Mitigating procedural pain during venipuncture in a pediatric population: A randomized factorial study

Bahorski, Jessica; Hauber, Roxanne Pickett; Hanks, Catherine L.; Johnson, Monique; Mundy, Kendal; Ranner, Donna; Stoutamire, Betsy; Gordon, Glenna

doi:10.1016/j.ijnurstu.2015.05.014

Cited by 22 publications

(16 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(12,13,(15)(16)(17) In these studies, the vibration groups reported significantly lower pain than the control groups. In addition, the use of vibration significantly reduced pain in pediatric groups, (18,20) during intravenous administration, (12)(13)(14)(15)(16)(17) intramuscular injection, (20) and the heel bleeding procedure in newborns. (22) Furthermore, there are three studies evaluating the effect of vibration on pain during invasive interventions in adult patients.…”

Section: Discussionmentioning

confidence: 91%

“…(11) The effect of vibration on pain during venous intervention was investigated in pediatric patients. (2,(12)(13)(14)(15)(16)(17) In these studies, the vibration applied groups reported significantly lower pain than the control groups. Individual or combined use of the vibration and lidocaine-containing creams significantly reduces the pain level during intravenous injections, (18) intramuscular injections, (19) and vaccine administration.…”

Section: • Researchmentioning

confidence: 89%

See 1 more Smart Citation

The Effect of Vibration on Pain and Anxiety During Intravenous Blood Sampling in Adults

Düztepeliler¹,

Arslan²

2020

HEAD

View full text Add to dashboard Cite

Aim: This quasi-experimental, descriptive study analyzed the effect of vibration on pain and anxiety during venipuncture in adults. Methods: Data was collected in the Phlebotomy Unit in a University Hospital. The sample consisted of 401 patients randomly selected (control group, n=197; intervention group, n=204) between 18 and 82 years old. The intervention group experienced vibration during venipuncture whereas the control group had the standard phlebotomy procedure. Pain was measured using the Visual Analogue Scale and anxiety was measured using the State Anxiety Inventory. The unit nurse performed venipuncture on cephalic, basilic veins and dorsal veins of the hand to collect the data. Data was analyzed using the chi-square test, the Mann-Whitney U Test, and the Kruskal-Wallis H test. Results: Using vibration during peripheral intravenous blood sampling on adults does not make a statistically significant difference in pain (p=0.44) or anxiety (p=0.718) levels. Conclusion: The use of vibration during peripheral intravenous blood sampling does not affect the procedural pain and anxiety levels in adults. However, the device may be used as an alternative nonpharmacological method for patients who experience intense pain during invasive procedures.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: • Researchmentioning

confidence: 89%

The Effect of Vibration on Pain and Anxiety During Intravenous Blood Sampling in Adults

Düztepeliler¹,

Arslan²

2020

HEAD

View full text Add to dashboard Cite

show abstract

“…Vibration and cold application were used for relieving pain in various situations such as blood collection, vaccination, injection, and peripheral intravenous cannulation, as well as pain management during dental treatment in children, and these applications were found to be effective in pain control. [26][27][28][29][30][31][32][33]…”

Section: Discussionmentioning

confidence: 99%

The Effıcacy of External Cooling and Vibration on Decreasing the Pain of Local Anesthesia Injections During Dental Treatment in Children: A Randomized Controlled Study

Bılsın

Güngörmüş

2020

Journal of PeriAnesthesia Nursing

View full text Add to dashboard Cite

“…Repeated venipunctures in pediatric patients were noted to be a re‐occurring practice issue in the organization. They are traumatic and painful (Bahorski et al., ) and can result in potential loss of blood volume if ordered frequently (Ritzmo, Albertioni, Cosic, Soderhall, & Eksborg, ). The critical role of this practice in healthcare quality measures, and our cognizance of maximum blood sample volumes, compelled us to demonstrate that indwelling intravenous catheters could yield accurate therapeutic drug concentrations while drawing a waste volume appropriate to the catheter lumen size, typically correlated with a patient's body mass.…”

Section: Practice Implicationsmentioning

confidence: 99%

“…An erroneously high or low measure of a serum antibiotic concentration could result in unnecessary change to medication dosage, putting the patient at risk for toxicity or decreased efficacy. One of the more difficult events associated with hospitalization is the need for invasive and painful procedures, such as venipuncture for blood sampling (Bahorski et al., ). The standard of care in many organizations requires therapeutic serum drug concentrations be obtained by peripheral venipuncture or capillary fingerstick, even when the patient has an existing peripheral intravenous catheter (PIV) or central venous catheter (CVC).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic antibiotic serum concentrations by two blood collection methods within the pediatric patient: A comparative effectiveness trial

Lichliter

Tremewan

Shonka

et al. 2018

Specialist Pediatric Nursing

View full text Add to dashboard Cite

Repeated venipunctures and fingersticks to confirm serum drug concentrations cause pain and dissatisfaction for pediatric patients and their families. In many organizations, the standard of care to obtain therapeutic serum drug concentrations by peripheral venipuncture or capillary fingerstick, even when the patient has an existing peripheral intravenous catheter (PIV) or central venous catheter (CVC). The primary objective of this study was to assess agreement between serum tobramycin/vancomycin concentrations collected from a CVC or PIV, versus venipuncture or fingerstick. Among hospitalized pediatric patients (age 3 months to 22 years), 36 paired blood samples were collected. Serum trough vancomycin and random tobramycin concentrations were compared between peripheral intravenous or CVC samples, and venipuncture or fingerstick samples within the same patient. A strict sampling protocol for obtaining the samples was followed, that included collection of the CVC/PIV sample before the venipuncture or fingerstick, less than 2 min between collections of samples from the different sites, and a strict volume-based flush and waste protocol. Concordant correlation coefficients demonstrated substantial agreement between CVC/PIV and venipuncture/fingerstick concentrations for vancomycin (n = 17) and tobramycin (n = 19) (Rc = 0.982 for both). Bland-Altman analyses demonstrated good overall between-method agreement within subjects and minimal bias. Consequently, using a lumen volume-based flush and waste protocol, children with indwelling catheters may not require additional venipunctures and/or fingersticks for confirmation of drug concentrations while hospitalized, improving the quality of care and patient satisfaction.

show abstract

Mitigating procedural pain during venipuncture in a pediatric population: A randomized factorial study

Cited by 22 publications

References 72 publications

The Effect of Vibration on Pain and Anxiety During Intravenous Blood Sampling in Adults

The Effect of Vibration on Pain and Anxiety During Intravenous Blood Sampling in Adults

The Effıcacy of External Cooling and Vibration on Decreasing the Pain of Local Anesthesia Injections During Dental Treatment in Children: A Randomized Controlled Study

Therapeutic antibiotic serum concentrations by two blood collection methods within the pediatric patient: A comparative effectiveness trial

Contact Info

Product

Resources

About