Distraction Using the BUZZY for Children During an IV Insertion

Moadad, Nemat; Kozman, Katia; Shahine, Randa; Ohanian, Shake; Badr, Lina Kurdahi

doi:10.1016/j.pedn.2015.07.010

Cited by 90 publications

(85 citation statements)

References 46 publications

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“…Making needle pricks and venous access procedures as pain free as possible is an ethical obligation. Thus, finding an efficient and inexpensive device to decrease needle insertion pain is of paramount importance to health providers caring for children [21,22]. The present study aim to investigate the efficacy of three interventions (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

“…It has also been suggested that distraction alters nociceptive responses by triggering an internal pain suppressing system [20]. Distraction method has been used in various ways including using Buzzy [21,22], looking through kaleidoscopes [8], watching cartoon video [23] blowing bubbles [24], Distraction Cards [18; 8], listening to music [25] and ball squeezing [18; 17]. Cochrane review of the efficacy of various distraction methods for managing needle-related pain and distress in children indicates that distraction has a beneficial effect on self-reported pain [16].…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

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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“…No research has yet reported effects of low frequency vibration (50-100 Hz) on CRS pain. Most of the published literature has focused on analgesia in the peripheral nervous system [30,31,[57][58][59][60], though some research has reported success treating temporomandibular disorder pain [61,62]. Low frequency vibratory inhibition of nerves associated with the parasympathetic nervous system may be partly responsible for the beneficial effects of treatment [63,64].…”

Section: Discussionmentioning

confidence: 99%

“…Combining vibratory stimulation with either electrical or thermal stimulation increases the analgesia effect, probably due to the activation and recruitment of multiple types of receptors [30,31,57]. Vibratory analgesia of 70-80 Hz has been successfully used to reduce pain in various procedures, including IV insertion [59], blood collection [58] and experimentally-induced pain [70]. In a study on patients with temporomandibular disorder, 20-Hz vibration on the cheek reduced pain, but not as much as 100-Hz vibration [62].…”

Section: Discussionmentioning

confidence: 99%

Multimodal Frequency Treatment for Facial Pain Caused by Chronic Rhinosinusitis: A Pilot Study

et al. 2017

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Chronic rhinosinusitis (CRS) is a common disease that affects over 200 million patients worldwide. CRS often presents with facial pain, which is considered an important criterion for the diagnosis of CRS. A single-arm clinical study was designed to test the effect of simultaneous high (1 MHz) and low frequencies (70-80 Hz) on facial pain in 14 CRS patients at the Sarah Bush Lincoln Health Center, Mattoon, IL, USA. We used two quality of life (QOL) instruments to test the effect of multimodal frequencies on patients suffering from CRS: the Brief Pain Inventory Short Form (BPI-SF), and the Sino-Nasal Outcome Test (SNOT-22). Mean BPI-SF severity scores improved by 0.80 points (Wilcoxon rank sum test p < 0.01) in all 14 patients. In patients with baseline facial pain (n = 9), the scores improved by an average of 1.5 (p < 0.01) points in the pain severity domain and by 1.4 points in the pain interference domain. Additionally, the mean improvement in SNOT-22 scores was 14.11 (p < 0.05), which is above the minimal clinically-important difference (MCID) of nine points. Our pilot study indicates that multimodal vibration frequencies applied over the facial sinuses reduce pain, possibly through the reduction of the inflammatory response and modulation of the pain receptors. This study suggests the possibility that combining different frequencies could have an enhanced effect on reducing CRS-related facial pain.

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“…These methods include drawing the patients' attention to another direction, the application of cold compresses, massage, better injection techniques, and manual pressure. It has been determined in the literature that buzzy administration reduces pain in order to reduce the pain associated with IV treatment (Canbulat et al, 2015;Moadad et al, 2016). When the varieties studied were studied, it was determined that the shot bloker application was effective on operational pain (Celik & Khorsid, 2015;Drago et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

İnvazi̇f Gi̇ri̇şi̇mlerde Fi̇ske Atmanin Ağriya Etki̇si̇

Kahraman¹,

Çiftçi²

2017

UHD

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Öz: Amaç: İnvaziv girişimlerdeki ağrıyı azaltmak için kullanılacak yöntemin (fiske atma) etkisini saptamak amacıyla yapılmıştır. Gereç ve Yöntem: Deneysel yapılan bu araştırmanın evrenini Harran Üniversitesi Eğitim ve Araştırma Hastanesi'nde bulunan yetişkin yoğun bakım kliniklerinde yatan tüm hastalar oluş-turmaktadır. Buna göre bu hastanede 3 tane yoğun bakım kliniği bulunmaktadır. Araştırmanın örneklem grubunu bu yoğun bakım kliniklerinde araştırmacılar tarafından belirlenen kriterle uygun olan 55 hasta oluş-turmuştur. Veriler, SPSS 16.0 programında tanımlayıcı istatistik ve iki eş ortalama arasındaki farkın önemlilik testi, wilcoxon, ki-kare testi, bağımsız gruplarda t testi, one way ANOVA testleri ile hesaplanmıştır. Bulgular: Davranışsal ağrı ölçeğinin genel toplam puanı incelendiğinde fiskesiz uygulamanın ortalaması 4.38±1.1 iken fiskeli uygulamada ise 4.47±1.5 dir (p>0.05). Subkutan ve intravenöz işlemlerde fiske uygulaması ağrıyı azaltmaktadır (p>0.05). Sonuç: Fiske uygulaması subkutan uygulama dışında etkili bulunmamıştır. Fiske uygulaması yaş, cinsiyet, aldığı tanı ve hastaneden kalma sü-resi gibi faktörlerden etkilenmektedir.Anahtar Kelimeler: Fiske, Invazif Girişimler, Hemşi-relik, Ağrı Yönetimi Abstract: Aim: The purpose of this research was to examine the effect of flick application on reducing pain of invasive intervention. Method: Experimental method as a study was completed with 55 patients who met the sampling criteria. Two forms were employed in the collection of data from participants: the "Patient Info Form" and the "Behavioral Pain Scale". Analysis of data was conducted in SPSS 16. 0 Accordingly, the difference between the two related groups was calculated through Wilcoxon, a chi-square test, an independence t test, and a one-way ANOVA test. Results: Behavioral Pain Scale is examined, the application without flick has a mean of 4.38±1.1, while the application with flick has a mean of 4.47±1.5 (p>0.05). It is seen that the application of flick in both subcutaneous and intravenous procedures lessens the pain (p >0.05). Conclusion: Flick application is found to be effective in a subcutaneous application. The effect of flick application on pain is affected by factors such as age, gender, diagnosis, and the days that the patient spent in the hospital. Flick application also, it is observed, affects pulse rates.

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Distraction Using the BUZZY for Children During an IV Insertion

Cited by 90 publications

References 46 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

Multimodal Frequency Treatment for Facial Pain Caused by Chronic Rhinosinusitis: A Pilot Study

İnvazi̇f Gi̇ri̇şi̇mlerde Fi̇ske Atmanin Ağriya Etki̇si̇

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