Maneuvers to Facilitate Central Venous Catheter Advancement in the Clavicular Region: An Integrative Review.

In many situations, central venous catheters (CVCs), inserted by central or peripheral venipuncture, do not progress, even after performing some movement of the shoulder, head, and neck. This integrative review aimed to verify the scientific evidence about maneuvers to facilitate the advancement of CVCs in the clavicular region and/or shoulder in adult, pediatric, and neonatal patients. Primary studies with available electronic abstracts, independent of idiom or publication year, for which results showed aspects related to descriptions of maneuvers for CVC advancement in the clavicular region and shoulder, were included in the review.

Effect of music combined with swaddling on pain in full-term newborns: randomized clinical trial.

Objectives: to evaluate the effect of music applied within ten and 15 minutes, combined with swaddling, on behavioral (facial action) and physiological (heart rate) responses to pain in full-term newborns, before and during venipuncture for blood sampling.

Methods: a randomized, triple-blind, clinical trial with 52 rooming in infants randomly assigned to four groups of 13: Experimental 1 (music [ten minutes] plus swaddling), Experimental 2 (music [15 minutes] plus swaddling), Control 1 (no music [ten minutes] plus swaddling), and Control 2 (no music [15 minutes] plus swaddling). Pain was measured using the Neonatal Facial Coding System in the basal and procedural moments.

Non-pharmacological measures in preterm newborns submitted to arterial puncture.

Objective: to assess pain in preterm newborns and to compare the neonatal and therapeutic variables with the total scores of the Neonatal Facial Coding System of preterm newborns submitted to arterial puncture exposed to music and 25% oral glucose.

Method: a comparative study with 48 recordings of preterm newborns - Group 1, music (26); Group 2, glucose 25% (22) - individually analyzed by three trained nurses, after Kappa of at least 80%.

Results: the variables and the pain scores of the groups did not present statistical significance (p < 0.

[Pain assessment scales in newborns: integrative review].

Objective:: To analyze studies on methods used to assess pain in newborns.

Data Sources:: Integrative review study of articles published from 2001 to 2012, carried out in the following databases: Scopus, PubMed, CINAHL, LILACS and Cochrane. The sample consisted of 13 articles with level of evidence 5.

Music and 25% glucose pain relief for the premature infant: a randomized clinical trial.

Objective: To analyze the total Premature Infant Pain Profile scores of premature infants undergoing arterial puncture during music and 25% glucose interventions, and to assess their association with neonatal and therapeutic variables.

Method: A randomized clinical trial with 80 premature infants; 24 in the Experimental Group 1 (music), 33 in the Experimental Group 2 (music and 25% glucose), 23 in the Positive Control Group (25% glucose). All premature infants were videotaped and a lullaby was played for ten minutes before puncture in Experimental Groups 1 and 2; 25% glucose administered in Experimental Group 2 and the Positive Control Group two minutes before puncture.