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Pain on venipuncture

Lynda S Cook
Venipuncture is generally associated with some degree of pain, discomfort, and/or apprehension. Yet most patients accept it with tolerance, even nonchalance. A few, not only pediatric patients, exhibit a higher degree of anxiety and face the procedure with tears, tension, and a variety of bargaining techniques (ie, stick on the count of 3; use only this vein). But for 1 group of people, venipuncture is associated with such fear that avoidance of the procedure is practiced. The end results are detrimental to the patient and may have an impact on society as well...
September 2016: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
Yuksel Kivrak, Hatice Kose-Ozlece, Mehmet Fatih Ustundag, Mehmet Asoglu
OBJECTIVE: Factors affecting pain sensation are still being investigated. In this study, we aimed to examine the effects of sex, age, body mass index (BMI), somatosensory amplification, anxiety, and depression on the perception of pain. METHODS: Venipuncture was performed on 140 healthy individuals. All the cases completed a sociodemographic data form, visual analog scale (VAS), Beck Anxiety Inventory (BAI), Beck Depression Inventory, and Somatosensory Amplification Scale...
2016: Neuropsychiatric Disease and Treatment
Bonnie Stevens, Janet Yamada, Arne Ohlsson, Sarah Haliburton, Allyson Shorkey
BACKGROUND: Administration of oral sucrose with and without non-nutritive sucking is the most frequently studied non-pharmacological intervention for procedural pain relief in neonates. OBJECTIVES: To determine the efficacy, effect of dose, method of administration and safety of sucrose for relieving procedural pain in neonates as assessed by validated composite pain scores, physiological pain indicators (heart rate, respiratory rate, saturation of peripheral oxygen in the blood, transcutaneous oxygen and carbon dioxide (gas exchange measured across the skin - TcpO2, TcpCO2), near infrared spectroscopy (NIRS), electroencephalogram (EEG), or behavioural pain indicators (cry duration, proportion of time crying, proportion of time facial actions (e...
2016: Cochrane Database of Systematic Reviews
Yassar Abdullah S Alamri
It is human nature, perhaps more so for doctors and nurses, to comfort children in distress. Unfortunately, however, necessary medical procedures carried out by healthcare providers (eg, venipuncture) can often result in pain and discomfort, which may in turn cause the provider a degree of guilt and distress. Is it ever acceptable to comfort a paediatric patient with a kiss? This essay examines the literature published on this subject reflecting on a recent encounter with a patient.
October 2016: Journal of Medical Ethics
Shahin Dezhdar, Faezeh Jahanpour, Saeedeh Firouz Bakht, Afshin Ostovar
BACKGROUND: Hospitalized premature babies often undergo various painful procedures. Kangaroo mother care (KMC) and swaddling are two pain reduction methods. OBJECTIVES: This study was undertaken to compare the effects of swaddling and KMC on pain during venous sampling in premature neonates. PATIENTS AND METHODS: This study was performed as a randomized clinical trial on 90 premature neonates. The neonates were divided into three groups using a random allocation block...
April 2016: Iranian Red Crescent Medical Journal
Benoit Bailey, Evelyne D Trottier
Far more attention is now given to pain management in children in the emergency department (ED). When a child arrives, pain must be recognized and evaluated using a pain scale that is appropriate to the child's development and regularly assessed to determine whether the pain intervention was effective. At triage, both analgesics and non-pharmacological strategies, such as distraction, immobilization, and dressing should be started. For mild pain, oral ibuprofen can be administered if the child has not received it at home, whereas ibuprofen and paracetamol are suitable for moderate pain...
August 2016: Paediatric Drugs
José Ronaldo Soares da Silva, Lourdes Margareth Leite Pizzoli, Amanda Regina do Prado Amorim, Fernanda Tais Pinheiros, Giovanna Chippari Romanini, Jack Gomes da Silva, Shirley Joanete, Silvana S M Alves
Intravenous access procedures in children are considered to be one of the most stressful because it is invasive, and the use of needles generates anxiety, insecurity, and fear. Playful strategies using dolls and even the materials used for venipuncture can assist children in understanding, accepting, and coping with the procedure. Field research was developed on the applicability of the therapeutic toy in the preparation of preschool children for venipuncture procedure based on the protocol developed by Martins, Ribeiro, Borba, and Silva (2001) and Kiche and Almeida (2009)...
