Ultrasonography causes agitation and pain leading to hemodynamic disturbance in neonates: A prospective observational study

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dc.authorid0000-0003-1429-3206en_US
dc.authorid0000-0003-3210-4544en_US
dc.authorid0000-0001-7112-0323en_US
dc.authorid0000-0002-1117-196Xen_US
dc.contributor.authorDinçer, Emre
dc.contributor.authorÖzer, Hamza
dc.contributor.authorTopçuoğlu, Sevilay
dc.contributor.authorKaratekin, Güner
dc.date.accessioned2023-08-09T11:20:48Z
dc.date.available2023-08-09T11:20:48Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Ultrasonography is widely used in neonatological practice and studies investigating the hemodynamic effects of various treatment protocols or clinical situations. On the other hand, pain causes changes in the cardiovascular system; so, in the case of ultrasonography leading to pain in neonates, it may cause hemodynamic alterations. In this prospective study, we evaluate whether ultrasonographic application causes pain and changes in the hemodynamic system. Methods: Newborns undergoing ultrasonographic examination were enrolled in the study. Vital signs, cerebral and mesenteric tissue oxygenation (StO(2)) levels, and middle cerebral artery (MCA) Doppler measurements were recorded, and NPASS scores were calculated before and after ultrasonography. Results: We enrolled 39 patients in the study. After ultrasonography, Neonatal Pain, Agitation, and Sedation Scale (NPASS) scores were significantly higher (p < 0.01), and all vital signs (heart rate, respiratory rate, SpO(2), diastolic and systolic blood pressure; p = 0.03; p < 0.01, p < 0.01, p < 0.01, p = 0.02, p = 0.03, respectively) were altered. Cerebral (p = 0.008) and mesenteric (p = 0.039) StO(2) levels were significantly lower in the whole study group, MCA end-diastolic velocity decreased (p = 0.02), and the resistive index (p = 0.03) increased in patients whose NPASS score was >7 after ultrasonography. Conclusions: This study is the first to show that ultrasonography may cause pain in newborn patients, and alters vital signs and hemodynamic parameters. Therefore, precautions should be taken to protect newborn babies from pain during ultrasound applications, as they are already exposed to many noxious stimuli. Furthermore, pain scores should be considered in studies using ultrasonography and evaluating hemodynamic parameters to increase the reliability of the studies.en_US
dc.identifier.citationDincer, E., Özer, H., Topçuoğlu, S., & Karatekin, G. (2023). Ultrasonography Causes Agitation and Pain Leading to Hemodynamic Disturbance in Neonates: A Prospective Observational Study. Children, 10(2), 347.en_US
dc.identifier.doi10.3390/children10020347
dc.identifier.endpage9en_US
dc.identifier.issn2227-9067
dc.identifier.issue2en_US
dc.identifier.pmid36832476en_US
dc.identifier.scopus2-s2.0-85148758295en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1en_US
dc.identifier.urihttp://dx.doi.org/10.3390/children10020347
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11467
dc.identifier.volume10en_US
dc.identifier.wosWOS:000938297500001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÖzer, Hamza
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.relation.ispartofChildren-Baselen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectUltrasonographyen_US
dc.subjectPainen_US
dc.subjectHemodynamicsen_US
dc.subjectNear-Infrared Spectroscopyen_US
dc.subjectDoppler Ultrasonographyen_US
dc.subjectTissue Oxygenationen_US
dc.titleUltrasonography causes agitation and pain leading to hemodynamic disturbance in neonates: A prospective observational studyen_US
dc.typeArticleen_US

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