Vibration and Cold for Pain Relief During Peripheral Intravenous Cannulation in Children With Intellectual Disability
Study Details
Study Description
Brief Summary
Needle procedures are the most common and important source of pain and distress in children in the health care setting. Children with intellectual disability from any cause experience pain more frequently than healthy children. They often require venipuncture or IV cannulation for diagnostic or therapeutic procedures. Pain in this population is often unrecognised because these patients are frequently unable to self-report their pain. Now it's possible to measure pain in children with intellectual disability with specific pain scales, like NCCPC-PV (Non-Communicating Children's Pain Checklist, Post-operative Version).
The efficacy of a device combining vibration and cold for pain relief during venipuncture or IV cannulation has been recently reported in children. The device's actions are based on the Gate Control Theory, whereby cold and vibrations stimulate large fiber and inhibitory neurons to interrupt nociception. This non-pharmacologic technique for pain relief could be useful in this kind of patients in emergency department. To date, there is no study that validated Buzzy device for pain relief in children with intellectual disability.
The aim of this study is to test the effectiveness of Buzzy® (a device that provides cold and vibration), in reducing the pain during venipuncture or IV cannulation, in children with intellectual disability.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Buzzy® device The Buzzy® device will be applied just above the selected site of the venipuncture; a ice pack will be attached under the device; the device will be turned on and after 15 second the procedure will be carried out. |
Device: Buzzy® device
Buzzy® is a battery-powered device for venipuncture pain relief combining cold, vibration, and distraction.
|
No Intervention: No intervention No intervention for pain relief |
Outcome Measures
Primary Outcome Measures
- Pain score (NCCPC-PV scale) [intraoperative]
The pain during the procedure will be evaluated using the NCCPC-PV scale (Non-communicating Children's Pain Checklist - Postoperative Version) administered by a nurse
Secondary Outcome Measures
- Success at first attempt [intraoperative]
Percentage of success at first attempt
- Number of attempts required [intraoperative]
Total number of attempts required
- Adverse events [up to 15 minutes after the procedure]
The number and the type of adverse events will be recorded
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 4 to 17 years
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Presence of intellectual disability
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Need of peripheral IV line or venipuncture
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Informed consent signed by parents or legal guardians
Exclusion Criteria:
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Presence of abrasion, infection or break in skin in the area of Buzzy® placement
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Cold hypersensibility
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | IRCCS Burlo Garofolo | Trieste | Friuli Venezia Giulia | Italy | 34137 |
Sponsors and Collaborators
- IRCCS Burlo Garofolo
Investigators
- Study Chair: Egidio Barbi, MD, IRCCS Burlo Garofolo, Trieste, Italy
- Study Director: Silvana Schreiber, RN, IRCCS Burlo Garofolo, Trieste, Italy
- Principal Investigator: Giorgio Cozzi, MD, IRCCS Burlo Garofolo, Trieste, Italy
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RC 20/13