Is sucrose useful in neonatal medicine?

The use of oral sucrose for procedural pain relief has been extensively studied in newborn infants. In general, sucrose or other sweet solutions have been shown to significantly reduce pain responses to common painful procedures (e.g. heel lance or venipuncture) in newborn and young infants. The ana...

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Veröffentlicht in:Study of serum leptin in well differentiated thyroid carcinoma: Correlation with patient and tumor characteristics. - 2014. - Amsterdam [u.a.]
1. Verfasser: Antonucci, Roberto (VerfasserIn)
Weitere Verfasser: Antonucci, Luca (BerichterstatterIn)
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2013transfer abstract
Zugriff auf das übergeordnete Werk:Study of serum leptin in well differentiated thyroid carcinoma: Correlation with patient and tumor characteristics
Schlagworte:Analgesia Newborn Sucrose Procedural pain
Umfang:3
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520 |a The use of oral sucrose for procedural pain relief has been extensively studied in newborn infants. In general, sucrose or other sweet solutions have been shown to significantly reduce pain responses to common painful procedures (e.g. heel lance or venipuncture) in newborn and young infants. The analgesic effect of sucrose seems to peak at about two minutes after administration by mouth and to last for several minutes. The mechanisms underlying sucrose-induced analgesia in human infants are not fully understood, but the endogenous opioid system seems to play a key role. The optimal dose of sucrose remains unclear, although doses from 0.012 g to 0.12 g (0.05–0.5 mL of 24% solution) have been reported to be effective. No clinically significant side effects have been observed with the use of single doses of sucrose. Currently, oral sucrose appears to be safe and effective for relieving procedural pain from single events in neonates, while more research is needed to clarify the effect of repeated sucrose administration on immediate and long-term outcomes, especially in extremely preterm, unstable, ventilated neonates. This paper provides an overview of existing evidence on sucrose-induced analgesia and its mechanisms, highlighting current knowledge gaps. 
520 |a The use of oral sucrose for procedural pain relief has been extensively studied in newborn infants. In general, sucrose or other sweet solutions have been shown to significantly reduce pain responses to common painful procedures (e.g. heel lance or venipuncture) in newborn and young infants. The analgesic effect of sucrose seems to peak at about two minutes after administration by mouth and to last for several minutes. The mechanisms underlying sucrose-induced analgesia in human infants are not fully understood, but the endogenous opioid system seems to play a key role. The optimal dose of sucrose remains unclear, although doses from 0.012 g to 0.12 g (0.05–0.5 mL of 24% solution) have been reported to be effective. No clinically significant side effects have been observed with the use of single doses of sucrose. Currently, oral sucrose appears to be safe and effective for relieving procedural pain from single events in neonates, while more research is needed to clarify the effect of repeated sucrose administration on immediate and long-term outcomes, especially in extremely preterm, unstable, ventilated neonates. This paper provides an overview of existing evidence on sucrose-induced analgesia and its mechanisms, highlighting current knowledge gaps. 
650 7 |a Analgesia  |2 Elsevier 
650 7 |a Newborn  |2 Elsevier 
650 7 |a Sucrose  |2 Elsevier 
650 7 |a Procedural pain  |2 Elsevier 
700 1 |a Antonucci, Luca  |4 oth 
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773 1 8 |g volume:89  |g year:2013  |g pages:123-125  |g extent:3 
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