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.
Bottom Line Recommendations: Procedural Pain (2022)
VIDEO: How to help when your child needs a needle poke
Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts whil
How to Help When Your Child Needs to Get a Needle Poke
ECHO, ARCHE & TREKK
ECHO, ARCHE & TREKK
Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts while stitching, for e
Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Network
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Net...
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newborns.
Recommandations de base: Douleur procédurale (2022)
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Bottom line recommendations for the treatment and management of procedural pain - French. Version 3.0 published online December 8, 2022.
Bottom Line Recommendations: Procedural Pain (2022)
Recommandations de base: Douleur procédurale (2022)
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Samina Ali, Amy Drendel, Corrie Chumpitazi, Naveen Poonai
Bottom line recommendations for the treatment and management of procedural pain - French. Version 3.0 published online December 8, 2022.
VIDEO: How to help when your child needs a needle poke
Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts whil
How to Help When Your Child Needs to Get a Needle Poke
ECHO, ARCHE & TREKK
ECHO, ARCHE & TREKK
Needle pokes are one of the most common sources of pain for children seeking emergency medical care. Needle pokes may be used during healthcare visits to collect blood, deliver medication and fluids, or to numb certain body parts while stitching, for e
Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Network
The Canadian Association of Paediatric Health Centres, Knowledge Exchange Net...
Objective: This overview is intended to summarize the systematic reviews of interventions studied to decrease paediatric pain that are currently available in the Cochrane Library. Given their unique physiology, research relevant to the management of newborns.
Managing acute pain in children presenting to the emergency department without opioids
Corrie E Chumpitazi1,Cindy Chang2,Zaza Atanelov3,Ann M Dietrich4,Samuel Hiu-Fung Lam5,Emily Rose6,Tim Ruttan7,Sam Shahid8,Michael J Stoner9,Carmen Sulton10,M...
Corrie E Chumpitazi1,Cindy Chang2,Zaza Atanelov3,Ann M Dietrich4,Samuel Hiu-F...
Clinical Practice Guideline: Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures.
Trottier ED,Dor-Bergeron MJ,Chauvin-Kimoff L,Baerg K,Ali S.
Trottier ED,Dor-Bergeron MJ,Chauvin-Kimoff L,Baerg K,Ali S.
Purpose: This statement focuses on infants (excluding care provided in the NICU), children, and youth who are undergoing common, minor but painful medical procedures
Clinical Practice Guideline: Needle-Related or Minor Procedural Pain in Pediatric Patients
ENA Clinical Practice Guideline Committee; ENA Board of Directors Liaisons:; Methodologist:; Staff Liaisons:; Administrative Staff:
ENA Clinical Practice Guideline Committee; ENA Board of Directors Liaisons:; ...
Clinical Practice Guideline: Pain-Less Practice: Techniques to Reduce Procedural Pain and Anxiety in Pediatric Acute Care
Olsen, K, Weinberg, E
Olsen, K, Weinberg, E
Purpose: This article introduces the concept of a PainLESS Practicean evidence-based, tiered approach to procedural pain and anxiety management in acute care
Clincal Practice Guideline: Prevention and Management of Procedural Pain in the Neonate: An Update
Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine
Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine
Purpose: This statement updates previous recommendations with new evidence on the prevention, assessment, and treatment of neonatal procedural pain.
Clinical Practice Guideline: Good practice in postoperative and procedural pain management
Association of Paediatric Anaesthetists of Great Britain and Ireland
Association of Paediatric Anaesthetists of Great Britain and Ireland
This themed issue starts with an outstanding review of the history of Pediatric Regional Anesthesia (PRA), written by an equally outstanding second-wave pioneer and promoter of this particular facet of pediatric anesthesia, Professor Emeritus Kester Brown
Clincial Practive Guideline: Premedication for endotracheal intubation in the newborn infant
KJ Barrington, Canadian Paediatric Society, Fetus and Newborn Committee
KJ Barrington, Canadian Paediatric Society, Fetus and Newborn Committee
Based on current evidence, an optimal protocol for premedication is to administer a vagolytic (intravenous [IV] atropine 20 g/kg), a rapid-acting analgesic (IV fentanyl 3 g/kg to 5 g/kg; slow infusion) and a short-duration muscle relaxant (IV succinylchol
Clinical Practice Guideline: Evidenced-based clinical practice guideline for management of newborn pain
Spence K, Henderson-Smart D, New K, Evans C, Whitelaw J, Woolnough R
Spence K, Henderson-Smart D, New K, Evans C, Whitelaw J, Woolnough R
Aim: To facilitate the uptake of evidence and to reduce the evidence practice gap for management of newborn pain through the development of a clinical practice guideline.
