Pain reduction in children during port-à-cath catheter puncture using local anaesthesia with EMLA™

Abstract

In this study children experienced less pain after 60 min application time, but pain reduction was already seen after 40 min. The child's perception of pain differed from observers' point of view and should therefore always be included in pain management.

Topical analgesia treats pain and decreases propofol use during lumbar punctures in a randomized pediatric leukemia trial

“…Vitals were collected at T0 preoperative, T1 after propofol induction, T2 at the time of the skin puncture, and T3 during the collection of cerebrospinal fluid. Post-procedural pain was assessed via validated pain scales: Wong-Baker FACES pain rating scale for children [3][4][5][6][7].99 years and the Verbal Pain Assessment Scale for those greater than eight years old [18]. The clinical endpoint of the study occurred after each subject experienced two lumbar punctures, one procedure with each type of cream.…”

Using the MEDiPORT humanoid robot to reduce procedural pain and distress in children with cancer: A pilot randomized controlled trial

“…fear, anxiety, or stress), even when the skin is numbed with a topical anesthetic. 5,6 Psychosocial support during medical procedures is considered a standard of care for all youth with cancer 7 and systematic reviews of psychological interventions have identified distraction as effective for mitigating procedural pain and distress for this group. [8][9][10][11] Results of these reviews suggest that high-technology psychological strategies, especially those capital-izing on virtual reality and internet-based modalities, are particularly promising for decreasing pain and distress.…”

“…Specifically, the insertion of a needle into a subcutaneous port (SCP) induces pain and distress (i.e. fear, anxiety, or stress), even when the skin is numbed with a topical anesthetic . Psychosocial support during medical procedures is considered a standard of care for all youth with cancer and systematic reviews of psychological interventions have identified distraction as effective for mitigating procedural pain and distress for this group .…”

Focusing on the hospital stay or everyday life with cancer: Parents’ experiences of choosing a central access device for their child with cancer

“…As a background to the following discussion, it should be kept in mind that the decision about a central access device may have an impact on the child's well‐being. Besides the issues of infections and other complications mentioned in Section 1, a CVC can become a symbol of the illness to the child (Darcy, Enskär, & Björk, ) while needle injections into an SVP can cause the child a great deal of pain and distress despite use of a local anaesthetic (Lüllmann et al, ).…”