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Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in

Nejla Canbulat1, Fatma Ayhan2, Sevil Inal3

  • 1Nursing Department, Karamanoğlu Mehmet Bey University, Karaman, Turkey.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|June 11, 2014
PubMed

Insights

External cold and vibration via Buzzy significantly reduced pain and anxiety in children during peripheral intravenous (IV) cannulation. This non-invasive method offers a promising approach for pediatric pain management.

Area of Science:

  • Pediatric Nursing
  • Pain Management
  • Medical Devices

Background:

  • Peripheral intravenous (IV) cannulation is a common but often painful and anxiety-provoking procedure for children.
  • Effective pain and anxiety management strategies are crucial for improving the pediatric patient experience.
  • The Buzzy device, combining cold and vibration, is a potential non-pharmacological intervention.

Purpose of the Study:

  • To evaluate the efficacy of external cold and vibration stimulation using the Buzzy device.
  • To assess the impact of Buzzy on pain and anxiety levels during pediatric peripheral IV cannulation.
  • To compare outcomes between children receiving Buzzy and a control group.

Main Methods:

  • A prospective, randomized controlled trial involving 176 children aged 7-12 years.
  • Children were randomized into an experimental group (Buzzy device) and a control group (no intervention).
  • Pain was measured using the Wong Baker Faces Scale and visual analog scale; anxiety was assessed using the Children's Fear Scale and observer/parent reports.

Main Results:

  • Preprocedural anxiety levels did not significantly differ between the groups.
  • The experimental group using Buzzy demonstrated significantly lower procedural pain and anxiety levels compared to the control group.
  • The combination of cold and vibration via Buzzy proved effective during the procedure.

Conclusions:

  • External cold and vibration stimulation with the Buzzy device is an effective method for reducing pain and anxiety during pediatric peripheral IV cannulation.
  • Pediatric nurses can utilize Buzzy as a valuable non-pharmacological tool for managing procedural pain and distress in children.
  • Buzzy offers a safe and accessible intervention for improving the procedural experience in pediatric patients.

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