A5060357076- 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
- Anesthesia and Pain Management
- Anesthesia and Neurotoxicity Research
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Pain Management and Opioid Use
- Empathy and Medical Education
- Neuroscience of respiration and sleep
- Speech Recognition and Synthesis
- Cardiac Arrest and Resuscitation
- Childhood Cancer Survivors' Quality of Life
- Neuroendocrine regulation and behavior
- Health Sciences Research and Education
- Stress Responses and Cortisol
- Nursing Diagnosis and Documentation
- Neonatal and fetal brain pathology
- Airway Management and Intubation Techniques
- Pain Management and Placebo Effect
- Breastfeeding Practices and Influences
- Reproductive Health and Contraception
- Maternal Mental Health During Pregnancy and Postpartum
McGill University
2012-2022
Izaak Walton Killam Health Centre
2007-2022
South Johnston High School
2011-2016
In-Q-Tel
2012
Association of Maternal and Child Health Programs
2012
Université de Montréal
2011
Campbell Collaboration
2011
Dalhousie University
2011
McGill University Health Centre
2002-2009
Montreal Children's Hospital
1992-2009
Objective: Inadequate assessment of pain in premature infants is a persistent clinical problem. The objective this research was to develop and validate measure for assessing that could be used by both clinicians researchers. Design: Premature Infant Pain Profile (PIPP) developed validated using prospective retrospective design. Indicators were identified from experts the literature. retrospectively tested four existing data sets. Patients Settings: Infants varying gestational ages undergoing...
Objective. To determine the effect of being in neonatal intensive care unit (NICU) on pain responses infants 32 weeks' postconceptual age (PCA). Design. A cross-sectional comparative design was used. Setting. Two level III NICUs, each metropolitan, university teaching hospitals. Patients. Infants PCA born within past 4 days (the newly group; n = 53) were compared with same who had been weeks earlier earlier-born 36) and spent that time an NICU. Outcome Measures. Heart rate, oxygen saturation...
Evaluation of pain in neonates is difficult due to their limited means communication. The aim was determine whether behavioural reactions cry and facial activity provoked by an invasive procedure could be discriminated from responses non-invasive tactile events. Thirty-six healthy full-term infants (mean age 2.2 h) received 3 procedures counterbalanced order: intramuscular injection, application triple dye the umbilical stub, rubbing thigh with alcohol. Significant effects were found for...
Objectives Use of a valid behavioral measure for pain is highly recommended critically ill, uncommunicative adults. The aim this study was to validate the English version Critical-Care Pain Observation Tool (CPOT) and physiologic indicators [mean arterial pressure, heart rate, respiratory transcutaneous oxygen saturation (SpO2)] in ill ventilated Methods A total 30 conscious 25 unconscious patients intensive care unit participated study. Patients were assessed by staff nurses research team...
Objectives: To describe revisions to the Premature Infant Pain Profile (PIPP) and initial construct validation feasibility of Profile-Revised (PIPP-R). Methods: The PIPP was revised enhance validity feasibility. validate PIPP-R, data from 2 randomized cross-over studies were utilized to: (1) calculate compare PIPP-R scores in extremely low gestational age infants undergoing a painful nonpainful event (N=52; dataset #1) (2) assessing effectiveness (a) sucrose, (b) non-nutritive sucking...
<h3>Objective</h3> To test the efficacy of maternal skin-to-skin contact, or kangaroo care (KC), on diminishing pain response preterm neonates to heel lancing. <h3>Design</h3> A crossover design was used, in which served as their own controls. <h3>Subjects</h3> Preterm (n = 74), between 32 and 36 weeks' postmenstrual age within 10 days birth, who were breathing without assistance not receiving sedatives analgesics 3 level II III neonatal intensive units Canada. <h3>Interventions</h3> In...
The purpose of this study was to examine the behavioural responses infants pain stimuli across different developmental ages. Eighty were included in cross-sectional design. Four subsamples 20 each included: (1) premature between 32 and 34 weeks gestational age undergoing heel-stick procedure; (2) full-term receiving intramuscular vitamin K injection; (3) 2-month-old subcutaneous injection for immunisation against DPT; (4) 4-month-old DPT. Audio video recordings made 15 sec from stimulus. Cry...
