Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants
The administration of sucrose with and without non-nutritive sucking (NNS) has been examined for relieving procedural pain in newborn infants. The calming and pain-relieving effects of sucrose are thought to be mediated by endogenous opioid pathways activated by sweet taste. The orogustatory effects...
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| Format: | Article |
| Language: | English |
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Wiley
2001-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2001/376819 |
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| author | Sharyn Gibbins Bonnie Stevens |
| author_facet | Sharyn Gibbins Bonnie Stevens |
| author_sort | Sharyn Gibbins |
| collection | DOAJ |
| description | The administration of sucrose with and without non-nutritive sucking (NNS) has been examined for relieving procedural pain in newborn infants. The calming and pain-relieving effects of sucrose are thought to be mediated by endogenous opioid pathways activated by sweet taste. The orogustatory effects of sucrose have been demonstrated in animal newborns, and in preterm and full term human infants during painful procedures. In contrast to sucrose, the analgesic effects of NNS are hypothesized to be activated through nonopioid pathways by stimulation of orotactile and mechanoreceptor mechanisms. Although there is uncertainty as to whether the effects of sucrose and NNS are synergistic or additive, there is sufficient evidence to support the efficacy of combining the two interventions for procedural pain relief in infants. In this review article, the underlying mechanisms of sucrose and NNS, separately and in combination for relieving procedural pain in preterm and full term infants, are examined. Clinical and research implications are addressed. |
| format | Article |
| id | doaj-art-88a63cdb40094ad392cf6888c2082b25 |
| institution | Kabale University |
| issn | 1203-6765 |
| language | English |
| publishDate | 2001-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-88a63cdb40094ad392cf6888c2082b252025-02-03T01:08:50ZengWileyPain Research and Management1203-67652001-01-0161212810.1155/2001/376819Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in InfantsSharyn Gibbins0Bonnie Stevens1Faculty of Nursing, University of Toronto, Toronto, Ontario, CanadaFaculty of Nursing and Medicine, University of Toronto, Signy Hildur Eaton Chair in Paediatric Nursing Research, The Hospital for Sick Children, Toronto, Ontario, CanadaThe administration of sucrose with and without non-nutritive sucking (NNS) has been examined for relieving procedural pain in newborn infants. The calming and pain-relieving effects of sucrose are thought to be mediated by endogenous opioid pathways activated by sweet taste. The orogustatory effects of sucrose have been demonstrated in animal newborns, and in preterm and full term human infants during painful procedures. In contrast to sucrose, the analgesic effects of NNS are hypothesized to be activated through nonopioid pathways by stimulation of orotactile and mechanoreceptor mechanisms. Although there is uncertainty as to whether the effects of sucrose and NNS are synergistic or additive, there is sufficient evidence to support the efficacy of combining the two interventions for procedural pain relief in infants. In this review article, the underlying mechanisms of sucrose and NNS, separately and in combination for relieving procedural pain in preterm and full term infants, are examined. Clinical and research implications are addressed.http://dx.doi.org/10.1155/2001/376819 |
| spellingShingle | Sharyn Gibbins Bonnie Stevens Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants Pain Research and Management |
| title | Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants |
| title_full | Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants |
| title_fullStr | Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants |
| title_full_unstemmed | Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants |
| title_short | Mechanisms of Sucrose and Non-Nutritive Sucking in Procedural Pain Management in Infants |
| title_sort | mechanisms of sucrose and non nutritive sucking in procedural pain management in infants |
| url | http://dx.doi.org/10.1155/2001/376819 |
| work_keys_str_mv | AT sharyngibbins mechanismsofsucroseandnonnutritivesuckinginproceduralpainmanagementininfants AT bonniestevens mechanismsofsucroseandnonnutritivesuckinginproceduralpainmanagementininfants |