Efficacy and safety of non-pharmacological interventions for endotracheal suctioning pain in preterm infants: A systematic review.
Qian Cai, Wen Luo, You Zhou and 4 others
PMID 36100551WHAT IT FOUND
Facilitated tucking during endotracheal suctioning often lowered preterm infant pain scores.
Glucose and kangaroo care were inconsistent. Nurses can use tucking, but glucose safety remains uncertain and effects vary by timing and infant.
Key findings
01Facilitated tucking was reported effective in five included studies, and four showed significant pain score reductions during or immediately after suctioning.
02Oral glucose pain scores were 11.05 ± 2.31 versus placebo 12.4 ± 2.06 in Axelin et al.'s trial, but 8.0 versus 8.6 in Vezyroglou et al.'s trial without a significant difference.
03Oral glucose adverse events were 21.25% versus placebo 12.5% in Axelin et al.'s trial, while Vezyroglou et al.'s trial reported placebo 58.7% versus glucose without a significant difference.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The review included few studies per intervention, so results cannot be pooled or compared robustly. Different pain scales and assessment times were used across studies. Only English-language trials were included, which may limit generalization. Some included trials had concerns about randomization or outcome measurement. Facilitated tucking effects were not always present after suctioning, and glucose safety findings conflicted.
Declared interests
The authors declared no conflicts of interest. No funding source is stated in the supplied text.
The easy way to misread this
Do not conclude that every non-drug comfort measure works for suctioning pain. Kangaroo care was not effective after suctioning, oral glucose had inconsistent pain and safety results, and facilitated tucking effects could disappear shortly after the procedure.