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Theses

Prise en charge de la douleur lors des gestes infirmiers avec effraction cutanée en réanimation néonatale

Abstract : The study EPIPPAIN 1, Epidemiology of Procedural Pain In Neonates (2005) showed that newborns in intensive care units undergo numerous painful procedures including skin-breaking procedures performed by nurses. These procedures were not always accompanied by an analgesic. Several randomized studies have assessed the effectiveness of analgesics during these procedures, but to the best of our knowledge, no previous study has described the real bedside pain management and the factors associated with the use of analgesia during skin-breaking procedures. based on the epidemiological study EPIPPAIN 2 (2011), the axis of this thesis were:- to describe the analgesia methods used during heelsticks and venipunctures in the neonate hospitalized in the neonatal intensive care unit, to describe the intensity of pain associated with each procedure and to determine the factors associated with the use of specific preprocedural analgesia- to compare nurses’ practices concerning pain mangament during skin-breaking procedures between EPIPPAIN 1 and EPIPPAIN 2.Within six years, we noticed an improvement of the nursing practices concerning the neonatal pain management in intensive care unit during skin-breaking procedures (heelsticks and venipunctures). This improvement was visible by the increase of the use of specific preprocedural analgesia and by the development of local protocols making a reference to it. There is however a margin of important progress concerning the decrease of the number of skin-breaking procedures and the number of attempts to make a success of the procedure.
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Emilie Courtois. Prise en charge de la douleur lors des gestes infirmiers avec effraction cutanée en réanimation néonatale. Gynécologie et obstétrique. Université Pierre et Marie Curie - Paris VI, 2016. Français. ⟨NNT : 2016PA066252⟩. ⟨tel-01443563⟩

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