- Pediatric Pain Management Techniques
- Infant Development and Preterm Care
- Infant Health and Development
- Family and Patient Care in Intensive Care Units
- Neonatal Respiratory Health Research
- Maternal and Neonatal Healthcare
- Anesthesia and Pain Management
- Neonatal skin health care
- Health Education and Validation
- Pain Management and Opioid Use
- Airway Management and Intubation Techniques
- Breastfeeding Practices and Influences
- Anesthesia and Sedative Agents
- Health, Nursing, Elderly Care
- Central Venous Catheters and Hemodialysis
- Neuroscience of respiration and sleep
- Pharmaceutical studies and practices
- Health Policy Implementation Science
- Cardiac Arrest and Resuscitation
- Interprofessional Education and Collaboration
- Mobile Health and mHealth Applications
- Metabolism and Genetic Disorders
- Nursing Diagnosis and Documentation
- Pediatric health and respiratory diseases
- Congenital Heart Disease Studies
University of Toronto
2010-2025
Hospital for Sick Children
2016-2024
SickKids Foundation
2016-2023
Institute for Clinical Evaluative Sciences
2019-2023
Rao Research and Consulting (United States)
2021
Carrier (United States)
2021
Universidade de São Paulo
2008-2018
Children's Hospital of Eastern Ontario
2017
University of Ottawa
2017
Ontario Stroke Network
2017
This study sought to describe and quantify the pharmacological nonpharmacological strategies used relieve pain/stress of neonates during hospitalization in neonatal intensive care units.This quantitative, longitudinal, descriptive examined 50 from unit admission discharge.A total 9,948 painful/stressful procedures were recorded (mean = 11.25 ± 6.3) per day neonate. A 11,722 pain-management relief interventions performed, which 11,495 (98.1%) strategies, 227 (1.9%) interventions. On average,...
Abstract Sick and preterm newborns hospitalized infants children are especially vulnerable to pain. Vulnerabilities relate repeated painful procedures required during hospitalizations, immature developmental stages, parental separation, lack of known effective pain treatment at different ages, and, where evidence exists, consistent use the evidence. In addition, this population is risk long-term consequences, including fear anxiety related needles medical care. Reducing burden involving...
ABSTRACT Objective: to determine the frequency of pain, verify measures adopted for pain relief during first seven days hospitalization in Neonatal Intensive Care Unit and identify type invasive procedures which newborns are submitted. Method: cross-sectional retrospective study. Out 188 hospitalizations occurred 12-month period, 171 were included The data collected from charts presence was analyzed based on Infant Pain Scale nursing notes suggestions pain. For statistical analysis,...
To analyze nurses' knowledge and practices regarding pain management of newborns admitted to Neonatal Intensive Care Units.A descriptive cross-sectional study. Data were collected from 51 nurses based on an adapted questionnaire aimed at evaluating the neonatal in six hospitals Curitiba its Metropolitan Region.For most (86.0%), neonates feel pain. A total 34.7% reported never using assessment scales. Pain was recorded by 84.3% nurses. Administered pharmacological measures Paracetamol...
Abstract: Neonates have blood work for newborn screening in their first days of life, and preterm sick hospitalized infants often require repeated invasive needle-related procedures over the duration hospitalization. Reducing infants' pain during such painful is important may reduce risk negative sequela poorly treated procedural pain. High-quality synthesized evidence demonstrates analgesic effects three management strategies: breastfeeding; skin-to-skin care, also referred to as kangaroo...
OBJECTIVE: The study goal was to compare the efficacy of expressed breast milk (EBM) versus 25% glucose on pain responses late preterm infants during heel lancing. METHODS: In a noninferiority randomized controlled trial, total 113 newborns were receive EBM (experimental group [EG]) or (control [CG]) before undergoing primary outcome intensity (Premature Infant Pain Profile [PIPP]) and 10% margin established. Secondary outcomes incidence cry percentage time spent crying adverse events....
To assess the reach, acceptability, and effect of BSweet2Babies video showing breast-feeding, skin-to-skin care, sucrose during blood sampling on intention to recommend or advocate for use interventions. In July 2014, an electronic survey were produced posted. After 1 year, online viewer responses YouTube analytics analyzed. One year after posting, had 10 879 views from 125 countries 187 (1.7%) viewers completed survey. Most respondents aware analgesic effects sucrose. Nearly all (n = 158,...
ABSTRACT Objective: to identify evidence available in the literature on educational strategies used teaching of insulin therapy children and adolescents with Type 1 diabetes mellitus. Method: systematic review undertaken five databases, using descriptors Insulin/therapeutic use, Patient education as topic, Diabetes mellitus type 1, Child, Infant, Adolescent keywords, without any time limit. Primary studies were included, while research pumps was excluded. Results: 243 identified, 13 which...
Abstract Although sucrose is widely administered to hospitalized infants for single painful procedures, total volume during the entire neonatal intensive care unit (NICU) stay and associated adverse events are unknown. In a longitudinal observation study, we aimed quantify contextualize administration NICU stay. Specifically, investigated frequency, nature, severity of procedures; proportion procedures where neonates received sucrose; incidence type events. Neonates <32 weeks gestational...
To assess parents' knowledge on breastfeeding, skin to care and sweet solutions as neonatal analgesic strategies, evaluate perception the feasibility, acceptability usefulness of Portuguese version "Be Sweet Babies" video.Neonatal pain management during blood sampling is suboptimal, translation strategies are needed improve clinical practices. The video a parent-targeted tool that shows effectiveness contact for procedural relief.Cross-sectional study.Parents infants hospitalised in an...
ABSTRACT Objective: To characterize painful procedures, analgesic strategies, vital signs, and pain scores in hospitalized newborns. Method: This is a primary, observational, prospective clinical study, developed Brazilian public hospital. Demographic data, relief measures, were collected from the records of 90 newborns admitted to intensive care unit evaluated between admission third day admission. For statistical analysis, software Statistic Package for Social Sciences R Software used....
To determine the analgesic effectiveness of repeated sucrose administration for skin-breaking (SB) procedures over Neonatal Intensive Care Unit (NICU) hospitalization preterm infants.Longitudinal observational study, conducted in four level III Canadian NICUs. Eligible infants were <32 weeks gestational age at birth, and <10 days life enrollment. Infants received 24% (0.12 ml) prior to all painful procedures. The Premature Infant Pain Profile - Revised (PIPP-R) was used 30 60 seconds after a...
The "Be sweet to babies" video is a knowledge translation tool targeted at parents on the use of analgesic strategies during painful procedures performed in neonates. This study aimed evaluate effectiveness Portuguese version this maternal involvement neonatal pain management newborn screening blood test. Nonrandomized, pragmatic clinical trial. was conducted rooming-in unit. All mothers received pamphlet regarding and were invited participate daily education sessions by nurses, which...