An evaluation of efficacy of balloon inflation on venous cannulation pain in children: a prospective, randomized, controlled study

Anesthesia and Analgesia
Devendra GuptaU Singh

Abstract

Venipuncture is the most common painful event for a hospitalized child. We evaluated the efficacy of balloon inflation for attenuating venipuncture pain in children. Seventy-five pediatric patients aged 6-12 yr, ASA physical status I-II, of either sex, undergoing elective surgery were included in this prospective and randomized study. Patients were randomly divided into 3 equal groups of 25 each; Group I (control), Group II (distraction) pressed a rubber ball, and Group III (balloon) inflated a balloon. A manual venous occlusion was applied on the forearm and venipuncture was performed with a 22-gauge venous cannula. Pain was self-reported by a pain face scale with a 10-cm visual analog scale (VAS) placed at its back, where 0 = "no pain" and 10 = "worst imaginable pain." VAS scores of 1-3 were rated as mild, 4-6 as moderate, and >6 as severe. Median (interquartile range) VAS score in the balloon group was 1 (3), which was reduced as compared with 2 (2) and 4 (2) observed in the distraction and control groups, respectively (P < 0.000). Significant reduction in the incidence and severity of venipuncture pain was also observed in the balloon group compared with the other 2 groups (P < 0.05).

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Citations

Mar 3, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Anil AgarwalUttam Singh
Mar 4, 2011·International Journal of Medical Sciences·Sussan Soltani MohammadiGita Shoeibi
Jun 1, 2010·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Fatemah Alhani
Jun 30, 2015·International Journal of Nursing Studies·Jessica S BahorskiGlenna Gordon
Nov 15, 2016·Neurology India·Rudrashish HaldarPrabhat K Singh
Jun 5, 2015·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Nejla Canbulat Sahiner, Meltem Demirgoz Bal
Oct 28, 2017·Journal of Clinical Nursing·Dilek Yılmaz, Ülkü Yapucu Güneş
Oct 11, 2013·The Cochrane Database of Systematic Reviews·Lindsay S UmanSteve R Kisely
Oct 5, 2018·The Cochrane Database of Systematic Reviews·Kathryn A BirnieJennifer A Parker
Sep 27, 2018·International Journal of Nursing Practice·Samuel T MatulaSharon Y Irving
Jan 10, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Taras I UsichenkoKlaus Hahnenkamp
Jun 12, 2017·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Dilek YılmazLeyla Gözler
Jun 8, 2017··Johanne J. LomholtPaul Marshall

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