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Acta Paediatr. 2016 Jan;105(1):e12-6. doi: 10.1111/apa.13224. Epub 2015 Nov 4.

Analgesia by cooling vibration during venipuncture in children with cognitive impairment.

Author information

1
Institute for Maternal and Child Health, IRCCS 'Burlo Garofolo', Trieste, Italy.
2
University of Torino, Torino, Italy.
3
University of Trieste, Trieste, Italy.
4
Institute for Maternal and Child Health, IRCCS 'Burlo Garofolo', Clinical Epidemiology and Health Services Research Unit, Trieste, Italy.

Abstract

AIM:

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.

METHODS:

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.

RESULTS:

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).

CONCLUSION:

Cooling vibration analgesia during vascular access reduced pain in children with cognitive impairment.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT02434731.

KEYWORDS:

Children; Cognitive impairment; Cooling vibration; Needle pain; Vascular access

PMID:
26401633
DOI:
10.1111/apa.13224
[Indexed for MEDLINE]

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