Analgesic effect of inhaled lavender essential oil for frenotomy in healthy neonates: a randomized clinical trial

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• dc.contributor.author Maya-Enero, Silvia
• dc.contributor.author Fàbregas-Mitjans, Montserrat
• dc.contributor.author Llufriu-Marquès, Rosa Maria
• dc.contributor.author Candel-Pau, Júlia
• dc.contributor.author García García, Jordi
• dc.contributor.author López-Vílchez, María Ángeles
• dc.date.accessioned 2022-10-24T06:24:40Z
• dc.date.issued 2022
• dc.description.abstract Background: Neonatal pain may affect long-term neurodevelopment and must be treated. Frenotomy is a painful procedure wherein a common strategy to relieve pain (sucking) cannot be used because the technique is performed on the tongue. Lavender essential oil (LEO) has sedative and antispasmodic properties and has been successfully used to treat pain during heel puncture and vaccination. Our aim was to demonstrate if the use of inhaled LEO is effective in reducing pain during frenotomy in healthy, full-term neonates. Methods: We conducted a randomized clinical trial in neonates who underwent a frenotomy between August 2020 and April 2021. We assessed pain using pre and post-procedure heart rate and oxygen saturation, crying time and Neonatal Infant Pain Scale (NIPS) score. Patients with type 3 tongue tie were randomized into the "experimental group" and "control group". In both groups, we performed swaddling, administered oral sucrose, and let the newborn suck for two minutes. In the experimental group, we also placed a gauze pad with one drop of LEO under the neonate's nose for two minutes prior to and during the frenotomy. Results: We enrolled 142 patients (71 per group). The experimental group showed significantly lower NIPS scores (1.88 vs 2.92) and cried almost half the amount of time (14.8 vs. 24.6 seconds, P = 0.006). Comparing with the control group, we observed no side effects in either of the groups. Conclusions: We observed a significant decrease in crying time and lower NIPS scores in the neonates who received inhaled LEO and underwent a frenotomy for type 3 tongue-ties. Thus, we recommend using inhaled LEO during neonatal frenotomies.
• dc.format.mimetype application/pdf
• dc.identifier.citation Maya-Enero S, Fàbregas-Mitjans M, Llufriu-Marquès RM, Candel-Pau J, Garcia-Garcia J, López-Vílchez MÁ. Analgesic effect of inhaled lavender essential oil for frenotomy in healthy neonates: a randomized clinical trial. World J Pediatr. 2022 Jun;18(6):398-403. DOI: 10.1007/s12519-022-00531-7
• dc.identifier.doi http://dx.doi.org/10.1007/s12519-022-00531-7
• dc.identifier.issn 1708-8569
• dc.identifier.uri http://hdl.handle.net/10230/54538
• dc.language.iso eng
• dc.publisher Springer
• dc.relation.ispartof World J Pediatr. 2022 Jun;18(6):398-403
• dc.rights © Springer The final publication is available at Springer via http://dx.doi.org/10.1007/s12519-022-00531-7.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Ankyloglossia
• dc.subject.keyword Aromatherapy
• dc.subject.keyword Frenotomy
• dc.subject.keyword Lavender
• dc.subject.keyword Neonatal pain
• dc.subject.keyword Neonate
• dc.subject.keyword Tongue-tie
• dc.title Analgesic effect of inhaled lavender essential oil for frenotomy in healthy neonates: a randomized clinical trial
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion