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1901 Emla Cream vs Nonpharmacologic Analgesia for Intramuscular Injections in Newborns
  1. C Bellieni1,
  2. G Buonocore2
  1. 1Pediatrics, University Hospital Siena
  2. 2University of Siena, Siena, Italy

Abstract

Aim To compare pain during intramuscular injections (IMI) of antibiotics, with different analgesic methods.

Material and Methods We have studied 30 term babies who had to receive several IMI of antibiotic in the first week of life. During the IMI, an analgesic treatment was performed using

  1. EMLA cream,

  2. sensorial saturation,

  3. oral glucose.

EMLA cream is an analgesic cream to be applied topically at least 30 min before the procedure. Sensorial saturation is a nonpharmacological procedure in which oral sugar, massage and voice are simultaneously used to antagonize pain. Oral glucose is a solution of 33% glucose in water, with well known analgesic activity. A pain score was giving to the reactions of each baby during the IMI, using a validated pain scale (DAN scale).

Results Mean pain scores were 6 (SD 2.1), 1.6 (SD 1.5) and 1 (SD 1.4) for EMLA, oral glucose and sensorial saturation respectively. EMLA score was significantly higher than the other types of analgesia.

Conclusion Nonpharmacologic procedures are effective in relieving IMI pain in newborns. EMLA cream is far less effective.

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