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Distraction Using Buzzy or Handheld Computers During Venipuncture
Giorgio Cozzi1, Franca Crevatin1, Veronica Dri2
1From the Institute for Maternal and Child Health IRCCS Burlo Garofolo.
Insights
Distraction with a Buzzy device or a handheld computer equally reduced pain during pediatric venipuncture. Both methods proved effective in managing procedural pain in children at a blood-drawing center.
Area of Science:
- Pediatric Pain Management
- Procedural Analgesia
- Child Health Research
Background:
- Venipuncture is a common and painful procedure for children.
- Effective pain management strategies are crucial in pediatric healthcare settings.
- Blood-drawing centers require efficient methods to alleviate procedural pain.
Purpose of the Study:
- To evaluate the effectiveness of two distraction techniques for pain relief during pediatric venipuncture.
- To compare the analgesic efficacy of the Buzzy device versus a handheld computer in children.
- To assess pain perception and procedural success rates in a blood-drawing center setting.
Main Methods:
- A prospective randomized controlled trial was conducted in an Italian children's hospital blood-drawing center.
- Children aged 4-12 years were randomized to distraction with a Buzzy device or a handheld computer.
- Pain was measured using the Faces Pain Scale-Revised and a Numerical Rating Scale.
Main Results:
- No statistically significant difference in self-reported procedural pain between the Buzzy and handheld computer groups (P = 0.72).
- Approximately 25% of children reported significant pain with both distraction strategies.
- Procedural success rates on the first attempt were comparable between the two groups.
Conclusions:
- Both Buzzy device and handheld computer distraction offer comparable analgesia for pediatric venipuncture.
- A large proportion of children experienced no or mild pain during venipuncture with these distraction methods.
- These findings support the use of simple distraction techniques in blood-drawing centers for pediatric pain management.
Objectives:
Venipuncture is one of the most frequently performed painful procedures in children. The aim of this study was to investigate the effectiveness of 2 analgesic strategies for venipuncture in children in a specific setting like a blood-drawing center.
Methods:
This was a prospective randomized controlled trial. It was conducted in the blood-drawing center of a tertiary level children's hospital in Italy, between November 2014 and February 2015. Eligible patients were children aged from 4 to 12 years referred to the blood-drawing center for venipuncture. Enrolled children were randomized to be distracted by Buzzy device or by playing with a handheld computer. The procedural pain was measured with the faces pain scale-revised by children aged from 4 to 7 years and with a numerical rating scale by children aged from 8 to 12 years.
Results:
Two hundred children with a median age of 8 years were enrolled in the study. The self-reported procedural pain was not statistically different between the Buzzy group and the handheld computer group: median (interquartile range) = 3.0 (1.0-4.8) and 2.0 (1.0-4.8), respectively (P = 0.72). Children reported significant pain in 25% of cases with both distraction strategies. The procedural success rate at the first attempt was not significantly different in the 2 groups.
Conclusions:
Analgesia provided by Buzzy or by a handheld computer was not significantly different in children undergoing venipuncture in a blood-drawing center, with the great proportion of them reporting no or mild pain during procedure.
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