Prevention of Pain Caused by the Oro-gastric Tube Laying in Neonatology

Centre Hospitalier Sud Francilien71 enrolled

Overview

Subject of research : Evaluation of a technique of care to reduce the pain caused by the laying of the gastric tube in the newborn

After inclusion, the nurse performs randomization by opening the envelope. The newborn then receives the care with the introduction of the gastric tube after randomization (experimental arm with holed baby bottle nipple and control arm: with pacifier). The treatment is filmed and recorded by a previously installed camera. The films are viewed by two independent experts from the pain of the study, to assess pain by scale score (DAN acute pain of the newborn

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Pain Score

Interventions

the laying of the gastric tube and a group using the holed baby bottle nipple, the feeding tube ideally positioned at the center of the intersection pharyngealOTHER

The newborn then receives the care with the introduction of the gastric tube after randomization with holed baby bottle nipple

the laying of the gastric tube and a group with simple non-nutritive suction, the feeding tube passing next to the newborn's personal pacifierOTHER

The newborn then receives the care with the introduction of the gastric tube after randomization with the newborn's personal pacifier

Eligibility

Sex: ALLMin age: 2 DaysMax age: 14 Days

Medical Language ↔ Plain English

Inclusion Criteria: * Newborn term, or premature (from 32 weeks) from 48 hours to 14 days of life. * Presence of sucking reflex * Patient whose authors of parental authority have given their written consent for their participation * Patient affiliated to or benefiting from a social security scheme Exclusion Criteria: * Newborn intubated or NIV and / or sedated * Newborn with malformation (especially cleft palate) * Contra-indication to sugar administration * Newborn previously included in the study * Administration of analgesics in the previous 8 hours * Atresia of the unoperated esophagus * Non-operated oeso-tracheal fistula * Major swallowing disorders * Necrotizing ulcerative colitis

Locations (3)

Centre Hospitalier Sud Francilien

Corbeil-Essonnes, France

Groupe Hospitalier Paris Saint-Joseph

Paris, France

Centre Hospitalier de Saint-Denis

Saint-Denis, France

Outcomes

Primary Outcomes

pain evaluation

DAN SCALE

Time frame: Time of nurse care - thirty minutes maximum

Data from ClinicalTrials.gov

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