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Review: venepuncture is less painful than heel lance for blood sampling in neonates

https://doi.org/10.1136/ebn.11.3.72

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    V Shah

    Dr V Shah, Mount Sinai Hospital, Toronto, Ontario, Canada; vshah@mtsinai.on.ca

    QUESTION

    Is venepuncture less painful than heel lance for blood sampling in healthy neonates?

    REVIEW SCOPE

    Studies selected compared venepuncture and heel lance for blood sampling in healthy term neonates. Outcomes were neonatal pain response (assessed by a validated measure), maternal anxiety, sampling time, and need for repeat skin puncture.

    REVIEW METHODS

    Medline, CINAHL, and EMBASE/Excerpta Medica (to Jun 2007); Cochrane Central Register of Controlled Trials (Issue 2, 2007); and reference lists were searched for randomised controlled trials (RCTs) or quasi-randomised trials. 5 RCTs (n = 317, 47–59% boys) met the selection criteria. All trials had adequate allocation concealment; in no trial were investigators or participants blinded, but the outcome …

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    Footnotes

    • Source of funding: no external funding.