Pediatricians’ focus of sight at pain assessment during a neonatal heel puncture
ABSTRACT Objective: To evaluate the focus of pediatricians’ gaze during the heel prick of neonates. Methods: Prospective study in which pediatricians wearing eye tracker glasses evaluated neonatal pain before/after a heel prtick. Pediatricians scored the pain they perceived in the neonate in a verbal analogue numerical scale (0=no pain; 10=maximum pain). The outcomes measured were number and time of visual fixations in upper face, lower face, and hands, in two 10-second periods, before (pre) and after the puncture (post). These outcomes were compared between the periods, and according to pediatricians’ pain perception: absent/mild (score: 0–5) and moderate/intense (score: 6–10). Results: 24 pediatricians (31 years old, 92% female) evaluated 24 neonates. The median score attributed to neonatal pain during the heel prick was 7.0 (Interquartile range: 5–8). Compared to pre-, in the post-periods, more pediatricians fixed their gaze on the lower face (63 vs. 92%; p=0.036) and the number of visual fixations was greater on the lower face (2.0 vs. 5.0; p=0.018). There was no difference in the number and time of visual fixations according to the intensity of pain. Conclusions: At bedside, pediatricians change their focus of attention on the neonatal face after a painful procedure, focusing mainly on the lower part of the face..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:42 |
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| Enthalten in: |
Revista Paulista de Pediatria - 42(2023) |
| Sprache: |
Englisch ; Spanisch ; Portugiesisch |
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| Beteiligte Personen: |
Erica Souza Silva [VerfasserIn] |
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| Links: |
doi.org [kostenfrei] |
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| Themen: |
Analog pain scale |
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| doi: |
10.1590/1984-0462/2024/42/2023089 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
DOAJ099381389 |
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| 520 | |a ABSTRACT Objective: To evaluate the focus of pediatricians’ gaze during the heel prick of neonates. Methods: Prospective study in which pediatricians wearing eye tracker glasses evaluated neonatal pain before/after a heel prtick. Pediatricians scored the pain they perceived in the neonate in a verbal analogue numerical scale (0=no pain; 10=maximum pain). The outcomes measured were number and time of visual fixations in upper face, lower face, and hands, in two 10-second periods, before (pre) and after the puncture (post). These outcomes were compared between the periods, and according to pediatricians’ pain perception: absent/mild (score: 0–5) and moderate/intense (score: 6–10). Results: 24 pediatricians (31 years old, 92% female) evaluated 24 neonates. The median score attributed to neonatal pain during the heel prick was 7.0 (Interquartile range: 5–8). Compared to pre-, in the post-periods, more pediatricians fixed their gaze on the lower face (63 vs. 92%; p=0.036) and the number of visual fixations was greater on the lower face (2.0 vs. 5.0; p=0.018). There was no difference in the number and time of visual fixations according to the intensity of pain. Conclusions: At bedside, pediatricians change their focus of attention on the neonatal face after a painful procedure, focusing mainly on the lower part of the face. | ||
| 650 | 4 | |a Infant, newborn | |
| 650 | 4 | |a Pain measurement | |
| 650 | 4 | |a Facial expression | |
| 650 | 4 | |a Eye-tracking technology | |
| 650 | 4 | |a Fixation, ocular | |
| 650 | 4 | |a Analog pain scale | |
| 653 | 0 | |a Pediatrics | |
| 700 | 0 | |a Marina Carvalho de Moraes Barros |e verfasserin |4 aut | |
| 700 | 0 | |a Julia Baptista Lopes Borten |e verfasserin |4 aut | |
| 700 | 0 | |a Lucas Pereira Carlini |e verfasserin |4 aut | |
| 700 | 0 | |a Rita de Cássia Xavier Balda |e verfasserin |4 aut | |
| 700 | 0 | |a Rafael Nobre Orsi |e verfasserin |4 aut | |
| 700 | 0 | |a Tatiany Marcondes Heiderich |e verfasserin |4 aut | |
| 700 | 0 | |a Carlos Eduardo Thomaz |e verfasserin |4 aut | |
| 700 | 0 | |a Ruth Guinsburg |e verfasserin |4 aut | |
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