Adaptation and Initial Validation of the Premature Infant Pain Profile-Revised (PIPP-R) in Brazil.

Background: The use of reliable pain assessment measures is essential for scoring and managing pain in infants. The Premature Infant Pain Profile (PIPP) is reliable and valid and has been recently revised. To adapt and validate the PIPP-R into Portuguese and to evaluate its psychometric properties are required to ensure maintenance of meaning and content.

Biobehavioral Responses of Preterm Infants to Conventional and Swaddled Tub Baths: A Randomized Crossover Trial.

Bathing is a routine care procedure that exposes preterm infants to prolonged handling, which could cause stress and potentially disrupt infants' biobehavioral responses. The aim of this double-blind randomized crossover trial was to compare the preterm infant's body temperature, heart rate (HR), peripheral capillary oxygen saturation (SpO2), salivary cortisol levels, and sleep-wake states during and after swaddled and conventional tub baths. Forty-three infants born at 32 to 36 weeks postmenstrual age, weighing 2225 g or less, were enrolled in the study.

Assessment and management of pain in newborns hospitalized in a Neonatal Intensive Care Unit: a cross-sectional study.

Objective:: to determine the frequency of pain, to verify the measures adopted for pain relief during the first seven days of hospitalization in the Neonatal Intensive Care Unit and to identify the type and frequency of invasive procedures to which newborns are submitted.

Method:: cross-sectional retrospective study. Out of the 188 hospitalizations occurred during the 12-month period, 171 were included in the study.

The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns.

Objective: to develop a risk score for unplanned removal of peripherally inserted central catheter in newborns.

Method: prospective cohort study conducted in a neonatal intensive care unit with newborn babies who underwent 524 catheter insertions. The clinical characteristics of the newborn, catheter insertion and intravenous therapy were tested as risk factors for the unplanned removal of catheters using bivariate analysis.

Predictors of Nonelective Removal of Peripherally Inserted Central Catheters in Infants.

Background: Nonelective removal of peripherally inserted central catheters (PICCs) due to complications continues to be a major concern in neonatal intensive care units (NICUs) around the world. Nonelective removal results in interruption of intravenous therapy, added costs, stress, and negative impacts on infant's health. Identification of predictors of complications that lead to nonelective removal of PICCs would allow for the initiation of preventive strategies to improve the quality of care.

Changes in physiological and behavioral parameters of preterm infants undergoing body hygiene: a systematic review.

Objective To verify the effect of bathing on the body temperature of preterm infants (PTI). Method Systematic review conducted in the following bibliographic electronic sources: Biblioteca Virtual em Saúde/Lilacs (BVS), Cumulated Index of Nursing and Allied Health Literature (CINAHL), Cochrane Library, Google Scholar, PubMed, SCOPUS and Web of Science, using a combination of search terms, keywords and free terms. The review question was adjusted to the PICO acronym (Patient/population, Intervention, Control/comparative intervention, Outcome).

[Reasons for non-elective removal of epicutaneous catheters in neonates].

This study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions.

[Analgesia and sedation during placement of peripherally inserted central catheters in neonates].

This study aimed to characterize the analgesia and sedation strategies in neonates having a peripherally inserted central catheter (PICC) placed, and to relate it to the number of venipunctures, duration of procedure and catheter tip position. This was a cross-sectional study with prospective data collection, conducted in a neonatal intensive care unit of a private hospital in the city of São Paulo, during the period from August 31, 2010 to July 1, 2011, which evaluated 254 PICC insertions. The adoption of analgesic or sedative strategies occurred in 88 (34.

['Sandwich PhD': considerations for a successful experience abroad].

International PhD internship, named "Sandwich PhD" in Brazil is an opportunity to improve research abilities, to become known in academic area and to establish and/or increase work opportunities in an international context. In this article, we describe key factors regarding the planning and development of the "Sandwich PhD" as experienced by professors and students involved in the collaboration between the School of Nursing, University of São Paulo and Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Canada.

Incidence of nonelective removal of percutaneously inserted central catheters according to tip position in neonates.

Objective: To compare the incidence and reasons for nonelective removal of percutaneously inserted central catheters (PICC lines) between centrally and noncentrally placed PICC lines in neonates.

Design: Prospective cohort study.

Setting: A 60-bed, tertiary-level neonatal intensive care unit in a private hospital in São Paulo, Brazil.

[Prevalence and reasons for non-elective removal of peripherally inserted central catheter in neonates].

