Bueno Mariana, Kimura Amélia Fumiko, Pimenta Cibele Andrucioli de Mattos
University of São Paulo School of Nursing, Brazil.
Rev Lat Am Enfermagem. 2008 Jul-Aug;16(4):727-32. doi: 10.1590/s0104-11692008000400012.
The objectives of this study were to verify the frequency of pharmacological analgesia and the occurrence of postoperative pain in neonates undergoing cardiac surgery.
This is a cross-sectional study and data were collected from 30 medical charts of neonates who underwent cardiac surgery in a private hospital in the city of São Paulo.
The majority (96.6%) of neonates received analgesia: 18 (60.0%) received continuous analgesics, five (16.7%) received intermittent drugs, and six (20.0%) received a combination of continuous and intermittent analgesics. Fentanyl citrate was continuously administered to 24 (80.0%) neonates. Intermittent dipyrone and morphine was administered to ten (33.3%) and one (3.3%) neonates, respectively. Pain registers were observed in 17 (56.7%) medical charts and the occurrence of pain among neonates who received analgesics was 53.4%.
There was no efficacy in pharmacological postoperative pain control in the neonates included in this study.
本研究的目的是核实接受心脏手术的新生儿使用药物镇痛的频率以及术后疼痛的发生情况。
这是一项横断面研究，数据收集自圣保罗市一家私立医院接受心脏手术的30例新生儿的病历。
大多数（96.6%）新生儿接受了镇痛：18例（60.0%）接受持续镇痛药，5例（16.7%）接受间歇性药物，6例（20.0%）接受持续和间歇性镇痛药联合使用。24例（80.0%）新生儿持续给予枸橼酸芬太尼。分别有10例（33.3%）和1例（3.3%）新生儿接受间歇性安乃近和吗啡治疗。17份（56.7%）病历中观察到疼痛记录，接受镇痛药的新生儿中疼痛发生率为53.4%。
本研究纳入的新生儿术后药物性疼痛控制无效。
