"Holding-cuddling" Plus Oral Sucrose Versus Oral Sucrose for Reducing Venipuncture Pain in Newborns and Infants
NCT ID: NCT02803723
Last Updated: 2020-02-11
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
68 participants
INTERVENTIONAL
2016-06-30
2018-06-30
Brief Summary
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Neonates and infants routinely undergo venipuncture in pediatric and neonatal intensive care units.
Such procedure is painful and several units administer 24% oral sucrose with pacifier during venipuncture, as this non-pharmacological intervention is considered safe and effective for procedural pain relief in infants from birth to 3 months of age. However, several studies point out that further research is needed to assess its efficacy in combination with other behavioral interventions for analgesia during painful procedures. Current knowledge suggests that multisensorial stimulation associated with oral sucrose could allow even more effective analgesia. To date, the studied stimulation strategies are based on massage, voice, eye contact and fragrance during heel prick. The "holding-cuddling" - that is the fact of holding the child in a safe, reassuring and warm position during the examination or medical intervention is promoted by various hospitals in order to favor the comfort of all the caregivers during such a procedures. This intervention should be primarily parents-driven but, in case of unavailability, it can be performed by the nursing staff. The hypothesis of this study is that the combination of "holding-cuddling" plus oral sucrose in more effective than oral sucrose in diminishing behavioral pain response during a venipuncture in newborns or infants less than three-month-old.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Holding-cuddling + Sucrose
The Holding-cuddling is started 5 minutes before and the sucrose administration is started 2 minutes before blood sampling.
Holding-cuddling
The "Holding-cuddling" is started 5 minutes before veinipuncture.
Sucrose
The sucrose adminstration is started 2 minutes before veinipuncture.
Sucrose alone
The sucrose administration is started 2 minutes before blood sampling.
Sucrose
The sucrose adminstration is started 2 minutes before veinipuncture.
Interventions
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Holding-cuddling
The "Holding-cuddling" is started 5 minutes before veinipuncture.
Sucrose
The sucrose adminstration is started 2 minutes before veinipuncture.
Eligibility Criteria
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Inclusion Criteria
* Informed consent from holder(s) of the parental authority
Exclusion Criteria
* Treated with a combined analgesic during venipuncture
* Having indications against sucrose
* For which behavorial items from DAN scale are difficult to evaluate regarding their pathology (ex: severe neuromotor handicap)
3 Months
ALL
No
Sponsors
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Centre Hospitalier Universitaire de la Réunion
OTHER
Responsible Party
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Principal Investigators
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Francesco BONSANTE, MD
Role: PRINCIPAL_INVESTIGATOR
CHU de La Réunion
Silvia IACOBELLI, MD
Role: PRINCIPAL_INVESTIGATOR
CHU de La Réunion
Other Identifiers
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2015/CHU/08
Identifier Type: -
Identifier Source: org_study_id
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