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Child health
Combined non-pharmacological interventions minimise pain during orogastric tube insertion in preterm neonates
  1. Mariana Bueno
  1. Child Health Evaluative Sciences, Peter Gilgan Centre For Research and Learning (PGCRL), The Hospital for Sick Children, Toronto, ON, Canada
  1. Correspondence to Dr Mariana Bueno, Peter Gilgan Centre For Research and Learning (PGCRL), The Hospital for Sick Children, 686 Bay Street, 6th floor, M5G 0A4, Toronto, ON, Canada; mariana.bueno{at}

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Commentary on: Apaydin Cirik V, Efe E. The effect of expressed breast milk, swaddling and facilitated tucking methods in reducing the pain caused by orogastric tube insertion in preterm infants: a randomised controlled trial. Int J Nurs Studies 2020;104:103532.

Implications for practice and research

  • Combined non-pharmacological interventions provide better analgesic effects compared with interventions implemented alone during gastric tube insertion.

  • Further research to determine non-pharmacological interventions that provide optimal analgesia during gastric tube insertion in preterm neonates is required.


Hospitalised neonates around the world experience multiple painful and distressful procedures each day with suboptimal analgesia.1 Gastric tube insertions are commonly performed in intensive care, usually for feeding or gastric decompression. Tube replacements are regularly performed, in intervals from 24 to 72 hours. Although demonstrated to be painful and distressful, pain management strategies are infrequently used during this procedure.


In a randomised controlled trial, …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.