A Systematic Review of Clinical Practice Guidelines for Acute Procedural Pain on Neonates.
Journal
The Clinical journal of pain
ISSN: 1536-5409
Titre abrégé: Clin J Pain
Pays: United States
ID NLM: 8507389
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
pubmed:
25
1
2020
medline:
27
7
2021
entrez:
25
1
2020
Statut:
ppublish
Résumé
During hospitalization in neonatal intensive care units, neonates are exposed to many painful procedures within a stressful environment. To date, many evidence-based guidelines are available. However, the quality of these guidelines and their clinical application remain unclear. This systematic review aimed to determinie the quality of existing guidelines on the management of procedural pain in neonates and to summarize the recommendations provided by these guidelines. A structured search was conducted in Embase, PubMed, CINAHL, JBI database, and gray literature resources in November 2018 to identify relevant guidelines published from 2007 onward. Published guidelines and guidelines from complementary searches were included in the treating assessment or management of procedural pain in neonates. The methodological quality was analyzed using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument. A total of 1154 records were identified. After screening for eligibility, 17 guidelines were included in this review. Among these, 11 were identified to be high-quality guidelines. Besides the usual recommendations for pharmacological and nonpharmacological treatments, the inclusion of parents, improving interprofessional collaboration, and considering the setting were identified as important elements. The results of this review show that there is a need to improve the methodological quality of guidelines for procedural pain in newborns. The set of recommendations for procedural pain prevention needs to involve not only pharmacological and nonpharmacological pain treatment but also parents and interprofessional collaboration. It is also essential to take into account facilitators, barriers, and the context to improve pain management.
Identifiants
pubmed: 31977372
doi: 10.1097/AJP.0000000000000808
pii: 00002508-202005000-00009
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
390-398Références
Anand KJS. Effects of perinatal pain and stress. Prog Brain Res. 2000;122:117–129.
Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008;300:60–70.
Cignacco E, Hamers JP, Van Lingen RA, et al. Neonatal procedural pain exposure and pain management in ventilated preterm infants during the first 14 days of life. Swiss Med Wkly. 2009;139:226–232.
Grunau RE. Neonatal pain in very preterm infants: long-term effects on brain, neurodevelopment and pain reactivity. Rambam Maimonides Med J. 2013;4:e0025.
Jeong IS, Park SM, Lee JM, et al. The frequency of painful procedures in neonatal intensive care units in South Korea. Int J Nurs Pract. 2014;20:398–407.
Courtois E, Cimerman P, Dubuche V, et al. The burden of venipuncture pain in neonatal intensive care units: EPIPPAIN 2, a prospective observational study. Int J Nurs Stud. 2016a;57:48–59.
Ho LP, Ho SS, Leung DY, et al. A feasibility and efficacy randomised controlled trial of swaddling for controlling procedural pain in preterm infants. J Clin Nurs. 2016;25:472–482.
Hohmeister J, Demirakca S, Zohsel K, et al. Responses to pain in school-aged children with experience in a neonatal intensive care unit: cognitive aspects and maternal influences. Eur J Pain. 2009;13:94–101.
Hohmeister J, Kroll A, Wollgarten-Hadamek I, et al. Cerebral processing of pain in school-aged children with neonatal nociceptive input: an exploratory fMRI study. Pain. 2010;150:257–267.
Brummelte S, Grunau RE, Chau V, et al. Procedural pain and brain development in premature newborns. Ann Neurol. 2012;71:385–396.
Valeri BO, Holsti L, Linhares MB. Neonatal pain and developmental outcomes in children born preterm: a systematic review. Clin J Pain. 2015;31:355–362.
Valeri BO, Ranger M, Chau CM, et al. Neonatal invasive procedures predict pain intensity at school age in children born very preterm. Clin J Pain. 2016;32:1086–1093.
Latimer MA, Johnston CC, Ritchie JA, et al. Factors affecting delivery of evidence-based procedural pain care in hospitalized neonates. J Obstet Gynecol Neonatal Nurs. 2009;38:182–194.
