RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES

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Tipo de recurso:
Fecha de publicación:
2024
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Universidad de Caldas
Repositorio:
Repositorio Institucional U. Caldas
Idioma:
spa
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oai:repositorio.ucaldas.edu.co:ucaldas/20027
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https://repositorio.ucaldas.edu.co/handle/ucaldas/20027
https://repositorio.ucaldas.edu.co/
Palabra clave:
Manejo del dolor neonatal
Procedimientos invasivos
Analgesia neonatal
Cuidados neonatales
Evaluación del dolor
Pediatría
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Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
id REPOUCALDA_8022f7d47121ecfc98feefd24b61a86e
oai_identifier_str oai:repositorio.ucaldas.edu.co:ucaldas/20027
network_acronym_str REPOUCALDA
network_name_str Repositorio Institucional U. Caldas
repository_id_str
dc.title.none.fl_str_mv RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
title RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
spellingShingle RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
Manejo del dolor neonatal
Procedimientos invasivos
Analgesia neonatal
Cuidados neonatales
Evaluación del dolor
Pediatría
title_short RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
title_full RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
title_fullStr RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
title_full_unstemmed RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
title_sort RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALES
dc.contributor.none.fl_str_mv López, Oscar Julián
Oscar Julian Lopez
Biosalud (Categoría C)
dc.subject.none.fl_str_mv Manejo del dolor neonatal
Procedimientos invasivos
Analgesia neonatal
Cuidados neonatales
Evaluación del dolor
Pediatría
topic Manejo del dolor neonatal
Procedimientos invasivos
Analgesia neonatal
Cuidados neonatales
Evaluación del dolor
Pediatría
description Tablas
publishDate 2024
dc.date.none.fl_str_mv 2024-07-11T16:01:17Z
2024-07-11T16:01:17Z
2024-07-11
dc.type.none.fl_str_mv Trabajo de grado - Especialización
http://purl.org/coar/resource_type/c_18ws
Text
info:eu-repo/semantics/other
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.identifier.none.fl_str_mv https://repositorio.ucaldas.edu.co/handle/ucaldas/20027
Universidad de Caldas
Repositorio Institucional Universidad de Caldas
https://repositorio.ucaldas.edu.co/
url https://repositorio.ucaldas.edu.co/handle/ucaldas/20027
https://repositorio.ucaldas.edu.co/
identifier_str_mv Universidad de Caldas
Repositorio Institucional Universidad de Caldas
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv Bines A, Paice JA. Actualización de los procedimientos para el control del dolor. Nursing (Ed española). 2005;23(10).
Bonutti DP, Daré MF, Castral TC, Leite AM, Vici-Maia JA, Scochi CGS. Dimensionamento dos procedimentos dolorosos e intervenções para alívio da dor aguda em prematuros. Rev Lat Am Enfermagem. 2017;25.
Bonutti DP, Daré MF, Castral TC, Leite AM, Vici-Maia JA, Scochi CGS. Dimensionamiento de los procedimientos dolorosos e intervenciones para alivio del dolor agudo en prematuros. Rev Latino-Am Enfermagem. 2017;25.
Anand KJS. Pain assessment in preterm neonates. Vol. 119, Pediatrics. 2007. p. 605–7.
Napiórkowska-Orkisz M, Gutysz-Wojnicka A, Tanajewska M, Sadowska-Krawczenko I. Evaluation of Methods to Minimize Pain in Newborns during Capillary Blood Sampling for Screening: A Randomized Clinical Trial. Int J Environ Res Public Health. 2022 Jan 1;19(2).
Slater L, Asmerom Y, Boskovic DS, Bahjri K, Plank MS, Angeles KR, et al. Procedural pain and oxidative stress in premature neonates. Journal of Pain. 2012 Jun;13(6):590–7.
Assessment of neonatal pain – UpToDate 2020.
Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European Journal of Pain (United Kingdom). 2016;20(4):489–98.
