The investigators want to know if sugar water containing 24% sucrose is helpful in reducing pain in babies during scopes.
This study aims to evaluate the impact of oral sucrose on pain or distress in outpatient infants undergoing flexible nasolaryngoscopy during a scheduled appointment at the SickKids Pediatric Otolaryngology Clinic.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
60
Participants will be given either sugar water (24% sucrose) randomly
Participants will be given sterile water randomly
The Hospital for Sick Children
Toronto, Ontario, Canada
RECRUITINGPain Scores
Clinical pain scores change after flexible nasolaryngoscopy (FNL) in 60 infants under 12 months of age following the use of sucrose solutions. The EVENDOL scale is a validated 15-point scale (range of 0-15) developed for children with presenting, prolonged, or procedural pain. Infant pain observations are ranked from 0-3 based on 5 different observations: (1) vocal or verbal expression, (2) facial expression, (3) movements, (4) postures, and (5) interactions with the environment. Higher scores mean a worse outcome (more pain).
Time frame: up to 7 months
Crying time
Crying time (second - s) after FNL in 60 infants under 12 months of age following the use of oral sucrose solutions.
Time frame: up to 7 months
Maximum Heart rate
Maximum heart rate (beats per minute - bpm) as measured by a pulse oximeter during FNL in 60 infants under 12 months of age following the use of oral sucrose solutions.
Time frame: up to 7 months
Time to baseline
The time taken for heart rate to return to baseline (second - s) as measured by a pulse oximeter during FNL in 60 infants under 12 months of age following the use of oral sucrose solutions.
Time frame: up to 7 months
Plantar skin conductance
Plantar skin conductance (μS) during FNL in 60 infants under 12 months of age as measured by maximum peaks per second, following the use of oral sucrose solutions.
Time frame: up to 7 months
Duration of clinic visit
Duration of clinic visits (minutes) following the administration of oral sucrose.
Time frame: up to 7 months
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Caregiver impression
Caregiver impression of infant discomfort following the use of oral sucrose based on Wong-Baker FACES Pain Rating Scale (range of 0-10), higher scores mean a worse outcome.
Time frame: up to 7 months