Assessment of pain in children submitted to techniques of respiratory physiotherapy

Background: Pain in critically ill infants alters clinical stability, and there are few studies that relate the binomial: physiotherapy and production of pain in children, although the application of intra-hospital respiratory physiotherapy is already a routine. Objective: To evaluate pain response to maneuvers of thoracic vibrocompression (VC) and suction of secretion (SS) in children under one year with acute respiratory infections. Methods: Were evaluated 20 children, of both genders, admitted to the Pediatrics Ward of HC-UFU requiring respiratory physiotherapy. The variables heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO 2 ) and Neonatal Infant Pain Scale – (NIPS), were analyzed before, during and after the execution of the techniques previously randomized. For statistical analysis, were used two-way ANOVA, post hoc test, and Spearman9s correlation with a significance level of 5% (p Results: There were significant differences between techniques (p=0.01) in the variable HR, while the RR showed no significant changes related to techniques, and moments of evaluation. The SpO 2 showed significance between techniques during application, being on average 90.9% SS and VC of 95.6% (p=0.01). NIPS had also no significant difference between techniques during the execution, and the SS average was 5.90 points while VC average was 1.85 points (p=0.01). All variables with changed values during the execution of the techniques returned to baseline at the end. Conclusion : The VC showed variation only in HR during its execution, while SS altered HR, SpO 2 and NIPS, but the children quickly returned to baseline levels and clinical stability with rest.