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Treating pain in the newborn is essential for ethical reasons
and because pain can lead to decreased oxygenation, haemodynamic instability, or increased intracranial pressure. Simple interventions such as sweet oral solutions or sucking a pacifier can reduce pain in
neonates during painful minor procedures. On p 1393 Carbajal et al
report the results of a comparison of the analgesic effects of these
two simple interventions during venepuncture in neonates by using a
behavioural pain scale. They found that the non-nutritive sucking of a
pacifier was more effective than the oral administration of 30%
glucose or 30% sucrose. A 30% glucose solution, which is readily
available in any hospital, showed at least the same analgesic effect as
a 30% sucrose solution. A synergistic analgesic effect was observed
for sucrose and pacifiers. These simple and safe interventions should
be widely used for minor procedures in neonates.