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Pain Reactivity to Non-Pharmacological Interventions Across Repeated Routine Heel-Sticks in Preterm Infants in a Neonatal Intensive Care Unit (PAMINA)

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ClinicalTrials.gov Identifier: NCT00758511
Recruitment Status : Completed
First Posted : September 25, 2008
Last Update Posted : November 15, 2013
Sponsor:
Collaborators:
University of Pittsburgh
University Hospital, Zürich
University Hospital Inselspital, Berne
Information provided by (Responsible Party):
Eva Cignacco, University of Basel

Brief Summary:

Switzerland is having one of the highest premature rates in Europa and most of the preterm neonates need neonatal intensive care. Up to 80% of the analgesic used in neonatal intensive care units are either "off label used" or "non-licensed" used. As an alternative approach non-pharmacological interventions for pain prevention and relief are increasingly being recommended for the prevention and treatment of mild and moderate pain in this population.

This multicenter pilot study will use a randomized three group,repeated measures design.

The primary aims of this study of premature neonates are to:

1.) Estimate effect sizes for the impact of the proposed interventions(facilitated tucking alone, sucrose alone and sucrose in combination with tucking)on pain reactivity.

2.) Examine the impact of gestational age on the estimates of efficacy 3.) Examine the impact of the numbers of painful procedures the infant experiences and the concurrent use of analgesic medications on the estimates of efficacy


Condition or disease Intervention/treatment Phase
Preterm Infants Procedure: 25% Sucrose Procedure: facilitated tucking Procedure: Sucrose and facilitated tucking Early Phase 1

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 71 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Pain Reactivity to Non-pharmacological Interventions Across Repeated Routine Heel-Sticks in Preterm Infants in a Neonatal Intensive Care Unit
Study Start Date : January 2009
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Resource links provided by the National Library of Medicine

Drug Information available for: Sucrose

Arm Intervention/treatment
Active Comparator: 1
Orally administrated 25%sucrose before,during and after heel stick across 5 heel sticks during the first 14 days of postnatal life
Procedure: 25% Sucrose
orally administrated 25%Sucrose before, during and after heel stick

Active Comparator: 2
facilitated tucking before, during and after heel stick across 5 heel stick during the first 14 days of postnatal life
Procedure: facilitated tucking
facilitated tucking before, during and after heel stick

Active Comparator: 3
orally administrated 25% sucrose AND facilitated tucking before, during and after heel stick across 5 heel sticks during the first 14 days of postnatal life
Procedure: Sucrose and facilitated tucking
orally administrated 25%sucrose and facilitated tucking before, during and after heel stick




Primary Outcome Measures :
  1. Pain reaction [ Time Frame: first 14 days of life ]


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Ages Eligible for Study:   up to 15 Days   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • must be born between 24 0/7 and 32 0/7 weeks of gestation
  • must be hospitalized in the NICU
  • it must be anticipated that they will need at least 5 routine heel sticks
  • their parents give informed consent

Exclusion Criteria:

had a high-grade intraventricular hemorrhaging (grade III and IV);

  • have a severe, life-threatening malformations;
  • are suffering from any condition involving partial or total loss of sensitivity
  • had a pHa < 7.00;
  • had surgery for any reason; or
  • have a congenital malformation affecting brain circulation or the cardiovascular system.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00758511


Locations
Switzerland
Institute of Nursing Science Medical Faculty, University of Basel
Basel, Switzerland, 4056
Sponsors and Collaborators
University of Basel
University of Pittsburgh
University Hospital, Zürich
University Hospital Inselspital, Berne
Investigators
Principal Investigator: Eva EC Cignacco, PhD,MNSc, RM Institute of Nursing Science, medical Faculty, University of Basel

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Eva Cignacco, PhD, University of Basel
ClinicalTrials.gov Identifier: NCT00758511     History of Changes
Other Study ID Numbers: 3200B1_122676
3200B1_122676
First Posted: September 25, 2008    Key Record Dates
Last Update Posted: November 15, 2013
Last Verified: February 2010

Keywords provided by Eva Cignacco, University of Basel:
cortisol
pain
pain management
preterm infants
sucrose
facilitated tucking

Additional relevant MeSH terms:
Premature Birth
Obstetric Labor, Premature
Obstetric Labor Complications
Pregnancy Complications