Pharmacological and non-pharmacological interventions in management of peripheral venipuncture-related pain: a randomized clinical trial

Yu, Zhuowen; Zhou, Yiwen; Xu, Xin; Lin, Lili; Qian, Le; Gu, Yajia

doi:10.1186/s12887-023-03855-z

Cited by 4 publications

(1 citation statement)

References 40 publications

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“…Venipuncture is routine in pediatric patients' settings for blood collection and IV catheterizations [1], which can cause pain and fear [2,3]. According to Humphrey et al [4], A majority of children aged 7 to 12 who had their venipunctures reported feeling distressed during the process.…”

Section: Introductionmentioning

confidence: 99%

Comparison of trace image colors for kids-book with two active distractions in reducing pain and fear of children during the venipuncture procedure

Suleman,

Yahya,

Nilsson

et al. 2023

Eur J Pediatr

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This study investigated the effectiveness of trace image and coloring for kids-book (TICK-B), cough trick, and balloon inflation techniques in reducing pain and fear in children during venipuncture. The current study is a prospective, controlled, and randomized trial (RCT). School-aged children who required venipuncture were involved in the study. Pediatric patients were randomly assigned to four groups: the TICK-B group, the cough trick group, the inflation of balloons, and the control groups. Before and after the procedure, the children and their parents were interviewed. Wong-Baker (FACES) Pain Rating Scale was applied to measure the severity of pain. Children’s Fear Scale was applied to measure children’s fear. This study involved the 160 children (mean age, 8.39–2.18 years). The severity of pain and fear levels among the children during and after the procedure were significantly different (p = 0.001). Pain and fear were significantly decreased in children in the intervention groups compared with those in the control group (p < 0.05). In the TICK-B group, participants reported significantly less pain and fear during the venipuncture procedure than in the cough trick, balloon inflation, and control groups (P = 0.001, p = 0.001, p = 0.001) and after the procedure (p = 0.001, p = 0.002, p = 0.002). There was a similar significance found in the level of fear during the procedure (p = 0.001, p = 0.002, p = 0.006), and after the procedure (p = 0.001, p = 0.008, p = 0.015). Conclusion: TICK-B was the most effective method for decreasing the pain and fear of children associated with venipuncture procedures. Furthermore, the distraction technique of coughing and inflating balloons also proved efficacious in decreasing the pain and fear of children during venipuncture. Trial registration: The study has been registered with ClinicalTrials.org under the number NCT04983303. It was retrospectively registered on July 26, 2021. What is Known:• Venipuncture, one of the most painful and uncomfortable procedures for children, caused great fear and discomfort during the procedure. What is New:• The TICK-B technique, music listening, and cartoon watching techniques are effective, simple, and safe ways to reduce children’s fear and pain. These interventions provide a good way for children and their parents to collaborate during painful medical procedures.• No studies have compared the impact of TICK-B during venipuncture.

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Section: Introductionmentioning

confidence: 99%

Comparison of trace image colors for kids-book with two active distractions in reducing pain and fear of children during the venipuncture procedure

Suleman,

Yahya,

Nilsson

et al. 2023

Eur J Pediatr

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Venopunción en Urgencias Pediátricas mediante método de Distracción con Apego Koala: ensayo clínico aleatorizado

Quintela-Sánchez,

Gasca-Roche,

Fernández-Merino

et al. 2024

Enfermería Clínica

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Establishing a plan to improve pediatric patient comfort during PIV insertions and blood specimen collection: a quality improvement effort

Lorenc,

Flaucher,

Evans

et al. 2024

Br J Nurs

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HIGHLIGHTS Patient comfort during peripheral intravenous (PIV) insertion and specimen collection was increased. The authors extended the contingency plan implemented for PICC insertion to include PIV insertion and specimen collection. The authors met their goals by using quality improvement methodology. Prioritizing patient comfort often requires institutional culture change. Background: Needle procedures can cause pain and distress, especially in pediatric patients. 1 Retrospective data collected at a freestanding pediatric facility revealed that approximately 30% of pediatric patients were not demonstrating sufficient levels of comfort during peripheral intravenous (PIV) catheter insertion and specimen collection (lab draws) even after successful implementation of comfort measures by the vascular access team (VAT) in an adjacent procedure (eg peripherally inserted central catheter placement). The current quality improvement project was implemented to support adaptation and expansion of previous lessons learned to PIVs and lab draws specifically. Design and Methods: The VAT used the Pediatric Sedation State Scale, 2 a standardized assessment tool integrated into the electronic medical record, to assess procedural comfort during PIVs and lab draws from February 2021 through April 2023. A total of 24 134 patients aged 0 to 18 years were included in the data collection. Interventions were delivered concurrently and included (1) reeducation/ongoing support for implementation of the Comfort Promise 3 measures, (2) the creation and implementation of advanced comfort options, and (3) culture change. Aims and Objectives: The goal of the interventions was to improve the percentage of pediatric patients achieving adequate levels of comfort beginning at 68% in year 1 to 90% in year 2. Results: From February 2021 to April 2023, the VAT team was able to improve procedural comfort scores from 68% to 90% of pediatric patients with adequate comfort for lab draws and/or PIV insertions. Conclusions: While standard comfort measures are a good first step in pain management during needle procedures, they are not sufficient for every pediatric patient. Nitrous, sedation, and the use of anxiolytics and analgesics can play an important role in reducing pain and anxiety during needle procedures and should be considered for patients not achieving adequate levels of comfort with standard comfort measures.

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Pharmacological and non-pharmacological interventions in management of peripheral venipuncture-related pain: a randomized clinical trial

Cited by 4 publications

References 40 publications

Comparison of trace image colors for kids-book with two active distractions in reducing pain and fear of children during the venipuncture procedure

Comparison of trace image colors for kids-book with two active distractions in reducing pain and fear of children during the venipuncture procedure

Venopunción en Urgencias Pediátricas mediante método de Distracción con Apego Koala: ensayo clínico aleatorizado

Establishing a plan to improve pediatric patient comfort during PIV insertions and blood specimen collection: a quality improvement effort

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