De Lourdes Lemus-Varela M, Sola A, Golombek S, Baquero H, Borbonet D, Dávila-Aliaga C, et al. Consensus on the diagnostic and therapeutic approach to pain and stress in the newborn. Revista Panamericana de Salud Publica/Pan American Journal of Public Health. 2014;36(5):348–54.
Sposito NPB, Rossato LM, Bueno M, Kimura AF, Costa T, Guedes DMB. Avaliação e manejo da dor em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal: Estudo transversal. Rev Lat Am Enfermagem. 2017;25.
Oliveira CR de, Santos JM de J, Guarda LEDA, Barbieratto BJ, Dare MF, Leonello D de CB, et al. Neonatal Pain Management in a Maternity Hospital of Usual Risk: Perspectives of Health Team Leading Professionals. Reme Revista Mineira de Enfermagem. 2020;24:1–8.
MUNÉVAR TORRES RY, MUÑOZ DE RODRÍGUEZ L. Las madres conocen y alivian el dolor de los reci én nacidos TT - Mothers know and alleviate the pain of the newborn TT - As mães conhecem e aliviam a dor dos rec ém nascidos. Avances en Enfermería. 2009;27(1):82–92.
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Courtois E, Droutman S, Magny JF, Merchaoui Z, Durrmeyer X, Roussel C, et al. Epidemiology and neonatal pain management of heelsticks in intensive care units: EPIPPAIN 2, a prospective observational study. Int J Nurs Stud. 2016;59:79–88.
McPherson C, Miller SP, El-Dib M, Massaro AN, Inder TE. The influence of pain, agitation, and their management on the immature brain. Pediatr Res. 2020;88(2):168–75.
Allegaert K. A Critical Review on the Relevance of Paracetamol for Procedural Pain Management in Neonates. Front Pediatr. 2020;8(March):1–11.
Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European Journal of Pain (United Kingdom). 2016 Apr 1;20(4):489–98.
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Laurel Slater et al. 2012. Oxidative stress. Neonatology. 2015;61(6):515–25.
Pérez-Castañeda Jorge T. Fisiopatología del dolor agudo: alteraciones cardiovasculares, respiratorias y de otros sistemas y órganos Pathophysiology of acute pain: cardiovascular, respiratory alterations and of other systems and organs [Internet]. Vol. 11, Revista Cubana de Anestesiología y Reanimación. 2012. Available from: http://scielo.sld.cu
Buskila D, Neumann L, Zmora E, Feldman M, Bolotin A, Press J. Pain Sensitivity in Prematurely Born Adolescents. Arch Pediatr Adolesc Med. 2003;157(11):1079–82.
Hatfield L. Neonatal pain: What′s age got to do with it? Surg Neurol Int. 2014;5(14):479.
Abdelmageed RI, Youssef AM, El-Farrash RA, Mohamed HM, Abdelaziz AW. Measurement of Cumulative Preterm Neonatal and Maternal Stressors during Neonatal Intensive Care Unit Admission. J Pediatr Psychol. 2022 Jun 1;47(5):595–605.
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Hünseler C, Merkt V, Gerloff M, Eifinger F, Kribs A, Roth B. Assessing pain in ventilated newborns and infants: Validation of the Hartwig score. Eur J Pediatr. 2011;170(7):837–43.
da Fonseca Pinto E. O estresse no neonato pré-termo: uma reflexão axiológica acerca de possíveis influências dos fatores sensório-ambientais em unidades de terapia intensiva neonatal. Fitness & Performance Journal. 2008 Sep 1;7(5):345–51.
Shah V, Ohlsson A. Venepuncture versus heel lance for blood sampling in term neonates. Cochrane Database of Systematic Reviews. 2001;
Akuma AO, Jordan S. Pain management in neonates: A survey of nurses and doctors. J Adv Nurs. 2012;68(6):1288–301.