March 2016: Pediatric Nursing
Franca Crevatin, Giorgio Cozzi, Elena Braido, Gabriella Bertossa, Patrizia Rizzitelli, Daniela Lionetti, Daniela Matassi, Dorotea Calusa, Luca Ronfani, Egidio Barbi
AIM: Needle-related procedures can be painful for children, and distraction provides ideal pain relief in blood-drawing centres. This study assessed the effectiveness of playing a computer game during venipuncture, compared with low-tech distraction by a nurse. METHODS: We conducted this prospective, randomised controlled trial at the blood-drawing centre of a tertiary-level children's hospital in Italy. Half of the 200 children played Angry Birds on a hand-held computer while the other half were distracted by a second, specifically trained nurse who sang to them, read a book, blew bubbles or played with puppets...
August 2016: Acta Paediatrica
Diler Aydin, Nejla Canbulat Şahiner, Esra Karaca Çiftçi
AIMS AND OBJECTIVES: This study aimed to investigate three different distraction methods (squeezing a soft ball, balloon inflation and distraction cards) on pain and anxiety relief in children during phlebotomy. BACKGROUND: Needle-requiring medical procedures such as venipuncture, phlebotomy and intramuscular injections are common and significant sources of pain for children, and these cause anxiety, distress and fear. DESIGN: This study was a prospective, randomised controlled trial...
August 2016: Journal of Clinical Nursing
Emilie Courtois, Patricia Cimerman, Valérie Dubuche, Marie-France Goiset, Claire Orfèvre, Audrey Lagarde, Betty Sgaggero, Céline Guiot, Mélanie Goussot, Etienne Huraux, Marie-Christine Nanquette, Céline Butel, Anne-Marie Ferreira, Sylvie Lacoste, Sandrine Séjourné, Valérie Jolly, Gladys Lajoie, Valérie Maillard, Romain Guedj, Hélène Chappuy, Ricardo Carbajal
BACKGROUND: Newborns in intensive care units (ICUs) undergo numerous painful procedures including venipunctures. Skin-breaking procedures have been associated with adverse neurodevelopment long-term effects in very preterm neonates. The venipuncture frequency and its real bedside pain management treatment are not well known in this setting. OBJECTIVES: To describe venipuncture frequency, its pain intensity, and the analgesic approach in ICU newborns; to determine the factors associated with the lack of preprocedural analgesia and with a high pain score during venipuncture...
May 2016: International Journal of Nursing Studies
Sharon E Mace
INTRODUCTION: Topical anesthetics are used to decrease procedural pain such as venipuncture. Advantages of vapocoolants include rapid onset, ease of application, low cost, and lack of associated pain of injection and other needlestick-related risks. We hypothesized that the pain of venipuncture would be reduced by at least 1.8 points on a 10-point numerical rating scale after application of a vapocoolant compared with placebo. METHODS: We conducted a prospective, randomized, double-blind controlled trial of vapocoolant vs placebo spray in 100 adults (ages 18-80) requiring venipuncture in a hospital emergency department or observation unit...
May 2016: American Journal of Emergency Medicine
Stefano Fumagalli, Gionatan Torricelli, Marta Massi, Silvia Calvani, Serena Boni, Anna T Roberts, Elisabetta Accarigi, Stefania Manetti, Niccolò Marchionni
BACKGROUND: Novel devices based on the emission of near-infrared electromagnetic radiation (NIR) have been developed to minimize venous puncture failures. These instruments produce an "augmented reality" image, in which subcutaneous veins are depicted on a LCD display. We compared the new technique with standard venipuncture in a population of elderly patients. METHODS: Patients admitted in Intensive Care Unit were randomized to standard or to NIR assisted procedure...
February 23, 2016: Aging Clinical and Experimental Research
Nahla M Alshaikh, Jeimmy Pinzon Martinez, Matthew C Pitt
INTRODUCTION: Electrodiagnostic examination is perceived as a painful examination. An accurate assessment of its discomfort would be valuable to children, their parents, and clinicians. METHODS: We performed a prospective study of pediatric patients seen over 3 months at 1 center. Pain was scored for both nerve conduction studies and needle electromyography (EMG) on validated scales, depending on the child's age and in comparison with venipuncture. RESULTS: In 100 cases the pain recorded fell within the moderate range on the scoring systems used...