Recent advances in neurobiology and clinical medicine have established that the fetus newborn may experience acute, established, chronic pain. They respond to such noxious stimuli by a series of complex biochemical, physiologic, behavioral alterations. Studies concluded controlling pain is beneficial with respect short-term perhaps long-term outcomes. Yet, pain-control measures are adopted infrequently because unresolved scientific issues lack appreciation for need control its sequelae...
Fourteen infants who were undergoing routine immunization studied from a multidimensional perspective. The measures used heart rate, crying, body movement/posturing, and voice spectrographs. There was wide variability between on the measures, especially cry spectrographs, although facial expression consistent across infants. pattern that did emerge characterized by an initial response: drop in long, high pitched followed period of apnea, rigidity torso limbs, pain. This sharp increase lower...
Background: Procedural pain management for very low birth weight (VLBW) neonates has been minimal or nonexistent in most neonatal intensive care units (NICUs). Objectives: To compare the efficacy of developmentally sensitive behavioral interventions (nonnutritive sucking via a pacifier, positioning) and sucrose relieving procedural VLBW infants to determine influence contextual factors (gestational age, postnatal weight, severity illness, frequency painful procedures) on response. Method: In...
To determine the efficacy of sucrose analgesia for procedural pain during first week life in preterm neonates neonatal intensive care units on enhancing later clinical outcomes.A total 107 who were born at <31 weeks' postconceptional age (PCA) entered this double-blind, randomized, controlled trial within 48 hours birth 3 level III university-affiliated Canada, and 103 completed study. Sucrose (0.1 mL 24%) or sterile water was administered orally up to times, 2 minutes apart, every invasive...
To determine current practices for the use of analgesia term and preterm neonates cared in Neonatal Intensive Care Units (NICUs).One-week survey medical charts patients.NICUs Canada.A total 14 38 invited NICUs participated. These units were not different on number beds, admissions per year, or university affiliation from nonparticipating units.Daily logs kept frequency type procedures administration all ill each NICU during study period.The sample consisted 239 patients. A 2,134 invasive...
OBJECTIVE: The present exploratory, descriptive study aimed to determine the designated time for mandatory pain content in curricula of major Canadian universities students health science and veterinary programs before being licensed. METHOD: Major university sites (n=10) were chosen where faculties included at least medicine nursing (n=10); many also dentistry (n=8), pharmacy (n=7), physical therapy (n=8) and/or occupational (n=6). These disciplines provide largest number entering workforce...
The ability of very low birth weight (VLBW) premature infants to respond differentially real versus a sham heelstick conditions was examined in this crossover study. Using multidimensional assessment responses (n = 48) between 26 and 31 weeks gestational age (GA) at the time study, it found that they both behaviourally physiologically. multivariate effect condition (real/sham) significant with maximum heart rate upper facial action (lower not scored) contributing significantly main effect....
Children hospitalized in pediatric intensive care units (PICUs) are subjected to highly invasive interventions necessary overcoming the critical period of their illness, yet little is known about subsequent psychological adjustment. The purposes this study were compare responses children a PICU with those on general ward and identify clinically relevant factors that might be associated outcome. A prospective cohort design was used follow 120 for 6 months after discharge. Groups compared...
Skin-to-skin contact, or kangaroo mother care (KMC) has been shown to be efficacious in diminishing pain response heel lance full term and moderately preterm neonates. The purpose of this study was determine if KMC would also very Preterm neonates (n = 61) between 28 0/7 31 6/7 weeks gestational age three Level III NICU's Canada comprised the sample. A single-blind randomized crossover design employed. In experimental condition, infant held for 15 minutes prior throughout procedure. control...
Objectives To determine the incidence of and factors predicting management strategies used for procedural pain in Canadian neonatal intensive care units to whether procedures their has changed since our 1997 study. Patients Five hundred eighty-two neonates who were hospitalized any participating study centers included. Methods A prospective observational was conducted 14 (level III B). Infants followed 1 week regarding all invasive procedures. Data collected prospectively by unit staff using...