Effectiveness of Sucrose Used Routinely for Pain Relief and Neonatal Clinical Risk in Preterm Infants: A

Beatriz O Valeri1, Cláudia M Gaspardo1, Francisco E Martinez2

  • 1Departments of Neurosciences and Behavior.

Insights

Routine sucrose effectively reduces pain in preterm infants (PI) regardless of their clinical risk. This pain relief strategy improves biobehavioral regulation during painful procedures in the neonatal intensive care unit.

Area of Science:

  • Neonatal care
  • Pain management
  • Biobehavioral research

Background:

  • Preterm infants (PI) in neonatal intensive care units experience significant pain and distress.
  • The interaction between pain relief strategies and infant clinical health status is not well understood.
  • This study investigates the effects of sucrose intervention and neonatal clinical risk (NCR) on pain responses in PI.

Purpose of the Study:

  • To examine the main and interactive effects of sucrose intervention and NCR on biobehavioral pain reactivity and recovery in preterm infants.
  • To assess how pain relief strategies influence pain responses in relation to illness severity.
  • To evaluate the efficacy of routine sucrose for pain management in neonates.

Main Methods:

  • 104 very low birth weight preterm infants were categorized into low and high neonatal clinical risk (NCR) groups.
  • Infants received either 25% sucrose solution or standard care before painful procedures.
  • Biobehavioral pain responses were assessed using facial coding, sleep-wake state, crying time, and heart rate across five phases.

Main Results:

  • Sucrose significantly reduced facial pain responses and crying time, independent of NCR.
  • All infants showed heightened arousal during the painful puncture and decreased responses during recovery.
  • No significant effects of sucrose or NCR were observed on physiological reactivity (heart rate), with all infants showing recovery to baseline.

Conclusions:

  • Routine sucrose intervention is effective in reducing pain intensity during acute painful procedures for preterm infants.
  • Sucrose enhances biobehavioral regulation in preterm infants, irrespective of their neonatal clinical risk level.
  • Pain relief strategies can be tailored based on clinical risk to improve outcomes for preterm infants.
Abstract

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