Clinical Practice Guideline: Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline
Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, Hanrahan A, Ipp M, Lockett D, MacDonald N, Midmer D, Mousmanis P, Palda V, Pielak K, Rid...
Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, Hanrahan...
Our objective was to develop a clinical practice guideline, based on systematic reviews of the literature, as interpreted by experts, to assist clinicians in managing procedure-related pain and distress among children undergoing vaccine injections.
Clinical Practice Guideline: The recognition and assessment of acute pain in children
Royal College of Nursing
Royal College of Nursing
The guideline is aimed at a range of professional groups, patients and carers who may be involved in the assessment and management of childrens pain. The primary aims of this guideline are to: identify reliable and valid measures of pain intensity appropr
Managing acute pain in children presenting to the emergency department without opioids
Corrie E Chumpitazi1,Cindy Chang2,Zaza Atanelov3,Ann M Dietrich4,Samuel Hiu-Fung Lam5,Emily Rose6,Tim Ruttan7,Sam Shahid8,Michael J Stoner9,Carmen Sulton10,M...
Corrie E Chumpitazi1,Cindy Chang2,Zaza Atanelov3,Ann M Dietrich4,Samuel Hiu-F...
Clinical Practice Guideline: Managing pain and distress in children undergoing brief diagnostic and therapeutic procedures.
Trottier ED,Dor-Bergeron MJ,Chauvin-Kimoff L,Baerg K,Ali S.
Trottier ED,Dor-Bergeron MJ,Chauvin-Kimoff L,Baerg K,Ali S.
Purpose: This statement focuses on infants (excluding care provided in the NICU), children, and youth who are undergoing common, minor but painful medical procedures
Clinical Practice Guideline: Needle-Related or Minor Procedural Pain in Pediatric Patients
ENA Clinical Practice Guideline Committee; ENA Board of Directors Liaisons:; Methodologist:; Staff Liaisons:; Administrative Staff:
ENA Clinical Practice Guideline Committee; ENA Board of Directors Liaisons:; ...
Clinical Practice Guideline: Pain-Less Practice: Techniques to Reduce Procedural Pain and Anxiety in Pediatric Acute Care
Olsen, K, Weinberg, E
Olsen, K, Weinberg, E
Purpose: This article introduces the concept of a PainLESS Practicean evidence-based, tiered approach to procedural pain and anxiety management in acute care
Clincal Practice Guideline: Prevention and Management of Procedural Pain in the Neonate: An Update
Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine
Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine
Purpose: This statement updates previous recommendations with new evidence on the prevention, assessment, and treatment of neonatal procedural pain.
Clinical Practice Guideline: Good practice in postoperative and procedural pain management
Association of Paediatric Anaesthetists of Great Britain and Ireland
Association of Paediatric Anaesthetists of Great Britain and Ireland
This themed issue starts with an outstanding review of the history of Pediatric Regional Anesthesia (PRA), written by an equally outstanding second-wave pioneer and promoter of this particular facet of pediatric anesthesia, Professor Emeritus Kester Brown
Clincial Practive Guideline: Premedication for endotracheal intubation in the newborn infant
KJ Barrington, Canadian Paediatric Society, Fetus and Newborn Committee
KJ Barrington, Canadian Paediatric Society, Fetus and Newborn Committee
Based on current evidence, an optimal protocol for premedication is to administer a vagolytic (intravenous [IV] atropine 20 g/kg), a rapid-acting analgesic (IV fentanyl 3 g/kg to 5 g/kg; slow infusion) and a short-duration muscle relaxant (IV succinylchol
Clinical Practice Guideline: Evidenced-based clinical practice guideline for management of newborn pain
Spence K, Henderson-Smart D, New K, Evans C, Whitelaw J, Woolnough R
Spence K, Henderson-Smart D, New K, Evans C, Whitelaw J, Woolnough R
Aim: To facilitate the uptake of evidence and to reduce the evidence practice gap for management of newborn pain through the development of a clinical practice guideline.
Clinical Practice Guideline: Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline
Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, Hanrahan A, Ipp M, Lockett D, MacDonald N, Midmer D, Mousmanis P, Palda V, Pielak K, Rid...
Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, Hanrahan...
Our objective was to develop a clinical practice guideline, based on systematic reviews of the literature, as interpreted by experts, to assist clinicians in managing procedure-related pain and distress among children undergoing vaccine injections.
Clinical Practice Guideline: The recognition and assessment of acute pain in children
Royal College of Nursing
Royal College of Nursing
The guideline is aimed at a range of professional groups, patients and carers who may be involved in the assessment and management of childrens pain. The primary aims of this guideline are to: identify reliable and valid measures of pain intensity appropr
Cochrane Summary: Psychological interventions for needle-related procedural pain and distress in children and adolescents
Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA
Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA
To assess the efficacy of psychological interventions for needlerelated procedural pain and distress in children and adolescents.
