Mission possible – using knowledge about neonatal pain in practice

Dr. Denise Harrison (RN, PhD), Associate Professor, Chair in Child, Adolescent and Family Nursing, University of Ottawa and Children’s Hospital of Eastern Ontario (CHEO) Research Institute dharrison@cheo.on.ca OR denise.harrison@uottawa okay

There shall be an EBN Twitter chat this week Tuesday, August 16^vol from 11:00 to 12:00 (Pacific Time), between 1900-2000 (British Summer Time) and is a three way partnership with the Council of International Neonatal Nurse (COINN) 2016 conference, chaired by Dr. Densie Harrison. Participating within the Twitter chat requires a Twitter account; If you haven’t got one yet, you possibly can create an account on www.twitter.com. Once you’ve an account, contributing is simple. You can follow the discussion by looking for links to #ebnjcor get entangled by creating and sending a tweet (tweets are text messages limited to 140 characters) to @EBNursingBMJ and add #ebnjc (EBN Twitter chat digest tag) at the top of your tweet, so all participants will find a way to see your tweets.

We have knowledge of relieve pain in sick and healthy newborns during routine, often painful procedures – breastfeeding,¹ skin-to-skin care.² or very small volumes of sweet solutions, or sucrose³ or glucose.⁴ Evidence from a randomized, controlled trialls – synthesized into systematic reviews – then transformed into clinical practice guidelines and ultimately focused on useful evidence; YouTube videos showing these strategies for blood tests (BSweet2Babies & The power of a parent’s touch) give us enough knowledge and tools to assist us translate knowledge into motion. However, neonatal pain studies world wide proceed to indicate that neonatal pain is undertreated. We don’t all the time make it easy for fogeys to breastfeed or hold their baby skin-to-skin during treatments, and sweet solutions aren’t all the time available.⁵ Ultimately, the babies we look after in our neonatal intensive care units, special care units, and other hospital wards, and even our healthy newborns, suffer from pain that is well preventable.

In our COINN pain panel titled “Mission Possible – Putting Neonatal Pain Science into Action” (http://coinn2016.neonatalcann.ca/panel-mission-possible-putting-neonatal-pain-knowledge-action) and Twitter live chat (HashTag #ebnjc), which is able to happen on Tuesday, August 16^vol from 11:00 a.m. to 12:00 p.m. (Pacific Time), we’ll collaborate as neonatal pain champions in our organizations to seek out one of the best ways to place our knowledge of neonatal pain into practice. Our audience participates in our panel @COINN2016, in addition to Dr. Linda Franck, Dr. Bonnie Stevens, Dr. Marsha Campbell-Yeo (‏@DrMCampbellYeo),and me, as session chair (@dharrisonCHEO). Our discussion will include myths about really helpful painkillers; effectiveness of maternal-led interventions to scale back procedural pain; ways we will support and empower parents and facilitate their role as partners in pain management and improving practices at an organizational level.

I’m really looking forward to our session, our speakers, and guidance from our audience on how we will go further to include our knowledge into standardized pain management practices.

1 Shah PS, Herbozo C, Aliwalas LI, Shah VS. Breastfeeding or mother’s milk for the treatment of procedural pain in newborns. Cochrane Rev Database System 2012. DOI:10.1002/14651858.CD004950.pub3.

2 Johnston C, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. Skin-to-skin look after the management of procedural pain in neonates. Cochrane Rev Database System 2014. DOI:10.1002/14651858.CD008435.pub2.

3 Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A. Sucrose for analgesia in neonates undergoing painful procedures. Cochrane Database System, version 2013 2016; DOI:10.1002/14651858.CD001069.pub5.

4 Bueno M., Yamada J., Harrison D., et al. A scientific review and meta-analyses of sucrose-free sweet solutions for pain relief in neonates. Pain management 2013; 18: 153–61.

5 Harrison D, Reszel J, Wilding J, et al. Primary neuroprotective measure 5: Neonatal pain management practices during heel prick and venipuncture in Ontario, Canada. Newborn nurses of Fr 2015; 15: 116–23.

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