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Does Combined Use of the J-tip® and Buzzy® Device Decrease the Pain of Venipuncture in a Pediatric Population?

Y Liza Kearl1, Sheryl Yanger2, Sandra Montero3

  • 1USC, Keck School of Medicine, Department of Emergency Medicine and Pediatrics, Los Angeles, CA.

Journal of Pediatric Nursing
|August 1, 2015
PubMed
Summary

Adding Buzzy® to J-tip® did not significantly improve pain management for pediatric venipuncture compared to J-tip® alone. Both interventions reduced pain scores versus no treatment.

Keywords:
Gated pain theoryLidocaineNeedle-free devicePain managementPain scaleVenipuncture

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Area of Science:

  • Pediatric Emergency Medicine
  • Pain Management
  • Medical Device Technology

Background:

  • The J-tip® (needle-free lidocaine delivery) and Buzzy® (cooled, vibrating device) aim to reduce venipuncture pain.
  • Gate control theory and local anesthesia are established pain management strategies.

Purpose of the Study:

  • To optimize pre-venipuncture/IV start pain management protocols.
  • To investigate the efficacy of combining Buzzy® with J-tip® for pediatric pain reduction.

Main Methods:

  • Prospective enrollment of pediatric patients (1 month to 21 years) in an emergency department.
  • Phase 1: J-tip® only. Phase 2: Buzzy® followed by J-tip®.
  • Pain scores were assessed using age-appropriate scales post-intervention.

Main Results:

  • No intervention: 71% of patients had pain scores >3.
  • J-tip® alone: 21% had pain scores >3 for venipuncture, 22.3% for J-tip® application.
  • Buzzy® + J-tip®: 14.2% had pain scores >3 for venipuncture, 16.1% for J-tip® application.

Conclusions:

  • Both J-tip® alone and the combined Buzzy® + J-tip® interventions significantly reduced pain scores compared to no analgesia.
  • The addition of Buzzy® to the J-tip® protocol did not result in a statistically significant further decrease in pain scores.