Exposure to invasive procedures in neonatal intensive care unit admissions
D P Barker, N Rutter, D P Barker, N Rutter
Abstract
The nature and numbers of invasive procedures were studied in 54 consecutive infants admitted to a neonatal intensive care unit. Over 3000 procedures were recorded, 74% in infants below 31 weeks of gestation. One infant (23 weeks' gestation, birth weight 560 g) underwent 488 procedures. Heel prick blood sampling was the most common procedure (56%), followed by endotracheal suction (26%) and intravenous cannula insertion (8%). Invasive procedures which would cause pain or distress to a child are frequently performed on infants admitted to the neonatal intensive care unit. A reduction in the number of procedures, modifying them, or providing adequate analgesia could relieve some of this pain and distress.
References
- Lancet. 1978 Apr 22;1(8069):864-6
- Arch Dis Child. 1983 Mar;58(3):226-8
- Pediatrics. 1983 Sep;72(3):329-34
- J Pediatr. 1984 Aug;105(2):303-9
- Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F206-8
- Lancet. 1988 Feb 6;1(8580):292
- J Pediatr. 1992 Oct;121(4):647-9
- BMJ. 1993 Jun 5;306(6891):1512-3
- Pediatrics. 1994 Mar;93(3):379-83
- Acta Anaesthesiol Scand. 1985 May;29(4):453-5
Source: PubMed