The effectiveness of the BuzzyⓇ device to reduce or prevent pain in children undergoing needle-related procedures: The results from a prospective, open-label, randomised, non-inferiority study

Lescop, K.; Joret, Isabelle; Delbos, Paola; Briend-Godet, V.; Blanchi, Sophie; Brechet, Christian; Galivel-Voisine, Annastasia; Coudol, Sandrine; Volteau, Christelle; Riche, Valéry-Pierre; Cartron, Emmanuelle

doi:10.1016/j.ijnurstu.2020.103803

Cited by 22 publications

(12 citation statements)

References 18 publications

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“…The use of high-frequency vibration associated with cryotherapy as a non-pharmacological strategy for the relief of pain related to needle procedures has been used, especially in the pediatric population [17][18][19][20]. A randomized clinical trial (RCT) demonstrated that during vaccination, the group of children who received high-frequency vibration associated with cryotherapy had lower mean reported pain scores than children who did not receive this intervention (3.56 vs 5.92-p = 015,0) [21].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Lima

Toledo

Correia

et al. 2022

Trials

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Background Vaccination is one of the most effective strategies for prevention and eradication of immunopreventable diseases, but community acceptance of vaccination can be influenced by different factors, such as pain and anxiety. The use of high-frequency vibration associated with cryotherapy has been used to manage pain and anxiety during the vaccination process in children, but studies with adults are still scarce. This study aims to evaluate the effect of high-frequency vibration associated with cryotherapy on the levels of self-reported pain and anxiety related to administration of the Influenza vaccine intramuscularly in adults. Methods A two-arm, parallel, randomized clinical trial conducted in a Brazilian Primary Health Care Unit is proposed. A sample of 350 adults will be randomly assigned to participate in the control group, receiving the vaccine intramuscularly according to the standard protocol of the service, or in the intervention group, receiving the vaccine by the same route and using a portable device of high frequency vibration associated with cryotherapy for 30 s before and during administration. The primary endpoints will be self-reported levels of pain, assessed before and after vaccine administration. Secondary endpoints will be levels of anxiety, satisfaction with vaccine administration, and discomfort caused by high frequency vibration and temperature of the frozen bag in contact with the skin. Self-reported levels of pain and anxiety will be compared before and after vaccination as well as between the control and intervention groups. Discussion By evaluating the effect of high-frequency vibration associated with cryotherapy on pain and anxiety levels, we expect to find evidence that will support nursing practice, in order to promote greater comfort and safety in the vaccination process and, consequently, greater compliance by the population, by minimizing its undesirable effects. Trial registration Human Research Ethics Committee Opinion Number: 5.138.564. Approved on December 2, 2021. Brazilian Registry of Clinical Trials (REBEC): Registration number RBR-5zgy25w. Registered on December 09, 2021.

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Section: Background and Rationale {6a}mentioning

confidence: 99%

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Lima

Toledo

Correia

et al. 2022

Trials

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“…Las técnicas no farmacológicas no han demostrado igual en eficacia al ser aplicadas de forma aislada, en comparación con el uso de anestésicos tópicos, como los parches de lidocaína para la reducción del dolor por punción, siendo esto evidenciado en un estudio realizado en tres centros de vacunación de Francia con 220 pacientes de entre 4 y 15 años, donde demostraron que el dispositivo Buzzy® no era equivalente a la colocación de parches de lidocaína en la prevención o reducción del dolor asociado a inyección intramuscular 43 .…”

Section: Buzzy® Realidad Virtual Y Técnicas Tradicionalesunclassified

Estrategias no farmacológicas como adyuvantes para manejo del dolor agudo por punción en pediatría

Orellana

Alvanés

Acosta

et al. 2022

Alerta (San Salvador)

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El dolor en pediatría es un problema de salud pública que afecta al 78 % de pacientes hospitalizados y está frecuentemente asociado a punciones, por lo que es necesario un control rápido y efectivo. Existen en la actualidad estrategias psicológicas y físicas de estimulación sensorial para abordarlo. Se pretende describir el uso de estas como coadyuvantes en el manejo del dolor agudo por punción en pediatría. Se realizó una revisión narrativa de artículos originales y revisiones bibliográficas. El mecanismo del dolor involucra a las fibras C y a las fibras Aδ, que responden al dolor por punción. Entre las estrategias innovadoras se encuentra el dispositivo Buzzy®, que actúa mediante la teoría de compuerta del dolor, desviando la atención del dolor hacia un estímulo sensorial placentero (frío y vibración) que disminuye la intensidad en comparación con anestésicos locales (p < 0,001); así mismo, la realidad virtual desvía la atención del niño hacia un estímulo placentero, visual o auditivo, creando un ambiente tridimensional y produciendo analgesia por distracción en comparación al control (p < 0,05). El uso de estrategias no farmacológicas como coadyuvantes para el manejo de dolor por punción son efectivas para disminuir el dolor en el paciente pediátrico, así como el estrés y la ansiedad, tanto en los padres como en el personal de salud.

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“…A study observed that the cartoons intervention had superior results for pain relief when compared to Buzzy® 27 . In a recently published study, Buzzy® was shown to be less effective than lidocaine patches, and most of the children wanted to remove the freezable wings before the end of the procedure because they started to feel uncomfortable with the cold 43 . Other studies showed that Buzzy® was not effective in reducing pain in peripheral venous access puncture 44,45 .…”

Section: Semiexperimental Studymentioning

confidence: 99%

Non-pharmacological interventions in painful needle procedures in children: integrative review

Mendes¹,

Furlan²,

Sanches³

2022

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:The World Health Organization recommends that pain in children should be treated as a fundamental human right. Children in health services are exposed to numerous painful procedures as part of their treatment, for instance, immunization and blood testing. Painful experiences during such procedures can cause extreme anxiety in future conducts, making children more vulnerable to pain. The present study's objective was to examine the non-pharmacological interventions most described in the literature for pain management during painful procedures with needles in children above the age of one. CONTENTS: Integrative literature review from CINAHL, Embase, Scopus, Web of Science and Pubmed databases. The publications researched were from between 2010 and 2020. The leading question was "Which are the non-pharmacological interventions most described in the literature for pain control in children undergoing needle procedures"? The database search found 252 articles, six were included in the review and distraction was the most observed strategy for non-pharmacological intervention. CONCLUSION:The results of this study indicate that the most used strategy for pain relief was distraction, in special the audiovisual distraction.

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The effectiveness of the BuzzyⓇ device to reduce or prevent pain in children undergoing needle-related procedures: The results from a prospective, open-label, randomised, non-inferiority study

Cited by 22 publications

References 18 publications

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Estrategias no farmacológicas como adyuvantes para manejo del dolor agudo por punción en pediatría

Non-pharmacological interventions in painful needle procedures in children: integrative review

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