Cong X, McGrath JM, Delaney C, et al. Neonatal Nurses’ Perceptions of Pain Management: Survey of the United States and China. Pain Manag Nurs. 2014;15:834–844.
Turk DC, Stanos SP, Palermo TM, et al. Interdisciplinary Pain Management. Glenview, IL: American Pain Society; 2010.
Coughlin ME. Guidelines for Pain and Stress Prevention, Assessment, Management, and the Family Trauma-Informed Care in the NICU: Evidenced-Based Practice Guidelines for Neonatal Clinicians. New York, NY: Springer Publishing Company; 2017:101–136.
Lee GY, Yamada J, Kyololo O, et al. Pediatric clinical practice guidelines for acute procedural pain: a systematic review. Pediatrics. 2014;133:500–515.
Brouwers MC, Kho ME, Browman GP, et al. AGREE II: advancing guideline development, reporting and evaluation in health care. Can Med Assoc J. 2010;182:E839–E842.
AGREE Collaboration. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual Saf Health Care. 2003;12:18–23.
AGREE Next Steps Consortium. The AGREE II Instrument [Electronic version] [Web Page]. 2009. Available at: www.agreetrust.org. Accessed January 26, 2017.
Brouwers MC, Kho ME, Browman GP, et al. Development of the AGREE II, part 1: performance, usefulness and areas for improvement. Can Med Assoc J. 2010;182:1045–1052.
Brouwers MC, Kho ME, Browman GP, et al. Development of the AGREE II, part 2: assessment of validity of items and tools to support application. Can Med Assoc J. 2010;182:E472–E478.
Moher D, Liberati A, Tetzlaff J, et al. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA statement. Int J Surg. 2010;8:336–341.
Anand KJSPost TW. Assessment of neonatal pain. UpToDate. Waltham, MA: UpToDate; 2017.
Harris J, Ramelet AS, van Dijk M, et al. Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals. Intensive Care Med. 2016;42:972–986.
Royal College of Nursing (RCN). The recognition and assessment of acute pain in children: update of full guideline [Electronic version]; 2009. Available at www.rcn.org.uk/professional-development/publications/pub-003542. Accessed December 3, 2018.
American Academy of Pediatrics (AAP) and Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine. Prevention and management of procedural pain in the neonate: an update. Pediatrics. 2016;137:e20154271.
American Academy of Pediatrics (AAP)Canadian Paediatric Society(CPS), Barrington KJ, et al. Prevention and management of pain in the neonate: Position Statement: an Update. 2006, Reaffirmed: Jan 30 2017. Available at: www.cps.ca/documents/position/prevention-management-pain-neonate.
Anand KJSPost TW. Prevention and treatment of neonatal pain. UpToDate. Waltham, MA: UpToDate; 2017.
Ancora G, Lago P, Garetti E, et al. Evidence-based clinical guidelines on analgesia and sedation in newborn infants undergoing assisted ventilation and endotracheal intubation. Acta Paediatr. 2019;108:208–217.
Barrington K. Canadian Paediatric Society Fetus Newborn Committee. Premedication for Endotrachael Intubation in the Newborn Infant: Position Statement. Ottawa, Canada: Canadian Pediatric Society; 2011.
Gruppo di Studio di Analgesia e Sedazione Nel Neonato and Società Italiana di Neonatologia. Linee guida per la prevenzione ed il trattamento del dolore del neonato. Milano: SIN; 2016. Available at: www.neonatologia.it. Accessed December 3, 2018.
Lago P, Garetti E, Bellieni CV, et al. Systematic review of nonpharmacological analgesic interventions for common needle-related procedure in newborn infants and development of evidence-based clinical guidelines. Acta Paediatr. 2017;106:864–870.
Spence K, Henderson-Smart D, New K, et al. Evidenced-based clinical practice guideline for management of newborn pain. J Paediatr Child Health. 2010;46:184–192.
Walden M, Gibbins S. Newborn Pain Assessment and Management Guidelines for Practice. Chicago, IL: National Association of Neonatal Nurses; 2012.
