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KMID : 1130320180610100322
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Korean Journal of Pediatrics
2018 Volume.61 No. 10 p.322 ~ p.326
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Evaluation of prolonged pain in preterm infants with pneumothorax using heart rate variability analysis and EDIN (Echelle Douleur Inconfort Nouveau-Ne, neonatal pain and discomfort scale) scores
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Buyuktiryaki Mehmet
Uras Nurdan
Okur Nilufer
Oncel Mehmet Yekta
Simsek Gulsum Kadioglu
Isik Sehribanu Ozluer
Oguz Serife Suna
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Abstract
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Purpose: The EDIN scale (Echelle Douleur Inconfort Nouveau-Ne, neonatal pain and discomfort scale) and heart rate variability has been used for the evaluation of prolonged pain. The aim of our study was to assess the value of the newborn infant parasympathetic evaluation (NIPE) index and EDIN scale for the evaluation of prolonged pain in preterm infants with chest tube placement due to pneumothorax.
Methods: This prospective observational study assessed prolonged pain in preterm infants with a gestational age between 33 and 35 weeks undergoing installation of chest tubes. Prolonged pain was assessed using the EDIN scale and NIPE index.
Results: There was a significant correlation between the EDIN scale and NIPE index (r=-0.590, P=0.003). Prolonged pain is significantly more severe in the first 6 hours following chest tube installation (NIPE index: 60 [50?86] vs. 68 [45?89], P<0.002; EDIN score: 8 [7?11] vs. 6 [4?8], P<0.001).
Conclusion: Prolonged pain can be accurately assessed with the EDIN scale and NIPE index. However, evaluation with the EDIN scale is time-consuming. The NIPE index can provide instantaneous assessment of prolonged and continuous pain.
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KEYWORD
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Infant, Premature, Pain, Pain measurement, Heart rate variability
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