Author Of 2 Presentations
EFFECTS OF BLOOD PRODUCT TRANSFUSION ON VITAL SIGNS OF NEWBORNS IN NEONATAL INTENSIVE CARE UNIT
Abstract
Background
Transfusion of any blood product is a frequent procedure in Newborn Intensive Care Units (NICU). Vital signs are observed frequently throughout transfusion. However there are a few studies about vital sign monitoring frequency in patients receiving blood products.
Objectives
In this study we aimed to monitor temperature, arterial tension and heart rate of newborns receiving any type of blood products.
Methods
In this prospective study, vital signs on 0, 15.,45., 75.minutes and one hour after transfusion of eritrocyte, fresh frozen plasma and trombocyte were recorded prospectively. If any product is transfused more than once, only the vital signs in the first transfusion of the patient were recorded.
Results
In 2018, 860 newborns were hospitalized and 109 of them received 805 blood products; most of the patients were preterm (n:54/119), postoperative congenital heart disease (n:33/119) and congenital malformations (n:19/119). Vital signs during 209 blood products (111 eritrocyte, 60 FFP and 38 thrombocyte suspension) were recorded. Only there was a statistically significant, but clinically nonsignificant (0.1◦C) increase in body temperature after eritrocyte and FFP one hour after transfusion, (p= 0.033 ve p= 0.018). There were no complication such as rash, urticer, tachycardia, flushing, tremor and hypotension.
Conclusion
Conclusion: Blood products seem safe in newborns. They have no significant effect on vital signs. As monitors are used for monitoring newborns in NICUs, frequent monitoring by nurses may be reduced during transusion.
THE EFFECT OF ORAL DEXTROSE SOLUTION, MASSAGE AND KANGAROO CARE ON PAIN SCORES AFTER VENIPUNCTURE IN NEWBORN BABIES
Abstract
Background
Newborns in NICUs experience many painful procedures. Nonpharmacological managements such as massage therapy and Kangaroo care are shown to reduce pain after procedures.
Objectives
In this study our aim was to compare the effect of oral 10% dextrose solution, 5 minutes of massage therapy and 5 minutes of Kangaroo care on NIPS scores after venipuncture in newborns.
Methods
Newborns with gestational age ≥34 weeks in NICU or rooming in with their mothers were randomly enrolled to one of three groups and a blinded investigator scored the pain using NIPS before and after the procedure.
Results
There were 27, 26 and 23 newborns in dextrose, massage and Kangaroo care, respectively. There were no statistically difference between groups in terms of gestational age, gender, birth weight, time of last feeding, feeding with mother milk/formula and venipuncture site. Pain scores were similar before and after venipuncture in groups (p> 0.05). After the procedure, infants with a score of 0-2 (no pain) included 40.7%, 46.2% and 43.5%; infants with a score of 3-4 (light- moderate pain) included 29.6%, 7.7% and 13% and infants with a score of 5-8 (severe pain) included 29.6%, 46.2% and 43.5% of the groups in dextrose, massage and Kangaroo care, respectively (p> 0.05). Although number of infants with severe pain score was lower in dextrose group, difference was statistically nonsignificant.
Conclusion
Although nonpharmacological methods were used, almost one third of the infants experienced severe pain. So our aim should be to decrease the number of invasive procedures in NICUs.
Presentation files
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buket sözel bildiriing (1)hacerden 12.06.2019 14:19
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buket sözel bildiriing 20.06.2019 11:45