Pirelli A, Savant Levet P, Garetti E, et al. Literature review informs clinical guidelines for pain management during screening and laser photocoagulation for retinopathy of prematurity. Acta Paediatr. 2019;108:593–599.
Registered Nurses Association of Ontario. Assessment and Management of Pain [Electronic version]. Toronto: Registered Nurses Association of Ontario; 2013.
Czarnecki ML, Turner HN, Collins PM, et al. Procedural pain management: a position statement with clinical practice recommendations. Pain Manag Nurs. 2011;12:95–111.
Association of Paediatric Anaesthetics of Great Britain and Ireland. Good practice in postoperative and procedural pain management. Paediatr Anaesth. 2012;22(suppl 1):1–79.
Graham ID, Logan J, Harrison MB, et al. Lost in knowledge translation: time for a map? J Contin Educ Health Prof. 2006;26:13–24.
Straus SE, Tetroe JM, Graham ID. Knowledge translation is the use of knowledge in health care decision making. J Clin Epidemiol. 2011;64:6–10.
Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. Eur J Pain. 2016;20:489–498.
Harrison D, Reszel J, Wilding J, et al. Neuroprotective Core Measure 5: Minimizing Stress and Pain—Neonatal Pain Management Practices During Heel Lance and Venipuncture in Ontario, Canada. Newborn Infant Nurs Rev. 2015;15:116–123.
Losacco V, Cuttini M, Greisen G, et al. Heel blood sampling in European neonatal intensive care units: compliance with pain management guidelines. Arch Dis Child Fetal Neonatal Ed. 2011;96:F65–F68.
Courtois E, Droutman S, Magny JF, et al. Epidemiology and neonatal pain management of heelsticks in intensive care units: EPIPPAIN 2, a prospective observational study. Int J Nurs Stud. 2016b;59:79–88.
Watine J, Friedberg B, Nagy E, et al. Conflict between guideline methodologic quality and recommendation validity: a potential problem for practitioners. Clin Chem. 2006;52:65–72.
Johnston A, Kelly SE, Hsieh SC, et al. Systematic reviews of clinical practice guidelines: a methodological guide. J Clin Epidemiol. 2019;108:64–76.
Johnston A, Hsieh SC, Carrier M, et al. A systematic review of clinical practice guidelines on the use of low molecular weight heparin and fondaparinux for the treatment and prevention of venous thromboembolism: Implications for research and policy decision-making. PLoS One. 2018;13:e0207410.
Guyatt GH, Oxman AD, Kunz R, et al. What is “quality of evidence” and why is it important to clinicians? BMJ. 2008;336:995–998.
Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 9. Grading evidence and recommendations. Health Res Policy Syst. 2006;4:21.
GRADE Working Group. Available at: www.gradeworkinggroup.org. Accessed January 22, 2018.
Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924–926.
Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ. 2004;328:1490.
Andrews J, Guyatt G, Oxman AD, et al. GRADE guidelines: 14. Going from evidence to recommendations: the significance and presentation of recommendations. J Clin Epidemiol. 2013;66:719–725.
The ADAPTE Collaboration. The ADAPTE Process: Resource Toolkit for Guideline Adaptation. Version 2.0. [Electronic version]; 2009. Available at: www.g-i-n.net. Accessed March 24, 2017.
Franck LS, Oulton K, Nderitu S, et al. Parent involvement in pain management for NICU infants: a randomized controlled trial. Pediatrics. 2011;128:510–518.
AGREE-REX Research Team. AGREE-REX: Recommendation EXcellence [Web Page]. 2019. Available at: www.agreetrust.org/resource-centre/agree-rex-recommendation-excellence/. Accessed January 28, 2019.
Lago P, Garetti E, Boccuzzo G, et al. Procedural pain in neonates: the state of the art in the implementation of national guidelines in Italy. Paediatr Anaesth. 2013;23:407–414.
Harvey G, Kitson A. PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice. Implement Sci. 2016;11:33.
Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.