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Sensorial Saturation and the 3Ts Rule

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Neonatal Pain

Abstract

A heel prick cannot be an automatic procedure. Patients should always be protagonists of their cure even when they are small and nonverbally autonomous, and their parents should never be discouraged from participating in these procedures. Some exceptions are obvious, but the main rule in procedural treatments is “involving the patient” [1–5].

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References

  1. Lisanti AJ, Cribben J, Connock EM, Lessen R, Medoff-Cooper B (2016) Developmental care rounds: an interdisciplinary approach to support developmentally appropriate care of infants born with complex congenital heart disease. Clin Perinatol 43(1):147–156

    Article  PubMed  Google Scholar 

  2. Spittle A, Orton J, Anderson PJ, Boyd R, Doyle LW (2015) Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev 11:CD005495

    Google Scholar 

  3. Montirosso R, Provenzi L (2015) Implications of epigenetics and stress regulation on research and developmental care of preterm infants. J Obstet Gynecol Neonatal Nurs 44(2):174–182

    Article  PubMed  Google Scholar 

  4. Stevens BJ, Johnston CC (1994) Physiological responses of premature infants to a painful stimulus. Nurs Res 43:226–231

    Article  CAS  PubMed  Google Scholar 

  5. Tsuji M, Saul P, du Plessis A et al (2000) Cerebral intravascular oxygenation correlates with mean arterial pressure in critically ill premature infants. Pediatrics 106:625–632

    Article  CAS  PubMed  Google Scholar 

  6. Anonymous (2000) Prevention and management of pain and stress in the neonate. Pediatrics 105:454–458

    Article  Google Scholar 

  7. Spaeth JP, O’Hara IB, Kurth CD (1998) Anesthesia for the micropremie. Semin Perinatol 22:390–401

    Article  CAS  PubMed  Google Scholar 

  8. Stevens B, Gibbins S, Franck LS (2000) Treatment of pain in the neonatal intensive care unit. Pediatr Clin North Am 47:633–640

    Article  CAS  PubMed  Google Scholar 

  9. Carbajal R, Simon N (1995) Sédation et analgésie chez l’enfant. Arch Pédiatr 2:1089–1096

    Article  CAS  PubMed  Google Scholar 

  10. Jacqz-Aigrain E, Burtin P (1996) Clinical pharmacokinetics of sedatives in neonates. Clin Pharmacokinet 31:423–443

    Article  CAS  PubMed  Google Scholar 

  11. Levene M (1995) Pain relief and sedation during neonatal intensive care. Eur J Pediatr 54(Suppl 3):S22–S23

    Article  Google Scholar 

  12. Law RMT, Halpern S, Martins RF et al (1996) Measurement of methemoglobin after EMLA analgesia for newborn circumcision. Biol Neonate 70:213–217

    Article  CAS  PubMed  Google Scholar 

  13. Gourrier E, Karoubi P, El Hanache A et al (1995) Utilisation de la crème EMLA chez le nouveau-né à terme et prématuré. Etude d’efficacité et de tolérance. Arch Pédiatr 2:1041–1046

    Article  CAS  PubMed  Google Scholar 

  14. Lemmen RJ, Semmekrot BA (1996) Muscle rigidity causing life-threatening hypercapnia following fentanyl administration in a premature infant. Eur J Pediatr 155:1067

    Article  CAS  PubMed  Google Scholar 

  15. Blass EM, Watt LB (1999) Suckling and sucrose induced analgesia in human newborns. Pain 83:611–623

    Article  CAS  PubMed  Google Scholar 

  16. Blass EM, Fitzgerald E (1988) Milk-induced analgesia and comforting in 10-day-old rats: opioid mediation. Pharmacol Biochem Behav 29:9–3

    Article  CAS  PubMed  Google Scholar 

  17. Blass EM (1997) Milk-induced hypoalgesia in human newborns. Pediatrics 99:825–829

    Article  CAS  PubMed  Google Scholar 

  18. Balon-Perin S, Kolanowski J, Berbinschi A et al (1991) The effects of glucose ingestion and fasting on plasma immunoreactive beta-endorphin, adrenocorticotropic hormone and cortisol in obese subjects. J Endocrinol Invest 14:919–925

    Article  CAS  PubMed  Google Scholar 

  19. Tropeano G, Lucisano A, Liberale I et al (1994) Insulin, C-peptide, androgens and endorphin response to oral glucose in patients with polycystic ovary syndrome. J Clin Endocrinol Metab 78:305–309

    CAS  PubMed  Google Scholar 

  20. Shide DJ, Blass EEM (1989) Opioid-like effects in intraoral infusions of corn oil and polycose on stress reactions in 10-day-old rats. Behav Neurosi 103:1168–1175

