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Children very often experience multiple painful procedures in the course of their emergency department visit, as a part of investigation and treatment. The pain associated with these procedures can cause both long and short-term sequelae. Minimizing procedure-related pain should be a routine part of emergency department care for children.

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Key studies 

Emergency department strategies to combat the opioid crisis in children and adolescents  (2021)

Emergency department strategies to combat the opioid crisis in children and adolescents

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Cindy D Chang1,Mohsen Saidinejad1,Zaza Atanelov2,Ann M Dietrich3,Samuel Hiu-Fung Lam4,Emily Rose5,Tim Ruttan6,Sam Shahid7,Michael J Stoner8,Carmen Sulton9,Co...

Cindy D Chang1,Mohsen Saidinejad1,Zaza Atanelov2,Ann M Dietrich3,Samuel Hiu-F...

The opioid crisis has greatly affected not only adults but also children as well. As clinicians develop effective approaches to minimize pain and distress in children, the risks and benefits of opioids must be carefully considered. Children of parents wit

Key Study: A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture.  (2018)

Key Study: A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture.

Visit

Caltagirone R,Raghavan VR,Adelgais K,Roosevelt GE

Caltagirone R,Raghavan VR,Adelgais K,Roosevelt GE

Objectives:Lumbar punctures (LPs) are commonly performed in febrile infants to evaluate for meningitis, and local anesthesia increases the likelihood of LP success. Traditional methods of local anesthesia require injection that may be painful or topical a

Key Study: ComparisonofChildren'sVenipunctureFearandPain:Randomized Controlled TrialofEMLA andJ-TipNeedlelessInjectionSystem.  (2017)

Key Study: ComparisonofChildren'sVenipunctureFearandPain:Randomized Controlled TrialofEMLA andJ-TipNeedlelessInjectionSystem.

Visit

Stoltz P,Manworren RCB

Stoltz P,Manworren RCB

Purpose:Needle procedures, like venipuncture and intravenous (IV) catheter insertion, are recognized as a common cause of pain and fear for children in hospitals and emergency departments. The purpose of this study was to compare children's self-reported

Key Study: A Randomized Clinical Trial of Jet-Injected Lidocaine to Reduce Venipuncture Pain for Young Children  (2015)

Key Study: A Randomized Clinical Trial of Jet-Injected Lidocaine to Reduce Venipuncture Pain for Young Children

Visit

Lunoe MM, Drendel AL, Levas MN, Weisman SJ, Dasgupta M, Hoffmann RG, Brousseau DC

Lunoe MM, Drendel AL, Levas MN, Weisman SJ, Dasgupta M, Hoffmann RG, Broussea...

Study Objective: The J-Tip (National Medical Products Inc, Irvine, CA) uses air instead of a needle to push lidocaine into the skin. To our knowledge, no studies have investigated its use for venipuncture in young children. We determine whether the J-Tip

Ket Study: Accuracyof anewclean-catchtechniquefordiagnosisofurinarytractinfectionininfantsyoungerthan90daysofage  (2015)

Ket Study: Accuracyof anewclean-catchtechniquefordiagnosisofurinarytractinfectionininfantsyoungerthan90daysofage

Visit

Herreros ML,Tagarro A,Garca-Pose A,Snchez A,Caete A,Gili P.

Herreros ML,Tagarro A,Garca-Pose A,Snchez A,Caete A,Gili P.

Objective:To evaluate the accuracy of diagnosing urinary tract infections using a new, recently described, standardized clean-catch collection technique.

Key Study: Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial  (2013)

Key Study: Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial

Visit

Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S

Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S

Objective: To compare music with standard care to manage pain and distress.

Emergency department strategies to combat the opioid crisis in children and adolescents  (2021)

Emergency department strategies to combat the opioid crisis in children and adolescents

Visit

Cindy D Chang1,Mohsen Saidinejad1,Zaza Atanelov2,Ann M Dietrich3,Samuel Hiu-Fung Lam4,Emily Rose5,Tim Ruttan6,Sam Shahid7,Michael J Stoner8,Carmen Sulton9,Co...

Cindy D Chang1,Mohsen Saidinejad1,Zaza Atanelov2,Ann M Dietrich3,Samuel Hiu-F...

The opioid crisis has greatly affected not only adults but also children as well. As clinicians develop effective approaches to minimize pain and distress in children, the risks and benefits of opioids must be carefully considered. Children of parents wit

Key Study: A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture.  (2018)

Key Study: A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture.

Visit

Caltagirone R,Raghavan VR,Adelgais K,Roosevelt GE

Caltagirone R,Raghavan VR,Adelgais K,Roosevelt GE

Objectives:Lumbar punctures (LPs) are commonly performed in febrile infants to evaluate for meningitis, and local anesthesia increases the likelihood of LP success. Traditional methods of local anesthesia require injection that may be painful or topical a

Key Study: ComparisonofChildren'sVenipunctureFearandPain:Randomized Controlled TrialofEMLA andJ-TipNeedlelessInjectionSystem.  (2017)

Key Study: ComparisonofChildren'sVenipunctureFearandPain:Randomized Controlled TrialofEMLA andJ-TipNeedlelessInjectionSystem.

Visit

Stoltz P,Manworren RCB

Stoltz P,Manworren RCB

Purpose:Needle procedures, like venipuncture and intravenous (IV) catheter insertion, are recognized as a common cause of pain and fear for children in hospitals and emergency departments. The purpose of this study was to compare children's self-reported

Key Study: A Randomized Clinical Trial of Jet-Injected Lidocaine to Reduce Venipuncture Pain for Young Children  (2015)

Key Study: A Randomized Clinical Trial of Jet-Injected Lidocaine to Reduce Venipuncture Pain for Young Children

Visit

Lunoe MM, Drendel AL, Levas MN, Weisman SJ, Dasgupta M, Hoffmann RG, Brousseau DC

Lunoe MM, Drendel AL, Levas MN, Weisman SJ, Dasgupta M, Hoffmann RG, Broussea...

Study Objective: The J-Tip (National Medical Products Inc, Irvine, CA) uses air instead of a needle to push lidocaine into the skin. To our knowledge, no studies have investigated its use for venipuncture in young children. We determine whether the J-Tip

Ket Study: Accuracyof anewclean-catchtechniquefordiagnosisofurinarytractinfectionininfantsyoungerthan90daysofage  (2015)

Ket Study: Accuracyof anewclean-catchtechniquefordiagnosisofurinarytractinfectionininfantsyoungerthan90daysofage

Visit

Herreros ML,Tagarro A,Garca-Pose A,Snchez A,Caete A,Gili P.

Herreros ML,Tagarro A,Garca-Pose A,Snchez A,Caete A,Gili P.

Objective:To evaluate the accuracy of diagnosing urinary tract infections using a new, recently described, standardized clean-catch collection technique.

Key Study: Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial  (2013)

Key Study: Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial

Visit

Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S

Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S

Objective: To compare music with standard care to manage pain and distress.


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