On-Demand Only: Effect of Non-nutritive Sucking During Heel-stick Procedure in Pain Management of Term Infants in the Neonatal Intensive Care Unit: A Systematic Review and Meta-analysis (PS1a)

Due to speaker conflicts, this session will only be available via recording. No onsite presentation will be given.

Abstract Text:

Background: This study aimed to evaluate the efficacy of non-nutritive sucking for analgesia in ‎term neonate ‎during heel stick procedure.‎‏ ‎Unresolved pain may result in short term and long ‎term adverse effect.‎

Purpose: Evidence-based changes to pain management protocols.

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Method: Randomized controlled trials and non-randomized studies based on the PICO ‎framework were included in ‎the study. Review articles, commentary, pilot, and non-English ‎articles were excluded. Databases, such as ‎PubMed/MEDLINE, Embase, Scopus, Web of Science, ‎and Cochrane, were searched until January 31st, 2021, ‎using the keywords “Pain ‎management”, ‘Non-nutritive sucking”, and “Heel stick” .All studies were reviewed ‎and ‎retrieved by two authors independently using a standardized form according to the ‎inclusion criteria, and any ‎disagreements were examined by a third scholar. Quality assessment ‎was evaluated by using the ROB-2 tool. Data ‎were analyzed using Stata version 12.0 software, ‎and a random-effects model was used for analysis
Result:A total of 5,629 articles were retrieved from all databases, and after the ‎screening, finally, 6 relevant articles ‎were included in the analysis. The tools used to control pain ‎in infants in the articles included PIPP, NFCS, NIPS, ‎and NPASS. The results showed that the pain ‎scores were significantly lower in the NNS group compared to the ‎control group (MD, -1.05; ‎‎95% CI, -1.53 to -0.57) and NNS had a significant effect on oxygen saturation (O2 Sat) ‎increasing ‎in neonate compared to the control group, but no significant reduction in the heart rate (HR) ‎between ‎two groups was observed. ‎

Conclusion: NNS effectively provides analgesia in full-term neonates during heel stick ‎procedure.

Needs Assessment and Presentation Description: Pain and its control in neonates are essential. Research indicates that hospitalized infants undergo 2 to 13 painful procedures almost daily during the first 2 weeks of life. Pain in neonates can lead to short- and long-term adverse effects. The heel stick is the most common painful intervention in hospitalized neonates. Through the non-nutritive sucking method, a non-pharmacological approach that involves offering a pacifier or allowing the infant to suck on a clean finger, healthcare providers can alleviate the pain experienced by the neonate without the need for pharmacological interventions.