need for multiple sucrose dosing, adjustment for multiple painful procedures, and addition of optimal nonpharmacologic interventions as a combination approach.
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