TABLE 4

Guidelines for Use of Sucrose in the ED

Indications
 • Use as an adjunct for limiting the pain associated with procedures such as heel sticks, venipuncture, IV line insertion, arterial puncture, insertion of a Foley catheter, and lumbar puncture in neonates and infants younger than 6 mo
Procedure
 1. Administer 2 mL of 25% sucrose solution by syringe into the infant’s mouth (1 mL in each cheek) or allow infant to suck solution from a nipple (pacifier) no more than 2 min before the start of the painful procedure
 2. Sucrose seems to be more effective when given in combination with a pacifier; nonnutritive suck also contributes to calming the infant and decreasing pain-elicited distress
Contraindications: None