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[Reduction of pain during intravenous cannulation in children: Buzzy application]
Remziye Semerci1, Esra Nur Kocaaslan1, Melahat Akgün Kostak1
1Department of Child Health and Diseases Nursing, Trakya University, Faculty of Health Sciences, Edirne, Turkey.
Insights
The Buzzy device, combining vibration and cold, did not effectively reduce pain during pediatric intravenous cannulation. Nurses reported higher pain scores than children, suggesting a need for improved pain assessment training.
Area of Science:
- Pediatric Emergency Medicine
- Pain Management
- Medical Device Evaluation
Background:
- Peripheral intravenous cannulation is a common and often painful procedure in children.
- Effective pain management strategies are crucial in pediatric healthcare settings.
- The Buzzy device, utilizing vibration and cold, is designed to mitigate procedural pain.
Purpose of the Study:
- To evaluate the efficacy of the Buzzy device in reducing pain during peripheral intravenous cannulation in children.
- To compare pain scores reported by children and nurses in both experimental and control groups.
Main Methods:
- A randomized controlled trial involving 56 children aged 7-12 years in a pediatric emergency department.
- Pain assessment using the Wong-Baker FACES Pain Rating Scale by both children and nurses.
- Comparison of pain scores between a group using the Buzzy device and a control group.
Main Results:
- No significant difference in pain reduction was observed between the Buzzy device group and the control group.
- Nurses reported significantly higher pain scores than the children themselves (p=0.034).
- Mean pain scores for children were 3.40 (Buzzy) vs. 3.76 (control), and for nurses were 4.53 (Buzzy) vs. 3.76 (control).
Conclusions:
- The Buzzy device was not effective in reducing pain during pediatric intravenous cannulation.
- Discrepancies in pain reporting between nurses and children highlight potential issues in pain assessment.
- Recommendations include enhanced training for nurses on pain assessment and distraction techniques for pediatric patients.
Objectives:
This study was a randomized, controlled examination of the effect of the Buzzy device (MMJ Labs, LLC, Atlanta, GA, USA) in reducing pain during peripheral intravenous cannulation in children. The device uses a combination of highfrequency vibration and cold to block pain.
Methods:
The study was conducted with 56 children aged 7-12 years who presented at the pediatric emergency department of Trakya University Health Center for Medical Research and Practice. Data were gathered using a family and child data collection form and the Wong-Baker FACES Pain Rating Scale (Wong-Baker FACES Foundation, Oklahoma City, OK, USA). A vein visualization tool was used in both groups for peripheral intravenous cannulation, and the Buzzy device was also used in the experimental group. The pain of the children was assessed by a nurse and the children. Descriptive statistics, the Wilcoxon t-test, the Mann-Whitney U test, and correlation analysis were used to evaluate the data. The results were evaluated at a 95% confidence interval and p<0.05 was accepted as the level of significance.
Results:
The mean age of the children was 8.37±1.96 years and 58.9% were male. The mean pain score provided by the children in the experimental group was 3.40±3.56 and it was 3.76±3.06 in the control group. The mean pain score reported by the nurse for the experimental group was 4.53±3.44 and 3.76±2.73 for the control group. There was no significant difference between the pain scores reported by the children and the nurse according to group (p<0.05). However, there was a significant difference between the pain scores recorded by the nurse and the children (p=0.034).
Conclusion:
The Buzzy device was not effective in reducing pain during intravenous cannulation. The level of pain reported by the nurse was higher than that described by the children. It is recommended that training on pain assessment and the use of distraction methods should be provided to nurses working in pediatric emergency departments.
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