HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by McMillan, D. D Search for Related Content PubMed Articles by McMillan, D. D

Pacifiers have greater analgesic effect than sweet solutions during venipuncture in full term newborns

Design
Randomised (allocation concealed^*), blinded (outcome assessor was blinded to type of solution but not to the pacifier),^* placebo controlled trial.

Setting
Maternity ward of a hospital in Poissy, France.

Patients
150 eligible newborns (59% boys) who had a 5 minute Apgar score 7, were medically stable, had not received naloxone during the previous 24 hours, and were not fed in the previous 30 minutes. 50 eligible newborns were not randomised because of non-availability of the observer (investigator).

Intervention
Infants were allocated to 1 of 6 groups with 25 infants each: no treatment, placebo (2 ml of sterile water), 2 ml of 30% glucose, 2 ml of 30% sucrose, a pacifier, and 2 ml of 30% sucrose and a pacifier. The solutions or pacifiers were given 2 minutes before venipuncture.

Main outcome measure
Pain during venipuncture and blood collection using the Douleur Aiguë du Nouveau-né (DAN) scale, a pain score (0=no pain, 10=maximum pain) based on . . . [Full text of this article]

Douglas D McMillan, MD

Calgary Regional Health Authority Calgary, Alberta, Canada