Authors article | Newborns | Analgesia | Surgical technique | Pain scale | Results | Pub date |
---|---|---|---|---|---|---|
O’Sullivan et al. [17] | 66 | DPNB (ultrasound or anatomical landmark) / fentanyl | ukn* | FLACC | No significant difference between the groups in terms of fentanyl administration. The ultrasound technique took longer to perform but suggests some benefits in terms of postoperative pain. | 2011 |
Banieghbal et al. [18] | 583 | RB/milk | Gomco | NIPS | RB causes a painful response in the majority of the babies, but this is mostly noted in babies over one week of age. | 2009 |
Lehr et al. [19] | 44 | DPNB/EMLA/lidocaine | Gomco | NFCS/crying time | No significant difference in analgesic efficacy between treatments. | 2007 |
Garry et al. [20] | 18 | DPNB/EMLA | ukn* | NIPS/numeric pain scale | DPNB is significantly more effective for pain relief than topical EMLA. | 2006 |
Lehr et al. [21] | 53 | DPNB/EMLA/lidocaine | Gomco | Heart rate/respiratory rate/SpO2 | No significant difference in analgesic efficacy between treatments. | 2005 |
South et al. [22] | 44 | DPNB/Tylenol/non-nutritive sucking | Gomco | PIPP/crying time/ salivary cortisol level | NNS significantly decreases the pain response, in addition to other common analgesics. | 2005 |
Razmus et al. [23] | 132 | DPNB/DPNB+sucrose/ DPNB+sucrose+EMLA/ EMLA/ EMLA+sucrose/ RB/ RB+sucrose solution/ sucrose solution | ukn* | FLACC | DPNB and RB in combination with the concentrated oral sucrose have the lowest pain scores. The sucrose alone does not provide sufficient analgesia; however, it can reduce the pain scores somewhat when used in conjunction with other analgesics. | 2004 |
Malnory et al. [24] | 53 | Acetaminophen | Gomco | NIPS | Lower pain scores in newborns who received analgesia than placebo. | 2003 |
Taeusch et al. [25] | 59 | DPNB/dextrose solution | Mogen vs PlastiBell | Cry response | The Mogen technique is preferred over the PlastiBell because of the simplicity of execution, and it is also associated with less pain and discomfort and it takes less time. | 2002 |
Kaufman et al. [26] | 57 | EMLA/sucrose solution | Mogen vs Gomco | Crying time/ facial grimancing | Mogen appears a better procedure than Gomco, and it takes less time, showing also that the use of analgesia is imperative. | 2002 |
Macke et al. [27] | 60 | Acetaminophen | Gomco | NCAFS/crying time/heart rate | No significant difference in analgesic efficacy between treatments and placebo. | 2001 |
Joyce et al. [28] | 23 | EMLA/music | ukn* | RIPS/heart rate/SpO2/salivary cortisol level/crying time | Efficacy of EMLA and music to contribute to the pain relief of neonates undergoing circumcision. | 2001 |
Kass et al. [29] | 71 | DPNB/dextrose solution | Gomco | MBPS/ crying time/heart rate/respiratory rate | No significant differences between the oral glucose and water groups among any of the pain-related measurements; only the use of DPNB shows significantly lower pain scores and reduced objective measurements of pain and physiologic stress. | 2001 |
Taddio et al. [30] | 86 | DPNB/EMLA/acetaminophen | Mogen vs Gomco | NFCS/crying time | Infants circumcised with the Mogen clamp and combined analgesia have also less pain than those circumcised with the Gomco clamp and EMLA cream, and it also takes less time. | 2000 |