Audiovisual distraction for pain relief in paediatric inpatients: A crossover study

Oliveira, Nátali Castro Antunes Caprini; Santos, Jair Lício Ferreira; Linhares, Maria Beatriz Martins

doi:10.1002/ejp.915

Cited by 24 publications

(24 citation statements)

References 32 publications

(48 reference statements)

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“…Studies in the medical practice showed that the audiovisual distraction is used to reduce the patients' pain and anxiety during short invasive procedures 21,22 . Studies in the dental setting confirmed the efficacy of this intervention in relieving anxiety and pain in healthy children 8,[12][13][14] .…”

Section: Discussionmentioning

confidence: 99%

Effects of audiovisual distraction in children with special healthcare needs during dental restorations: a randomized crossover clinical trial

Bagattoni

D’Alessandro

Sadotti

et al. 2017

Int J Paed Dentistry

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International Journal of Paediatric Dentistry 2018; 28: 111-120Background. Audiovisual distraction using video eyeglasses is useful in managing distress and reducing fear and anxiety in healthy children during dental treatments. Aim. To evaluate the effect of audiovisual distraction on behavior and self-reported pain of children with special healthcare needs (SHCN) without intellectual disability during dental restorations and its influence on the operator stress and the time of the appointment. Material and methods. This randomized controlled crossover trial comprised 48 children with SHCN requiring at least two dental restorations. One restoration was done wearing the video eyeglasses and one wearing conventional behavior management techniques. Subjective and objective pain was evaluated using the Faces Pain Scale -Revised (FPS-R) and the revised Face, Leg, Activity, Cry, and Consolability scale (r-FLACC). The operator stress using a VAS, the time of the appointment, and the child satisfaction were recorded. Results. The use of video eyeglasses significantly reduced the operator stress. The bivariate analysis showed that the mean FPS-R score and the mean r-FLACC score were significantly lower using the video eyeglasses only during the second clinical session. Conclusion. Audiovisual distraction could be useful in managing distress in SHCN children without intellectual disability but cannot replace the conventional behavior management techniques.

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Section: Discussionmentioning

confidence: 99%

Effects of audiovisual distraction in children with special healthcare needs during dental restorations: a randomized crossover clinical trial

Bagattoni

D’Alessandro

Sadotti

et al. 2017

Int J Paed Dentistry

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“…For the child, distraction is an important way to relieve stress by redirecting attention and energy to new stimulus that are internal or available in the environment. In a more aversive condition such as the hospital, in a crossover study, Oliveira, Santos, and Linhares (2017) demonstrated the effectiveness of an audiovisual distraction intervention in acute pain relief in hospitalized children undergoing puncture procedures. Possibly, in their natural context, children with SCD can use this resource during the painful crisis for better pain management (Anie, 2005).…”

Section: Discussionmentioning

confidence: 99%

A psychological intervention proposal on coping with pain for children with Sickle Cell Disease

Oliveira

Enumo

Paula

2017

Estud. psicol. (Campinas)

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Pain is common in Sickle Cell Disease. This study proposes a Psychological Intervention Program for Children with Sickle Cell Disease (Intervenção Psicológica para Crianças com Anemia Falciforme). It was applied to seven children in a hospital. The intervention was based in the Motivational Theory of Coping and includes the Coping with Pain Game (Jogo “Enfrentando a Dor”). The Computerized Assessment Instrument of Coping with Hospitalization-Pain (Instrumento Computadorizado para Avaliação do Enfrentamento da Hospitalização-Dor) was applied before and after seven weekly sessions. The results showed significant increase in the facilitating behaviors to cope with pain, and in problem-solving, an adaptive coping; and a reduction in the non-facilitating behaviors and in rumination, a maladaptive coping. The stressor perception as a challenge to the need of competence increased, whereas the stressor perception as a threat to the need of competence and autonomy decreased. This intervention may have contributed to promote adaptive coping with pain.

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“…In addition to pharmacologic pain control, alternative methods to manage patient perception of pain are employed in the pediatric population. The use of distraction has been demonstrated to decrease subjective experience of pain and can applied in various ways including therapeutic recreation, music therapy, and child life services to assist with tolerance of what can be a challenging hospital stay …”

Section: Postoperative Carementioning

confidence: 99%

The expanded endonasal approach in pediatric skull base surgery: A review

London

Rangel

Walz

2020

Laryngoscope Investig Oto

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Objective: Surgery of the pediatric skull base has multiple unique challenges and has seen recent rapid advances. The objective of this review is to assess key issues in pediatric skull base surgery (SBS), including anatomic limitations, surgical approaches, reconstruction techniques, postoperative care, complications, and outcomes.Data Sources: PubMed literature review.Review Methods: A review of the literature was conducted to assess the challenges, recent advances, and reported outcomes in pediatric SBS.Results: The pediatric skull base presents multiple anatomic challenges, including variable patterns of pneumatization, narrow piriform aperture width, and narrow intercarotid distance at the level of the cavernous sinus but not the superior clivus. These issues may be particularly challenging in patients less than 2 years of age. Endoscopic endonasal approaches in the sagittal and coronal plane have been applied to the pediatric skull base while open approaches may still be necessary in the setting of extensive intracranial or orbital disease, as well as disease lateral to critical neurovascular structures. While the nasoseptal flap was initially called into question for pediatric cases, it has been shown through multiple reports to be a feasible and robust reconstructive option. Complications and outcomes often depend upon the pathology. In children, response to noxious stimuli, ability to avoid Valsalva, and adherence to nasal precautions is variable. The use of lumbar drains is more common in pediatric than adult patients.Conclusion: While the pediatric skull base presents unique challenges, outcomes data support that endoscopic endonasal approaches are a pertinent surgical technique in appropriately selected patients. Level of Evidence: 3aK E Y W O R D S endoscopic endonasal approach, pediatric skull base surgery, skull base reconstruction, surgical outcomes

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Audiovisual distraction for pain relief in paediatric inpatients: A crossover study

Cited by 24 publications

References 32 publications

Effects of audiovisual distraction in children with special healthcare needs during dental restorations: a randomized crossover clinical trial

Effects of audiovisual distraction in children with special healthcare needs during dental restorations: a randomized crossover clinical trial

A psychological intervention proposal on coping with pain for children with Sickle Cell Disease

The expanded endonasal approach in pediatric skull base surgery: A review

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