Relief of pain during blood specimen collection in pediatric patients

Sevil Inal1, Meral Kelleci

  • 1Pediatric Clinic of Cerrahpas¸ a Medical Faculty, Istanbul University, Bakirkoy, Istanbul, Turkey. inalsevil@yahoo.com

Insights

External cold and vibration stimulation using Buzzy significantly reduced pain and anxiety in children during blood draws. This non-invasive method effectively managed procedural discomfort without impacting collection success.

Area of Science:

  • Pediatric Pain Management
  • Medical Device Technology
  • Child Psychology

Background:

  • Blood specimen collection is often associated with significant pain and anxiety in children.
  • Effective non-pharmacological interventions are needed to improve pediatric procedural experiences.
  • The Buzzy device offers a novel approach using cold and vibration stimulation.

Purpose of the Study:

  • To evaluate the efficacy of the Buzzy device in mitigating pain and anxiety during pediatric blood collection.
  • To compare pain and anxiety levels between children receiving Buzzy stimulation and a control group.
  • To assess the impact of Buzzy on the success rate of blood specimen collection.

Main Methods:

  • A randomized controlled trial was conducted with 120 children aged 6-12 years undergoing phlebotomy.
  • Participants were randomized to either a control group or an experimental group using the Buzzy device.
  • Pain and anxiety were assessed using validated scales (Children's Anxiety and Pain Scale, Faces Pain Scale-Revised) and observer/parent reports.

Main Results:

  • The experimental group utilizing Buzzy demonstrated statistically significant reductions in both pain (p < .001) and anxiety (p < .001) compared to the control group.
  • The Buzzy device did not negatively affect the success rate of blood specimen collection procedures.
  • Objective and subjective measures corroborated the findings of decreased pain and anxiety.

Conclusions:

  • External cold and vibration stimulation via the Buzzy device is an effective method for reducing perceived pain in children during blood collection.
  • The Buzzy device successfully lowered anxiety levels in pediatric patients undergoing phlebotomy.
  • Buzzy presents a safe and effective non-pharmacological intervention for managing procedural pain and anxiety in children.
Abstract

Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Blood and Nerve Supply to the Bones01:29

Blood and Nerve Supply to the Bones

Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Assessing Blood pressure using a doppler ultrasound01:19

Assessing Blood pressure using a doppler ultrasound

To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Assessment of apical pulse01:17

Assessment of apical pulse

Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for: