Automatic needle insertion diminishes pain during growth hormone injection

Main, Katharina M.; Jørgensen, J. O. L.; Hertel, NT; Jensen, Søren Buus; Jakobsen, Lise Bjørnåvold

doi:10.1111/j.1651-2227.1995.tb13638.x

Cited by 34 publications

(18 citation statements)

References 14 publications

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“…169 Use of distraction techniques discussed previously, ice, and less painful injection techniques can also be efficacious. [170][171][172][173] The use of lidocaine as the diluent for ceftriaxone can decrease the pain of intramuscular injection. 174 Does the Appropriate Use of Analgesics Make Evaluation More Difficult?…”

Section: Controlling Pain Related To Needle Sticks and Other Minor Prmentioning

confidence: 99%

Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems

Zempsky¹,

Cravero²,

Shaw³

et al. 2012

Pediatrics

291

179

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Control of pain and stress for children is a vital component of emergency medical care. Timely administration of analgesia affects the entire emergency medical experience and can have a lasting effect on a child' s and family' s reaction to current and future medical care. A systematic approach to pain management and anxiolysis, including staff education and protocol development, can provide comfort to children in the emergency setting and improve staff and family satisfaction. Pediatrics 2012;130:e1391-e1405 BACKGROUND A systematic approach to pain management is required to ensure relief of pain and anxiety for children who enter into the emergency medical system, which includes all emergency medical services (EMS) agencies, interfacility critical care transport teams, and the emergency department (ED). 1 The administration of appropriate analgesia in children varies by age as well as by training of the ED team (which includes physicians, nurses, physician assistants, and nurse practitioners), however, and still lags behind analgesia provided for adults in similar situations. 2 Furthermore, neonates are at highest risk of receiving inadequate analgesia. 3,4 Encouragingly, improvements in the recognition and treatment of pain in children have led to changes in the approach to pain management for acutely ill and injured pediatric patients. 5 Studies have shown an increase in opiate use in children with fractures. [6][7][8] Recent advances in the approach and support for pediatric analgesia and sedation, as well as new products and devices, have improved the overall climate of the ED for patients and families in search of the "ouchless" ED. 5,9 Increased parental education regarding pain and sedation, physician comfort and desire to enhance patient satisfaction, and a quest to satisfy accreditation regulations have appropriately driven this effort. System-wide approaches for pain management awareness and strategies work best if they are woven into the fabric of the emergency medical system through education and protocol development. The purpose of this report was to provide information to optimize the comfort and minimize the distress of children and families as they are cared for in the emergency setting.

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Section: Controlling Pain Related To Needle Sticks and Other Minor Prmentioning

confidence: 99%

Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems

Zempsky¹,

Cravero²,

Shaw³

et al. 2012

Pediatrics

291

179

View full text Add to dashboard Cite

show abstract

“…To help reduce the sensory aspects of pain produced by needles, many pediatric hospitals have taken initiatives to ensure that children receive fewer injections, such as through the use of a central line. There have been numerous publications evaluating alternative, less painful methods of injection, such as the use of automatic needle insertion (Main, Jorgensen, Hertel, Jensen, & Jakobsen, 1995), microfabricated micro-needles (Kaushik et al, 2001), and needless injectors (Cooper, Bromley, Baranowski, & Barker, 2000). Compared to standard needle injections, needless Pediatric Procedural Pain 20 injectors have resulted in superior ratings for convenience, nervousness, pain, and overall performance (e.g., Murray et al, 2000).…”

Section: Medical Approaches Pharmacological Interventions For Pediatmentioning

confidence: 99%

Pediatric Procedural Pain

et al. 2006

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Reviews 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. In addition, self-report, reports by others, physiological monitoring, and direct observation methods of assessment of pain and related constructs are discussed and recommendations provided. Pharmacological, other medical approaches, and empirically supported cognitive behavioral interventions are reviewed. Salient features of the interventions are discussed and recommendations are made for necessary components of effective treatment interventions.

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“…However, injection pain is also recognized to be affected by preservatives and buffers used in GH products, factors that are product specific [15,16]. Lack of injection pain has been identified as a desirable injection device feature [17] and may directly influence adherence [18,19]. Storage-flexible products were associated with greater respondent-reported adherence, with 76% of respondents who used a storage-flexible product reporting never missing an injection per month versus 57% of those who used a refrigerationonly product.…”

Section: Discussionmentioning

confidence: 95%

A web-based survey assessing the impact of storage flexibility on the daily life of patients and caregivers administering growth hormone

Kappelgaard¹,

Metzinger²,

Schnabel³

2015

Expert Review of Medical Devices

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Many growth hormone (GH) products require refrigeration after first use or reconstitution. This may reduce adherence by affecting patients' daily activities. Persistent treatment adherence is essential for effective GH therapy. A web-based survey was used to compare the impact of storage-flexible GH products (stable at room temperature [<25°C] for up to 21 days after first use) with refrigeration-only GH products on patients' and caregivers' daily lives. Compared with refrigeration-only GH products, storage-flexible GH products were associated with shorter injection times, greater adherence, less GH wastage and fewer missed activities due to difficulties with injection, and were the preferred type of GH product. When offered a choice of GH product, the majority of patients chose a storage-flexible product.

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Automatic needle insertion diminishes pain during growth hormone injection

Cited by 34 publications

References 14 publications

Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems

Relief of Pain and Anxiety in Pediatric Patients in Emergency Medical Systems

Pediatric Procedural Pain

A web-based survey assessing the impact of storage flexibility on the daily life of patients and caregivers administering growth hormone

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