Effects of Local Anesthetic Cream on Pain Relief in Newborns During Venipuncture.
- Author:
Hae Won KIM
1
;
Hye Young AHN
Author Information
1. Department of Nursing, Kwandong University, Gangneung, Korea.
- Publication Type:Original Article
- Keywords:
Phlebotomy;
Venipuncture;
Neonate;
Pain
- MeSH:
Catheterization;
Crying;
Humans;
Infant;
Infant, Newborn;
Informed Consent;
Lidocaine;
Nurseries;
Parents;
Phlebotomy;
Prilocaine;
Punctures;
Child Health
- From:Journal of Korean Academy of Child Health Nursing
2011;17(4):215-221
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Newborns routinely experience pain associated with invasive procedures such as blood sampling, venipuncture, heelstick, or venous cannulation. This study was done to provide data for a nursing intervention to alleviate newborn pain clinically by investigating the effect of local anesthetic cream during venipuncture. METHODS: Participants were 70 newborns hospitalized in the nursery. Informed Consent was obtained from parents of the newborns. Venipuncture for regular blood sampling was carried out for a test on 2 groups; the experimental, placebo group. The neonatal infant pain scale (NIPS), and duration of crying were measured to assess pain reaction. All neonatal behaviors were recorded on videotape. RESULTS: There were significant differences in pain behavior during venipuncture (t=-4.752, p<.001), immediately after sampling (t=-5.591, p<.001), 3 minutes after puncture (t=-2.469, p=.017), and in duration of crying (t=-3.005, p=.004). CONCLUSION: Results show that local administration of EMLA cream before venipuncture causes a reduction in neonatal pain response, indicating that the EMLA cream has the effect of pain relief.