This is a cross sectional study conducted with 67 newborns admitted at the neonatal intensive care unit of a private hospital in São Paulo, between July and December 2010, who underwent 84 Peripherally Inserted Central Catheter (PICC line) placement procedures. The aim was to describe the prevalence and reasons of non-elective removal of the catheter. Data was collected from medical records and institutional forms related to PICC placement.

[Management practices of peripherally inserted central catheter at a neonatal unit].

The study aimed to describe the management of Peripherally Inserted Central Catheters insertion in neonates admitted at a neonatal intensive care unit of a private hospital, after implementation of the institutional protocol. An exploratory, quantitative descriptive study with prospective data collection was carried out. Data of 45 catheters insertion were analyzed.

Breast milk and glucose for pain relief in preterm infants: a noninferiority randomized controlled trial.

Objective: The study goal was to compare the efficacy of expressed breast milk (EBM) versus 25% glucose on pain responses of late preterm infants during heel lancing.

Methods: In a noninferiority randomized controlled trial, a total of 113 newborns were randomized to receive EBM (experimental group [EG]) or 25% glucose (control group [CG]) before undergoing heel lancing. The primary outcome was pain intensity (Premature Infant Pain Profile [PIPP]) and a 10% noninferiority margin was established.

[Profile of mothers of newborns with blood glucose control in the first hours of life].

Some maternal factors associated with neonatal hypoglycemia justify monitoring blood glucose levels in the first 24 hours of life. The objective of this study was to describe the socio-demographic and obstetric characteristics of mothers to newborns undergoing capillary blood glucose control in the first 24 hours of life, hospitalized in a rooming-in maternity ward of a Baby Friendly Hospital. This is a descriptive exploratory study which involved the analysis of data from 380 medical records of mothers hospitalized from July to December, 2006 at the maternity ward of the University of São Paulo Teaching Hospital.

[Assessment of the newborn respiratory function in the immediate neonatal period].

The aim of the study was to identify the predictive factors and the signals of transient tachypnea of the newborn valued by the nurses who work at neonatal ward and rooming-in when they assess the newborn respiratory function during the immediate neonatal period in the first six hours after birth. A cross sectional study carried out at two public hospitals of São Paulo city. The sample consisted of 28 nurses who replied a structured questionnaire about the newborn respiratory function assessment practices.

[Initial placement of the peripherally inserted central catheter's tip in neonates].

This is a cross-sectional study aiming to identify the initial tip position of peripherally inserted central catheters (PICC) and to verify the prevalence of success in inserting such catheters in neonates. The study was carried out in the neonatal care unit of Hospital das Clinicas, Universidade de São Paulo. Data were collected prospectively from March to September 2006.

Pharmacological analgesia in neonates undergoing cardiac surgery.

Unlabelled: The objectives of this study were to verify the frequency of pharmacological analgesia and the occurrence of postoperative pain in neonates undergoing cardiac surgery.

Methods: This is a cross-sectional study and data were collected from 30 medical charts of neonates who underwent cardiac surgery in a private hospital in the city of São Paulo.

Results: The majority (96.

[Profile of newborns who underwent cardiac surgery in a private hospital in the city of São Paulo].

The aim of this cross-sectional study was to characterize newborns that underwent cardiac surgery in a private hospital, a reference center in neonatal cardiac surgery, in the city of Sõ Paulo. Data were collected from medical reports from July, 2001 to December, 2005. Newborns with gestational age of more than 35 weeks were included in the study.

[Care practices on the resuscitation of newborns in the context of a delivery center].

Approximately 10 to 15% of the neonates present difficulties in adapting to extra uterine life, which requires ability and readiness from the professional to intervene properly. This is an observational, cross-sectional study aimed at describing the care practices on the resuscitation of the newborn in the Delivery Center of a public hospital in the city of São Paulo. Data were obtained from the observation of 100 assistances given by health care professional staff and were recorded on a check-list instrument.

[Colic in newborns and infants: a literature review].

This paper is a literature review on excessive crying and colic that affect babies during their first period of life. This text presents the clinical definition, etiology, colic associated factors and interventions to relief and treatment of infant colic. Articles published in medical and nursing journals indexed at MEDLINE and LILACS computerized database available in the libraries of BIREME, Universidade de São Paulo and CAPES homepage were analysed.

[Neonatal nursing: analysis of publications indexed in computerized databases].

The aim of this study was to identify and analyze the production of scientific knowledge in the area of neonatal nursing by using table of contents of computerized databases. This quantitative, descriptive study took as its source of information the MEDLINE, CINAHL, and LILACS databases between 1990 and 2000. The titles entered were "neonatal nursing" when accessing the first two databases and "neonatal nursing and neonatal nurse" with LILACS.