Multi-modal distraction. Using technology to combat pain in young children with burn injuries

Miller, K.; Rodger, Sylvia; Bucolo, Sam; Greer, Ristan M.; Kimble, Roy M.

doi:10.1016/j.burns.2009.06.199

Cited by 105 publications

(101 citation statements)

References 41 publications

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“…Therefore, acknowledgement concerning the utility of approaches in pain reduction and anxiety [2] associated with medical procedures has been reported to increase day by day [3,4]. …”

Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Naki

Api

Acioglu

et al. 2011

Gynecol Obstet Invest

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Background/Aims: To compare local anesthesia and forced coughing in terms of subjective pain perception during cervical punch biopsy. Methods: In this randomized controlled trial, 114 patients (mean age: 38.9 ± 9.0 years) scheduled for colposcopically directed cervical punch biopsy were randomly assigned to local anesthesia (n = 39), forced coughing (n = 39) and control (n = 36) groups. Pain perception was measured on a 10-cm visual analog scale (VAS) during the insertion of the speculum, injection of the local anesthetic to the cervix and the taking of the first cervical biopsy, as well as for the overall pain perceived during the entire procedure. Results: Experimental groups were similar in age, gravidity, parity and prior curettage. The pain score obtained during the first cervical biopsy was significantly lower if local anesthesia was applied (p = 0.016). Groups were similar in other pain subscores. The duration of the entire procedure was significantly longer (p < 0.001) in the local anesthesia group, while it was not significantly different in forced coughing patients compared to controls. Conclusion: Local anesthesia, but not forced coughing, provides significant pain relief during cervical biopsy. Based on similarity to control data in terms of pain relief and shortening of the operation, forced coughing per se seems related neither to pain relief nor a faster cervical biopsy.

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“…Therefore, acknowledgement concerning the utility of approaches in pain reduction and anxiety [2] associated with medical procedures has been reported to increase day by day [3,4]. …”

Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Naki

Api

Acioglu

et al. 2011

Gynecol Obstet Invest

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“…It has been well established b u r n s x x x ( 2 0 1 5 ) x x x -x x x that the use of distraction during medical procedures significantly reduces pain and anxiety experienced by children [9,19]. There have been multiple studies confirming the effectiveness of specific CLT devices and techniques in burns; for example virtual reality, music therapy, or use of the Ditto TM device (Diversional Therapy Technologies, Brisbane, Australia) [7,10,11,[20][21][22][23]. In our Burn Unit, not only have we found that specific techniques and devices appear beneficial, but the role of a CLTP has anecdotally also had a significant impact on the reduction of pain and anxiety experienced by children with acute burns.…”

Section: Discussionmentioning

confidence: 97%

An assessment of early Child Life Therapy pain and anxiety management: A prospective randomised controlled trial

Hyland

D'Cruz

Harvey

et al. 2015

Burns

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“…However, most studies have either been early stage feasibility studies conducted in controlled lab settings [1,28,48] and/or have focused on other pediatric health contexts than blood drawing e.g., rehabilitation [31] or burn injuries [32,37] The work most related to ours includes mediPuppet [28] and MEDi [1,6,7]. mediPuppet is an interactive and comforting companion that aims to help children to feel more relaxed and comfortable during medical procedures [28].…”

Section: Existing Technologies For the Pediatric Health Domainmentioning

confidence: 99%

Calming Children When Drawing Blood Using Breath-based Biofeedback

Sonne¹,

Merritt

Marshall

et al. 2017

Proceedings of the 2017 Conference on Designing Interactive Systems

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Blood sampling is a common and necessary procedure in the treatment and diagnosis of a variety of diseases. However, it often results in painful and stressful experiences for children. Designed together with domain experts, Pufferfish is a breath-controlled biofeedback game technology with bespoke airflow sensor that aims to calm children during blood sampling procedures. An initial randomized controlled trial was conducted in which 20 children aged 6-11 were assigned to one of two conditions involving either passive distraction (watching a video) or active distraction using the Pufferfish prototype. Medical staff rated Pufferfish significantly more useful in facilitating the blood sampling procedure compared to passive distraction. Qualitative feedback from patients, parents, and medical staff identified aspects that impact the acceptance of breath-based active distraction. Our study highlights the potential of non-pharmacological assistive technology tools to reduce fear and pain for children undergoing painful or stressful medical treatment.

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Multi-modal distraction. Using technology to combat pain in young children with burn injuries

Cited by 105 publications

References 41 publications

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

Analgesic Efficacy of Forced Coughing versus Local Anesthesia during Cervical Punch Biopsy

An assessment of early Child Life Therapy pain and anxiety management: A prospective randomised controlled trial

Calming Children When Drawing Blood Using Breath-based Biofeedback

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