    Article  CAS  Google Scholar 

  21. Ramenghi LA, Evans DJ, Levene MI (1999) ‘Sucrose analgesia’: absorptive mechanism or taste perception? Arch Dis Child Fetal Neonatal Ed 80:F146–F147

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Abad F, Diaz NM, Domenech E et al (1996) Oral sweet solution reduces pain-related behaviour in preterm infants. Acta Paediatr 85:854–858

    Article  CAS  PubMed  Google Scholar 

  23. Bucher HU, Moser T, Von Siebental K et al (1995) Sucrose reduces pain reaction to heel lancing in preterm infants: a placebo-controlled, randomized and masked study. Pediatr Res 38:332–335

    Article  CAS  PubMed  Google Scholar 

  24. Stevens B, Johnston C, Franck L et al (1999) The efficacy of developmentally sensitive interventions and sucrose for relieving procedural pain in very low birth weight neonates. Nurs Res 48:35–43

    Article  CAS  PubMed  Google Scholar 

  25. Johnston CC, Stremler RL, Stevens BJ, Horton LJ (1997) Effectiveness of oral sucrose and simulated rocking on pain response in preterm neonates. Pain 72:193–199

    Article  CAS  PubMed  Google Scholar 

  26. McIntosh N, van Veen L, Brameyer H (1994) Alleviation of the pain of heel prick in preterm infants. Arch Dis Child 70:F177–F181

    Article  CAS  Google Scholar 

  27. Ramenghi L, Wood CM, Griffith GC, Levene MI (1996) Reduction of pain response in premature infants using intraoral sucrose. Arch Dis Child 74:F126–F128

    Article  CAS  Google Scholar 

  28. Bellieni CV, Bagnoli F, Perrone S et al (2002) Effect of multisensory stimulation on analgesia in term neonates: a randomised controlled trial. Pediatr Res 51:460–463

    Article  PubMed  Google Scholar 

  29. Bellieni CV, Buonocore G, Nenci A et al (2001) Sensorial saturation: an effective analgesic tool for heel-prick in preterm infants: a prospective randomized trial. Biol Neonate 80:15–18

    Article  CAS  PubMed  Google Scholar 

  30. Lindahl S (1997) Calming minds or killing pain in newborn infants? Acta Paediatr 86:787–788

    Article  CAS  PubMed  Google Scholar 

  31. Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150:971–979

    Article  CAS  PubMed  Google Scholar 

  32. Wall PD (1978) The gate control theory of pain mechanism. A re-examination and restatement. Brain 101:1–18

    Article  CAS  PubMed  Google Scholar 

  33. Melzack R (1999) From the gate to the neuromatrix. Pain 6:S121–S126

    Article  PubMed  Google Scholar 

  34. Easa D, Tran A, Bingham W (1983) Noninvasive intracranial pressure measurement in the newborn. Am J Dis Child 137:332–335

    Article  CAS  PubMed  Google Scholar 

  35. Bellieni CV, Burroni A, Perrone S et al (2003) Intracranial pressure during procedural pain. Biol Neonate 84:202–205

    Article  PubMed  Google Scholar 

  36. Bellieni CV, Aloisi AM, Ceccarelli D, Valenti M, Arrighi D, Muraca MC, Temperini L, Pallari B, Lanini A, Buonocore G (2013) Intramuscular injections in newborns: analgesic treatment and sex-linked response. J Matern Fetal Neonatal Med 26(4):419–422

    Article  CAS  PubMed  Google Scholar 

  37. Bellieni CV, Cordelli DM, Marchi S et al (2007) Sensorial saturation for neonatal analgesia. Clin J Pain 23:219–221

    Article  PubMed  Google Scholar 

  38. Bellieni CV, Tei M, Coccina F, Buonocore G (2012) Sensorial saturation for infants’ pain. J Matern Fetal Neonatal Med 25(Suppl 1):79–81

    Article  PubMed  Google Scholar 

  39. Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine (2016) Prevention and management of procedural pain in the neonate: an update. Pediatrics 137(2):1–13

    Article  Google Scholar 

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Authors and Affiliations

  1. Universitary Hospital, Le Scotte, Siena, Italy

    C. V. Bellieni & G. Buonocore

Authors
  1. C. V. Bellieni
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  2. G. Buonocore
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Correspondence to C. V. Bellieni .

Editor information

Editors and Affiliations

  1. Siena, Italy

    Giuseppe Buonocore

  2. Department of Pediatrics, University of Siena Department of Pediatrics, Siena, Italy

    Carlo Valerio Bellieni

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Bellieni, C.V., Buonocore, G. (2017). Sensorial Saturation and the 3Ts Rule. In: Buonocore, G., Bellieni, C.V. (eds) Neonatal Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-53232-5_13

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  • DOI: https://doi.org/10.1007/978-3-319-53232-5_13

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53230-1

  • Online ISBN: 978-3-319-53232-5

  • eBook Packages: MedicineMedicine (R0)

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