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Carbajal R, Rousset A, Danan C, Coquery S, Nolent P, Ducrocq S, et al. Epidemiology and Treatment of Painful Procedures in Neonates in Intensive Care Units [Internet]. Vol. 300, JAMA. 2008. Available from: www.jama.com
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dc.rights.none.fl_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
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info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Facultad de Ciencias para la Salud
Especialización en Pediatría
publisher.none.fl_str_mv Facultad de Ciencias para la Salud
Especialización en Pediatría
institution Universidad de Caldas
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spelling RELACION ENTRE LAS CARACTERISTICAS DE LOS RECIEN NACIDOS SOMETIDOS A PROCEDIMIENTOS DOLOROSOS MENORES Y EL TRATAMIENTO PARA EL DOLOR EN UNA UNIDAD DE CUIDADOS NEONATALES DE MANIZALESManejo del dolor neonatalProcedimientos invasivosAnalgesia neonatalCuidados neonatalesEvaluación del dolorPediatríaTablasEl desarrollo de nuevas tecnologías para el diagnóstico precoz y tratamientos, ha permitido en las últimas décadas, el aumento de la sobrevida de los recién nacidos, especialmente la población prematura. Sin embargo, también es creciente el requerimiento de exámenes y procedimientos invasivos recurrentes que generan dolor. A pesar de la evidencia de las implicaciones del dolor en el desarrollo del recién nacido y en las posteriores fases de su vida, no son suficientes las estrategias dirigidas al control del dolor y la variabilidad en su manejo sigue siendo significativa. Este es un estudio retrospectivo con una finalidad analítica, que se enfoca en evaluar el manejo del dolor en neonatos sometidos a procedimientos menores en una unidad de cuidados neonatales, analizando recién nacidos hospitalizados que fueron sometidos a diversos procedimientos dolorosos. Los resultados indican un promedio de 13,6 procedimientos dolorosos por cada recién nacido, además de un uso extenso de glucometrías incluso por fuera de los grupos de mayor riesgo, sin ningún tipo de analgesia, al igual que en la mayoría de los sujetos sometidos a punciones vasculares y por vacunación. Los procedimientos como PICC, punciones lumbares y cateterismos vesicales mostraron una aplicación dispar de analgesia, con solo el 21% de los PICC y el 15% de las punciones lumbares recibiendo analgesia adecuada, mientras que los cateterismos vesicales recibieron un manejo mejor con un 60% de cobertura analgésica. Este estudio concluye que existe una necesidad urgente de estandarizar y mejorar las prácticas de manejo del dolor en neonatos, para asegurar un cuidado más coherente y basado en la evidencia.The development of new technologies for early diagnosis and treatments has allowed, in recent decades, an increase in the survival of newborns, especially the premature population. However, the requirement for recurrent invasive examinations and procedures that generate pain is also increasing. Despite the evidence of the implications of pain on the development of the newborn and in the subsequent phases of life, strategies aimed at pain control are not sufficient and the variability in its management remains significant. This is a retrospective study with an analytical purpose, which focuses on evaluating pain management in neonates undergoing minor procedures in a neonatal care unit, analyzing hospitalized newborns who were subjected to various painful procedures. The results indicate an average of 13.6 painful procedures for each newborn, in addition to extensive use of glucometers even outside the highest risk groups, without any type of analgesia, as in the majority of subjects subjected to vascular punctures and vaccination. Procedures such as PICCs, lumbar punctures, and bladder catheterizations showed uneven application of analgesia, with only 21% of PICCs and 15% of lumbar punctures receiving adequate analgesia, while