Cochrane · systematic review · CD010331

Topical anaesthesia for needle‐related pain in newborn infants

Foster, JP, Taylor, C, Spence, K · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 5 · 71.4%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

EMLA compared with placebo for needle‐related pain in newborn infants

Population: preterm infants
4 questions
OutcomeEffectEvidenceStatus / GRADE
Pain using PIPP score
EMLA vs placebo
no estimate extracted1 study · 38 participantsLow
Pain using NIPS score
EMLA vs placebo
no estimate extracted1 study · 38 participantsLow
Successful venepuncture first attempt
EMLA vs placebo
RR 0.98 [0.93, 1.03]1 study · 111 participantsLow
Adverse effects (short‐lasting skin reactions)
EMLA vs placebo
RR 1.65 [1.24, 2.19]3 studies · 272 participantsLow

Amethocaine compared with placebo for needle‐related pain

Population: preterm infants
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pain
Amethocaine vs placebo
no estimate extracted1 study · 110 participantsLow
Successful cannulation first attempt
Amethocaine vs placebo
RR 1.21 [0.82, 1.81]1 study · 39 participantsVery low
Adverse effects (short‐lasting skin reactions)
Amethocaine vs placebo
no estimate extracted3 studies · 181 participantsModerate