Measurement of stress in stable neonates during ambulance transportation: A feasibility study.

Details

Serval ID
serval:BIB_8319DA4C4656
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Measurement of stress in stable neonates during ambulance transportation: A feasibility study.
Journal
Australian critical care
Author(s)
Zwissig M., Rio L., Roth-Kleiner M., Ramelet A.S.
ISSN
1036-7314 (Print)
ISSN-L
1036-7314
Publication state
Published
Issued date
01/2019
Peer-reviewed
Oui
Volume
32
Number
1
Pages
28-33
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Stress during ambulance transportation has been described in adult healthy volunteers where indicators of stress such as heart rate, blood pressure, and cortisol increased significantly. In neonates, a few studies have described stress in ambulance with behavioural scales. However, there is no study in neonates assessing both behavioural and physiological indicators of stress simultaneously during ambulance transportation.
To assess the feasibility of a study aiming at identifying stress in clinically stable neonates during ambulance transportation in non-emergency situations.
Stable neonates transported by ambulance from September 2015 to January 2016 were eligible. Physiological and behavioural parameters of stress were measured during the entire transfer procedure, starting on the ward of departure until hospitalisation at destination. Physiological parameters included salivary cortisol concentration, heart rate, respiratory rate, and oxygen saturation. Behavioural parameters were measured with the Comfort Behavior and the Premature Infant Pain Profile-Revised scales.
Twenty neonates were included. The study proved to be feasible, but collection of saliva for cortisol measurement was problematic. To reach a sufficient amount of saliva, the collection time had to be extended from 90 to 300 s. Physiological parameters demonstrated heterogeneous patterns of stress. Behavioural scores increased during the entire transfer procedure and did not return to baseline values, indicating discomfort, specifically during transfer from the cot into the transport incubator.
Salivary cortisol values were variable. Behavioural measurement of stress provided a more sensitive measure to detect low level of stress, as shown in our sample of stable neonates, during non-emergency transportation.
Keywords
Ambulances, Feasibility Studies, Female, Heart Rate, Humans, Hydrocortisone/metabolism, Infant, Newborn, Male, Oxygen/blood, Respiratory Rate, Saliva/chemistry, Stress, Physiological, Cortisol, Infant, Newborn, Nursing, Physiological stress, Transportation of patients
Pubmed
Web of science
Open Access
Yes
Create date
20/01/2019 16:26
Last modification date
27/04/2020 6:20
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