Cost-effectiveness Analysis of Anesthetic Agents During Peripheral Intravenous Cannulation in the Pediatric Emergency Department

Pershad, Jay; Steinberg, Stephanie C.; Waters, Teresa M.

doi:10.1001/archpedi.162.10.952

Cited by 26 publications

(30 citation statements)

References 65 publications

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“…Multiple different modalities exist to diminish the pain associated with venipuncture in pediatric patients, with a variety of associated costs and efficacies [10]. When used appropriately; non-pharmacologic methods can be effective in dulling procedural pain.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department

Tork¹

2017

AJNS

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Abstract:Background Painful medical procedures in childhood may have long-term negative effects on development and future tolerance of pain, evidence suggests that a significant number of children receive less than optimal management of procedure-related pain Objective The present study aim to investigate the efficacy of three interventions methods (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients. Methods A prospective randomized clinical trial with children who required venipuncture and aged 7 to12 years was conducted in a pediatric ED. Data were obtained by conducting interviews with the children, their parents, and the observer. The pain levels of the children were assessed by the parent, observer as well as self-report using the Faces Pain Scale-Revised (FPS-R). The anxiety levels of children were assessed using Children Fear Scale (CFS). Results One hundred and eighty children (mean age, 9.3±1.9 years) were included. The pain levels of children showed statistically significant differences between the groups in the self-, observer-and parent-reported procedural pain (p = 0.012, p = 0.036, p = 0.014 respectively).No significant differences were observed between the groups in procedural child anxiety levels according to the parents and observer (p =0. 42, 0.13 respectively). Conclusion The results of the study suggests that the distraction method through Buzzy, distraction cards and balloon inflating are effectively decreased pain levels of children compared with the control group according to self-report, parent-report and observer-report.

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Section: Introductionmentioning

confidence: 99%

Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department

Tork¹

2017

AJNS

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“…MULTIPLE DIFFERENT MODALITIES exist to diminish the pain associated with venipuncture in pediatric patients, with a variety of associated costs and efficacies (Pershad, Steinberg, & Waters, 2008). A recent analysis indicated that the J-tip® was the most cost-effective intervention (Pershad et al, 2008).…”

Section: Background Knowledgementioning

confidence: 99%

“…A recent analysis indicated that the J-tip® was the most cost-effective intervention (Pershad et al, 2008). The J-tip® is a single-use, needle-free device which uses a pressurized carbon dioxide cartridge to force lidocaine through the skin and subcutaneously.…”

Section: Background Knowledgementioning

confidence: 99%

Does Combined Use of the J-tip® and Buzzy® Device Decrease the Pain of Venipuncture in a Pediatric Population?

Kearl

Yanger

Montero

et al. 2015

Journal of Pediatric Nursing

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“…So why is the agent used with relative infrequency? The reasons are probably related to its efficacy-which is good but not 100% [158][159][160] and thus may prompt need for a coadministered agent-as well as the requirement for specialized training and equipment (for both delivery and "scrubbing" to clear this potentially teratogenic gas from the healthcare setting) [161][162][163].…”

Section: Nitrous Oxide (N 2 O)mentioning

confidence: 99%

Management of Pain in the Emergency Department

Thomas

2013

ISRN Emergency Medicine

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Since pain is a primary impetus for patient presentation to the Emergency Department (ED), its treatment should be a priority for acute care providers. Historically, the ED has been marked by shortcomings in both the evaluation and amelioration of pain. Over the past decade, improvements in the science of pain assessment and management have combined to facilitate care improvements in the ED. The purpose of this review is to address selected topics within the realm of ED pain management. Commencing with general principles and definitions, the review continues with an assessment of areas of controversy and advancing knowledge in acute pain care. Some barriers to optimal pain care are discussed, and potential mechanisms to overcome these barriers are offered. While the review is not intended as a resource for specific pain conditions or drug information, selected agents and approaches are mentioned with respect to evolving evidence and areas for future research.

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Cost-effectiveness Analysis of Anesthetic Agents During Peripheral Intravenous Cannulation in the Pediatric Emergency Department

Abstract: Currently, the needle-free jet injection of lidocaine device and injection of buffered lidocaine appear to provide the most cost-effective alternatives to pediatric ED physicians.

Cited by 26 publications

References 65 publications

Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department

Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department

Does Combined Use of the J-tip® and Buzzy® Device Decrease the Pain of Venipuncture in a Pediatric Population?

Management of Pain in the Emergency Department

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