September 2016: Muscle & Nerve
Erik Friedrich Alex de Souza, Guilherme Almeida Rosa da Silva, Gustavo Randow Dos Santos, Heloisa Loureiro de Sá Neves Motta, Pedro Afonso Nogueira Moisés Cardoso, Marcelo Costa Velho Mendes de Azevedo, Karina Lebeis Pires, Rogerio Neves Motta, Walter de Araujo Eyer Silva, Fernando Raphael de Almeida Ferry, Jorge Francisco da Cunha Pinto
Pyoderma gangrenosum received this name due to the notion that this disease was related to infections caused by bacteria in the genus Streptococcus. In contrast to this initial assumption, today the disease is thought to have an autoimmune origin. Necrotizing fasciitis was first mentioned around the fifth century AD, being referred to as a complication of erysipelas. It is a disease characterized by severe, rapidly progressing soft tissue infection, which causes necrosis of the subcutaneous tissue and the fascia...
2015: Case Reports in Medicine
Hanieh Neshat, Mahnaz Jebreili, Aleheh Seyyedrasouli, Morteza Ghojazade, Mohammad Bagher Hosseini, Hamed Hamishehkar
BACKGROUND: Different studies have shown that the use of olfactory stimuli during painful medical procedures reduces infants' response to pain. The main purpose of the current study was to investigate the effect of breast milk odor and vanilla odor on premature infants' vital signs including heart rate and blood oxygen saturation during and after venipuncture. METHODS: A total of 135 preterm infants were randomly selected and divided into three groups of control, vanilla odor, and breast milk odor...
June 2016: Pediatrics and Neonatology
Reza Hosseinabadi, Shoorangiz Biranvand, Yadollah Pournia, Khatereh Anbari
The aim of this study was to determine the effect of massage of acupoints on pain and anxiety caused by venipuncture. In this double-blind clinical trial, 187 patients who were admitted to a hospital in Khorramabad, Iran, were selected and randomly divided into 3 groups: acupressure, placebo, and control. Blood samples were obtained twice from each patient in the 3 groups: once by the routine method from the left arm and once by performing interventions from the right arm. Results showed significant differences in pain scores (P = ...
November 2015: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
N Meiri, A Ankri, M Hamad-Saied, M Konopnicki, G Pillar
UNLABELLED: Recently, the utilization of medical clowns to reduce anxiety, stress, and even pain associated with hospitalization has become popular. However, the scientific basis of this benefit and outcome is scant. Venipuncture and IV cannulation are very common sources of pain in ill children. To reduce pain, one common approach is to apply a local anesthetic prior to the procedure. In the current study, we sought to compare the utilization of medical clowning in this process with two control groups: (1) local anesthetic cream (EMLA®, Astrazeneca, London, UK) applied prior to the procedure (active control) and (2) the procedure performed with neither clown nor EMLA (control group)...
March 2016: European Journal of Pediatrics
Ayfer Karakaya, Duygu Gözen
The experimental study that follows was planned to determine the effectiveness of distraction on the pain level in school-age children as they underwent venipuncture. The study sample consisted of children between the ages of 7 and 12 years who underwent venipuncture at the Training and Research Hospital in Istanbul, Turkey between February and May 2012. A total of 144 children were conveniently sampled and evenly randomized into two groups of 72 children each. The primary instrument used to test children's pain level was the Faces Pain Scale-Revised (FPS-R)...
February 2016: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Godfrey Katende, Benedicto Mugabi
BACKGROUND: Venipuncture and intravenous (IV) cannula insertions are the two common sources of pain in hospitalized children and health care today. The WHO asserts that, pain relief is a basic fundamental right and requires a multidisciplinary approach. Nonpharmacological comforting strategies when implemented are important to relive pain related distress in children during peripheral IV line insertion. However, evidence to date that suggests implementation of such strategies and their barriers in Uganda remains very limited...
2015: BMC Pediatrics
Mahnaz Jebreili, Hanieh Neshat, Aleheh Seyyedrasouli, Morteza Ghojazade, Mohammad Bagher Hosseini, Hamed Hamishehkar
OBJECTIVE: The main purpose of this study was to investigate the calming effects of breastmilk odor and vanilla odor on preterm infants during and after venipuncture. SUBJECTS AND METHODS: One hundred thirty-five preterm infants were randomly selected and divided into three groups: control, vanilla odor, and breastmilk odor. Infants in the breastmilk group were exposed to breastmilk odor, and infants in the vanilla group were exposed to vanilla odor from 5 minutes before the start of sampling until 30 seconds after sampling...
September 2015: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
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