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Related Concept Videos

Analgesia and Pain Management01:25

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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Digital Technology Distraction for Acute Pain in Children: A Meta-analysis.

Michelle Gates1,2, Lisa Hartling3,2, Jocelyn Shulhan-Kilroy1,2

  • 1Department of Pediatrics and.

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Summary
This summary is machine-generated.

Digital distraction moderately reduces pain and distress in children during procedures. However, its effectiveness compared to non-digital methods is not yet established, requiring consideration of individual patient factors.

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Area of Science:

  • Pediatric Pain Management
  • Digital Health Interventions
  • Evidence-Based Practice

Background:

  • Digital distraction is increasingly used in pediatric pain care.
  • The efficacy of digital distraction for pain management in children remains largely unknown.
  • There is a need to evaluate the impact of these technologies on pediatric patient outcomes.

Purpose of the Study:

  • To systematically review the evidence on the effectiveness of digital technology distraction for reducing pain and distress in children.
  • To synthesize findings from quantitative studies examining digital interventions during painful procedures.
  • To assess the clinical significance of digital distraction in pediatric pain management.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (Medline, Embase, PsycINFO, etc.) and gray literature.
  • Quantitative studies involving digital technology distraction for acutely painful conditions or procedures in children were included.
  • Data extraction focused on child pain and distress outcomes, with meta-analysis performed on eligible randomized controlled trials (RCTs).

Main Results:

  • Analysis of 106 studies (n=7820) found that digital distraction significantly reduced self-reported, observer-reported, and behavioral pain and distress in children undergoing procedures.
  • Modest but clinically important reductions were observed across various pain and distress measures (SMD ranging from -0.35 to -0.68).
  • No studies reported on digital distraction for painful conditions, only procedures.

Conclusions:

  • Digital distraction offers a modest reduction in pain and distress for children undergoing painful procedures.
  • The superiority of digital over non-digital distraction methods is not conclusively established.
  • Clinical decisions regarding the use of digital distractors should consider patient context, preferences, and availability.