bladder catheterizations received better management at 60%. of analgesic coverage. This study concludes that there is an urgent need to standardize and improve pain management practices in neonates, to ensure more consistent and evidence-based care.Introducción / Antecedentes / Planteamiento del problema y justificación / Marco teórico / Dolor / Fisiopatología del dolor en recién nacidos / Cambios agudos relacionados al dolor / Cambios crónicos relacionados al dolor / Procedimientos dolorosos / Valoración del dolor neonatal / Reconocimiento del dolor en las unidades de cuidados neonatales / Tratamiento / Tratamiento no farmacológico / Tratamiento no farmacológico / Estado del arte / Hipótesis del estudio / Objetivos / Objetivo general / Objetivos específicos / Metodología / Tipo de estudio / Población / Selección de sujetos / Variables / Técnicas de recolección de información / Procesamiento de los datos y análisis estadístico / Consideraciones éticas / Resultados / Glucometrías / Punciones vasculares periféricas / PICC / Cateterismos centrales / Cateterismos vesicales / Punciones lumbares / Otras punciones: intramusculares o intradérmicas / Laringoscopia / Intubación orotraqueal / Ventilación mecánica invasiva / Curaciones de heridas / Analgesia según el procedimiento / Analgesia según el diagnóstico / Analgesia según los datos demográficos / Discusión / Limitaciones / Conclusiones / Recomendaciones / BibliografíaEspecializaciónEspecialista en PediatríaMaternoinfantilFacultad de Ciencias para la SaludEspecialización en PediatríaLópez, Oscar JuliánOscar Julian LopezBiosalud (Categoría C)Malaver, Manuel2024-07-11T16:01:17Z2024-07-11T16:01:17Z2024-07-11Trabajo de grado - Especializaciónhttp://purl.org/coar/resource_type/c_18wsTextinfo:eu-repo/semantics/otherhttp://purl.org/coar/version/c_970fb48d4fbd8a85application/pdfapplication/pdfapplication/pdfapplication/pdfhttps://repositorio.ucaldas.edu.co/handle/ucaldas/20027Universidad de CaldasRepositorio Institucional Universidad de Caldashttps://repositorio.ucaldas.edu.co/spaBines A, Paice JA. Actualización de los procedimientos para el control del dolor. Nursing (Ed española). 2005;23(10).Bonutti DP, Daré MF, Castral TC, Leite AM, Vici-Maia JA, Scochi CGS. Dimensionamento dos procedimentos dolorosos e intervenções para alívio da dor aguda em prematuros. Rev Lat Am Enfermagem. 2017;25.Bonutti DP, Daré MF, Castral TC, Leite AM, Vici-Maia JA, Scochi CGS. Dimensionamiento de los procedimientos dolorosos e intervenciones para alivio del dolor agudo en prematuros. Rev Latino-Am Enfermagem. 2017;25.Anand KJS. Pain assessment in preterm neonates. Vol. 119, Pediatrics. 2007. p. 605–7.Napiórkowska-Orkisz M, Gutysz-Wojnicka A, Tanajewska M, Sadowska-Krawczenko I. Evaluation of Methods to Minimize Pain in Newborns during Capillary Blood Sampling for Screening: A Randomized Clinical Trial. Int J Environ Res Public Health. 2022 Jan 1;19(2).Slater L, Asmerom Y, Boskovic DS, Bahjri K, Plank MS, Angeles KR, et al. Procedural pain and oxidative stress in premature neonates. Journal of Pain. 2012 Jun;13(6):590–7.Assessment of neonatal pain – UpToDate 2020.Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European Journal of Pain (United Kingdom). 2016;20(4):489–98.De Lourdes Lemus-Varela M, Sola A, Golombek S, Baquero H, Borbonet D, Dávila-Aliaga C, et al. Consensus on the diagnostic and therapeutic approach to pain and stress in the newborn. Revista Panamericana de Salud Publica/Pan American Journal of Public Health. 2014;36(5):348–54.Sposito NPB, Rossato LM, Bueno M, Kimura AF, Costa T, Guedes DMB. Avaliação e manejo da dor em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal: Estudo transversal. Rev Lat Am Enfermagem. 2017;25.Oliveira CR de, Santos JM de J, Guarda LEDA, Barbieratto BJ, Dare MF, Leonello D de CB, et al. Neonatal Pain Management in a Maternity Hospital of Usual Risk: Perspectives of Health Team Leading Professionals. 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