Sucrose For Pain Relief
What is sucrose? Sucrose is sugar. In this case though, we are referring to a sucrose solution which is specially made up for newborn babies.
Purpose and intent:
To provide pain relief for infants undergoing minor procedures.
To prevent potential effects of pain experience on the developing newborn brain.
Use may include but not be limited to the following procedures:
-arterial, venous or capillary puncture
-suturing or suture removal
-painful occupational or physiotherapy
-eye exam using retractors
Administered orally for relief of pain caused by minor procedures without a physician’s order to infants up to 12 months of age.
Use sucrose up to 8 doses in a 24 hours period. If a patient has more than 8 procedures in that time frame consider other methods of pain management.
For optimal effect give some sucrose directly onto the oral mucosa 2 minutes prior to the painful procedure, some immediately upon beginning and some half way through if the procedure lasts longer than 10 minutes. For babies who weight more than 1000 grams this can be partial doses.
Use a pacifier or skin to skin contact with a parent in conjunction with sucrose to enhance analgesic affect.
Options for products: Sucrose solution diluted from simple syrup to 24% is kept for one week in a refrigerator, and when taken to the bedside is used within 4 hours. Commercial prepared sucrose solution kept at room temperature according to the date on the package. When opened is kept at the bedside in a protective package for up to 12 hours.
Assess the analgesic effectiveness of the sucrose and need for subsequent administrations during and following the procedure.
For any infant who demonstrates unexplained nausea, vomiting, abdominal pain and hypoglycemia after exposure to sucrose consult the Metabolic service to investigate the possibility of the infant having Hereditary Fructose Intolerance, a rare enzyme deficiency disorder.
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