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Published on: January 17, 2011
Distraction Using the BUZZY for Children During an IV Insertion
Nemat Moadad1, Katia Kozman1, Randa Shahine2
1Pediatric unit, American University of Beirut Medical Center, Beirut, Lebanon.
Insights
The BUZZY device significantly reduced pain perception in children and nurses during IV insertion. This inexpensive intervention effectively manages procedural pain without increasing insertion time.
Area of Science:
- Pediatrics
- Pain Management
- Medical Devices
Background:
- Needle-stick pain is a major source of fear and distress for children during medical procedures.
- This distress negatively impacts children and their parents, highlighting the need for effective pain management strategies.
Purpose of the Study:
- To evaluate the efficacy of the BUZZY device, which provides external cold and vibration, in reducing pain during peripheral IV insertion.
- To compare pain ratings among children, parents, and nurses.
- To assess the impact on IV insertion time and identify factors influencing children's pain perception.
Main Methods:
- A randomized control trial (RCT) involving children aged 4-12 years.
- Children were assigned to either an intervention group (using BUZZY) or a control group (no BUZZY).
- Pain was assessed using the Wong-Baker FACES Pain Rating Scale; IV insertion time was also measured.
Main Results:
- The BUZZY group reported significantly lower pain scores for both children and nurses.
- No significant difference in the time required for successful IV insertion was observed between the groups.
- While factors like gender and age were associated with pain, only the BUZZY device proved to be a significant predictor of reduced pain scores.
Conclusions:
- The BUZZY device presents a cost-effective and accessible method for pain reduction in pediatric IV insertion.
- It offers a practical solution for managing procedural pain and distress in young patients.
Unlabelled:
Needle pricks are rated by children as their most feared medical event resulting in acute pain, anxiety and distress, which negatively affects both the child and his/her parents.
Objectives:
To investigate the effects of external cold and vibration via the "BUZZY" on pain ratings of children, their parents and nurses during peripheral IV insertion, to measure the time to a successful IV insertion and to assess the factors that are associated with pain perception of children.
Methods:
In this randomized control trial (RCT), children between the ages of 4 to 12years were assigned to either an intervention or a control group. The intervention group (n=25) had the "BUZZY" applied during IV insertion while the control group (n=23) did not have the "BUZZY". Children were asked to rate their pain along with their parents and nurses on the Wong-Baker FACES Pain Rating Scale. Time to successful IV insertion and background characteristic of children were assessed and compared.
Results:
Pain scores were significantly lower in the "BUZZY" group for children and the nurses. Time to a successful IV insertion did not differ between groups. Gender, age, previous hospitalization, diagnoses and analgesics were all factors associated with the children's pain scores. However, a multiple regression analysis found that only the "BUZZY" remained a significant predictor of pain scores in children.
Clinical Implications:
The "BUZZY" may be an easily accessed, inexpensive ($39.95 each at $0.09 per 3 minute stick), and effective technique to control or reduce pain in young children undergoing IV insertion.
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