Analgesia by cooling vibration during venipuncture in children with cognitive impairment
- 4 November 2015
- journal article
- research article
- Published by Wiley in Acta Paediatrica
- Vol. 105 (1), e12-6
- https://doi.org/10.1111/apa.13224
Abstract
Children with cognitive impairment experience pain more frequently than healthy children and are more likely to require venipuncture or intravenous cannulation for various procedures. They are frequently unable to report pain and often receive poor pain assessment and management. This study assessed the effectiveness of physical analgesia during vascular access in children with cognitive impairments. We conducted a prospective randomised controlled study at a tertiary-level children's hospital in Italy from April to May 2015 to assess whether a cooling vibration device called Buzzy decreased pain during venipuncture and intravenous cannulation in children with cognitive impairment. None of the children had verbal skills and the main cognitive impairments were cerebral palsy, epileptic encephalopathy and genetic syndromes. We tested 70 children with a median age of nine years: 34 in the Buzzy group and 36 in the no-intervention group. Parents were trained in the use of the Noncommunicating Children's Pain Checklist--postoperative version scale, and they reported no or mild procedural pain in 32 cases (91.4%) in the Buzzy group and in 22 cases (61.1%) in the no-intervention group (p = 0.003). Cooling vibration analgesia during vascular access reduced pain in children with cognitive impairment.Keywords
This publication has 21 references indexed in Scilit:
- Current concepts in management of pain in children in the emergency departmentThe Lancet, 2015
- Efficacy of Vibration on Venipuncture Pain Scores in a Pediatric Emergency DepartmentPediatric Emergency Care, 2014
- A comparison of three scales for measuring pain in children with cognitive impairmentActa Paediatrica, 2014
- Measuring Pain in Children With Cognitive Impairment and Cerebral PalsyPediatric Emergency Care, 2011
- Assessing Pain in Children with Intellectual DisabilitiesPain Research and Management, 2009
- On the Front Lines: Lessons Learned in Implementing Multidisciplinary Peripheral Venous Access Pain-Management Programs in Pediatric HospitalsPEDIATRICS, 2008
- The effect of vapocoolant spray on pain due to intravenous cannulation in children: a randomized controlled trialCMAJ : Canadian Medical Association Journal, 2008
- Analgesia following surgery in children with and without cognitive impairmentPain, 2004
- The Incidence of Pain in Children With Severe Cognitive ImpairmentsArchives of Pediatrics & Adolescent Medicine, 2003
- Pain management in children with and without cognitive impairment following spine fusion surgeryPediatric Anesthesia, 2001