Assessment and management of pain in newborns hospitalized in a Neonatal Intensive Care Unit: a cross-sectional study

ABSTRACT Objective: to determine the frequency of pain, to verify the measures adopted for pain relief during the first seven days of hospitalization in the Neonatal Intensive Care Unit and to identify the type and frequency of invasive procedures to which newborns are submitted. Method: cross-sectional retrospective study. Out of the 188 hospitalizations occurred during the 12-month period, 171 were included in the study. The data were collected from the charts and the presence of pain was analyzed based on the Neonatal Infant Pain Scale and on nursing notes suggestions of pain. For statistical analysis, the Statistical Package for the Social Sciences was used, and the significance level was set at 5%. Results: there was at least one record of pain in 50.3% of the hospitalizations, according to the pain scale adopted or nursing note. The newborns underwent a mean of 6.6 invasive procedures per day. Only 32.5% of the pain records resulted in the adoption of pharmacological or non-pharmacological intervention for pain relief. Conclusion: newborns are frequently exposed to pain and the low frequency of pharmacological or non-pharmacological interventions reinforces the undertreatment of this condition

Anthropogenic impact on a pregnant Cuvier’s beaked whale (Ziphius cavirostris) stranded in Brazil

Background: Because of their usually cryptic behaviour, most knowledge on the biology of beaked whales are from records of stranded animals. Although the Cuvier’s beaked whale (Ziphius cavirostris) is the best known species of the ziphiidae family, little information on its reproduction is available. Results: Here we report on the stranding of a dead pregnant female with clear signs of anthropogenic impact, including the presence of a fishing artefact in the stomach. Conclusions: The region of the stranding (north-eastern coast of Brazil) is an area of increasing interest for oil and gas exploitation. Conservation concerns may arise from findings such as the one presented and discussed here