A Prospective Randomized Controlled Trial of Nonpharmacological Pain Management During Intravenous Cannulation in a Pediatric Emergency Department

@article{Miller2016APR,
  title={A Prospective Randomized Controlled Trial of Nonpharmacological Pain Management During Intravenous Cannulation in a Pediatric Emergency Department},
  author={K. Miller and X. Tan and Andrew Dillon Hobson and Asaduzzaman Khan and J. Ziviani and E. O’Brien and Kim Barua and C. McBride and R. Kimble},
  journal={Pediatric Emergency Care},
  year={2016},
  volume={32},
  pages={444–451}
}
Objectives Intravenous (IV) cannulation is commonly performed in pediatric emergency departments (EDs). The busy ED environment is often not conducive to conventional nonpharmacological pain management. This study assessed the use of Ditto (Diversionary Therapy Technologies, Brisbane, Australia), a handheld electronic device which provides procedural preparation and distraction, as a means of managing pain and distress during IV cannulation performed in the pediatric ED. Methods A randomized… Expand

Paper Mentions

Interventional Clinical Trial
The primary objective of this study is to evaluate the sedative, and analgesic effects of intranasal (IN) Dexmedetomidine (DEX) in children presenting to a Pediatric Emergency… Expand
ConditionsConscious Sedation, Distal Radius Fracture
InterventionDrug
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References

SHOWING 1-10 OF 37 REFERENCES
A novel technology approach to pain management in children with burns: A prospective randomized controlled trial.
TLDR
A combined MMD protocol reduces the pain experiences for young children during burn care procedures, and reiterated the use of procedural preparation as an essential component of non-pharmacological approaches. Expand
Distraction Techniques Combined With EMLA: Effects on IV Insertion Pain and Distress in Children
TLDR
Support is provided for the integration of behavioral interventions with pharmacologic pain treatment with a primary benefit of decreased behavioral distress. Expand
Nonpharmacologic Pain Management Strategies in the Pediatric Emergency Department
TLDR
Specific strategies to use with youth presenting to an ED are offered, which aim to reduce fear, minimize distress and pain, and increase a child's and parents' sense of control. Expand
Virtual reality for acute pain reduction in adolescents undergoing burn wound care: a prospective randomized controlled trial.
TLDR
Despite only minimal pain reduction achieved using off-the-shelf VR, other results from this trial and previous research on younger children with burns suggest a customized, adolescent and hospital friendly device may be more effective in pain reduction. Expand
The Gap Between Pediatric Emergency Department Procedural Pain Management Treatments Available and Actual Practice
TLDR
Several minor painful procedures are commonly performed in the emergency department without pharmacological pain management, and a gap remains between what is know to be effective, easily implemented pain management strategies, and what is actually practiced. Expand
Multi-modal distraction. Using technology to combat pain in young children with burn injuries.
TLDR
The use of MMD as a preparatory or a distraction tool in an outpatient burns clinic offered superior pain reduction across three dressing changes to children when compared to standard practices or hand held video games. Expand
Psychological interventions for reducing pain and distress during routine childhood immunizations: a systematic review.
TLDR
Evidence suggests that breathing exercises, child-directed distraction, nurse-led distraction, and combined cognitive-behavioral interventions are effective in reducing the pain and distress associated with childhood immunizations. Expand
Caregivers' responses to pain in their children in the emergency department.
TLDR
Caregivers witnessing an intravenous cannulation in their child had elevated heart rate, blood pressure, and anxiety which predicted child pain and distress and future studies should evaluate interventions designed to decrease distress responses in caregivers. Expand
Assessment of clinically significant changes in acute pain in children.
  • B. Bulloch, M. Tenenbein
  • Medicine
  • Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 2002
TLDR
The "ideal" change in pain was defined as the amount of change necessary for the child to describe the pain as "much less" or at which point the child thought he or she no longer required any medicine to help the pain go away. Expand
Pediatric Procedural Pain
TLDR
The various settings in which infants, children, and adolescents experience pain during acute medical procedures and issues related to referral of children to pain management teams are reviewed. Expand
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