Effects of Whistling Compared with Buzzy Device During Blood Sampling on Pain and Fear in Children’s Emergency Department

Effectiveness and safety of Buzzy device in needle-related procedures for children under twelve years of age: A systematic review and meta-analysis

“…There were three control interventions related to breathing technique including bubble-blowing [ 18 , 20 ] and whistle-blowing. [ 27 ] When comparing Buzzy to the bubble-blowing control group, no significant differences were observed in self-reported [SMD = 1.05, 95% CI (−2.00 to 4.11), I 2 = 98%, P = .50, Figure S12, Supplemental Digital Content, http://links.lww.com/MD/M69 ], parent-reported [SMD = −0.45, 95% CI (−1.15 to 0.25), I 2 = 77%, P = .20, Figure S13, Supplemental Digital Content, http://links.lww.com/MD/M70 ], and observer-reported pain levels[SMD = 0.22, 95% CI (−1.49 to 1.93), I 2 = 96%, P = .80, Figure S14, Supplemental Digital Content, http://links.lww.com/MD/M71 ].However, when comparing Buzzy to the whistle-blowing group, Buzzy significantly reduced self-reported pain [SMD = −0.58, 95% CI (−1.02 to −0.13), P = .01, Figure S15, Supplemental Digital Content, http://links.lww.com/MD/M72 ].…”

“…When compared to the bubble-blowing, [ 20 ] the Buzzy device significantly reduced self-reported anxiety [SMD = −0.87, 95% CI (−1.33 to −0.41), P = .0002, Figure S32, Supplemental Digital Content, http://links.lww.com/MD/M121 ], parent-reported anxiety [MD = −1.00, 95% CI (−1.47 to −0.53), P < .0001, Figure S33, Supplemental Digital Content, http://links.lww.com/MD/M124 ], and observer-reported anxiety [SMD = −0.65, 95% CI (−1.10 to −0.20), P = .005, Figure S34, Supplemental Digital Content, http://links.lww.com/MD/M126 ]. In contrast to the whistle control group, [ 27 ] Buzzy significantly reduced self-reported anxiety [SMD = −2.30, 95% CI (−2.88 to −1.73), P < .0001, Figure S35, Supplemental Digital Content, http://links.lww.com/MD/M128 ].…”

“…The studies were conducted in several countries, including Turkey, [12–26] Iraq, [27] Lebanon, [28] Saudi Arabia, [29] and France. [30] Of the included studies, 17 studies compared the effects of Buzzy to a no-intervention group, [12–28] 4 studies with ShotBlocker, [16,19,20,24] 3 studies with distraction cards, [22–24] 3 studies involved comparisons with medications: benzocaine gel [29] and EMLA patch, [30] cold spray, [25] 3 studies with VR devices, [17,23,26] 2 studies with bubble-blowing [18,20] and 1 study with whistle blowing. [27] The included studies all focused on needle-related procedures, including venipuncture, [13,17,18,22,24,27,30] vaccination, [12,15] venous catheter insertion, [14,23,25,26,28] insulin injection, [16] intramuscular injection, [19,20] and oral anesthesia.…”

“…com/MD/M124], and observer-reported anxiety [SMD = −0.65, 95% CI (−1.10 to −0.20), P = .005, Figure S34, Supplemental Digital Content, http://links.lww.com/MD/M126]. In contrast to the whistle control group, [27] Buzzy significantly reduced self-reported anxiety [SMD = −2.30, 95% CI (−2.88 to −1.73), P < .0001, Figure S35, Supplemental Digital Content, http:// links.lww.com/MD/M128].…”

“…Compared to the no-treatment control group, a total of 16 studies [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] analyzed the effects of the Buzzy device on self-reported pain [SMD = −1.91, 95% CI (−2.45 to −1.37), I 2 = 95%, P < .00001] the corresponding forest plots can be found in Figure 3. Furthermore, 9 studies [13,[16][17][18]20,22,23,25,28] examined the impact of the Buzzy device on pain reported by parents [SMD = −3.04, 95% CI (−4.09 to −1.99), I 2 = 96%, P < .00001, Figure S1, Supplemental Digital Content, http://links.lww.com/MD/M58].…”