Cochrane Summary: Local anaesthesia (numbing medicine) that is directly applied to the skin can provide pain control for repair of skin lacerations
Tayeb BO, Eidelman A, Eidelman CL, McNicol ED, Carr DB
Tayeb BO, Eidelman A, Eidelman CL, McNicol ED, Carr DB
To assess whether benefits of noninvasive topical anaesthetic application occur at the expense of decreased analgesic efficacy. To compare the efficacy of various singlecomponent or multicomponent topical anaesthetic agents for repair of dermal laceration
Cochrane Summary: Skin-to-skin care with newborns cuts down procedural pain
Johnston C, Campbell-Yeo M, Disher T, Benoit B, Fernandes A, Streiner D, Inglis D, Zee R
Johnston C, Campbell-Yeo M, Disher T, Benoit B, Fernandes A, Streiner D, Ingl...
The primary objectives were to determine the effect of SSC alone on pain from medical or nursing procedures in neonates compared to no intervention, sucrose or other analgesics, or additions to simple SSC such as rocking; and to determine the effects of t
Cochrane Summary: Sucrose for analgesia in newborn infants undergoing painful procedures
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
The secondary objectives were to determine the safety of SSC care for relieving procedural pain in infants; and to compare the SSC effect in different postmenstrual age subgroups of infants.
Cochrane Summary: Sweet taste to ease injection needle pain in children aged one to 16 years
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
This is an updated version of the original Cochrane review published in Issue 10, 2011: Sweet tasting solutions for reduction of needle-related procedural pain in children aged one to 16 years. We re-ran the search in October 2014. Review question: Do swe
Cochrane Summary: Nonpharmacological management of infant and young child procedural pain
Pillai Riddell RR, Racine NM, Gennis HG, Turcotte K, Uman LS, Horton RE, Ahola Kohut S, Hillgrove Stuart J, Stevens B, Lisi DM
Pillai Riddell RR, Racine NM, Gennis HG, Turcotte K, Uman LS, Horton RE, Ahol...
We examined 13 different types of commonly investigated non-pharmacological treatments (excluding breastmilk, sucrose, and music) to determine theirefficacyfor pain reactions after an acutely painful procedure (right after the needle ('pain reactivity') a
Cochrane Summary: Sweet-tasting solutions for needle-related pain in infants up to one year of age
Kassab M, Foster JP, Foureu M, Fowle C
Kassab M, Foster JP, Foureu M, Fowle C
The use of needles that break the skin and cause pain is a common practice around the world with babies aged between one month and 12 months (Appendix 4). In thisreviewwe were interested in whether giving babies sugar-based solutions to taste when the nee
Cochrane Overview: The Cochrane Library and procedural pain in children: an overview of reviews
Curtis S, Wingert A, Ali S
Curtis S, Wingert A, Ali S
Objective: To summarize Cochrane reviews assessing the effects of various interventions used for pain in non-neonatal children undergoing painful medical procedures.
Cochrane Summary: Breastfeeding or breast milk for procedural pain in neonates
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Breastfeeding provides pain relief for newborn babies undergoing painful procedures. Medicine for pain relief is commonly given for major painful procedures, but may not be given for minor painful procedures such as blood sampling (by heel prick orvenepun
Cochrane Summary: Venepuncture versus heel lance for blood sampling in term neonates
Shah V, Ohlsson A
Shah V, Ohlsson A
In most countries, a blood sample from newborn babies is needed forscreeningtests. A heel lance is the standard way of taking blood, but it is a painful procedure with no optimal method of pain relief known. Thisreviewof trials found evidence thatvenepunc
Cochrane Summary: Tissue adhesives for traumatic lacerations in children and adults
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Cuts (lacerations) often need to be closed to ensure proper healing, and prevent infection or unattractivescarring. Wounds may be closed with stitches (sutures), staples, tapes or glue (tissueadhesive). Thereviewfound that glue is an excellent substitute
Cochrane Summary: Psychological interventions for needle-related procedural pain and distress in children and adolescents
Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA
Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA
To assess the efficacy of psychological interventions for needlerelated procedural pain and distress in children and adolescents.
Cochrane Summary: Local anaesthesia (numbing medicine) that is directly applied to the skin can provide pain control for repair of skin lacerations
Tayeb BO, Eidelman A, Eidelman CL, McNicol ED, Carr DB
Tayeb BO, Eidelman A, Eidelman CL, McNicol ED, Carr DB
To assess whether benefits of noninvasive topical anaesthetic application occur at the expense of decreased analgesic efficacy. To compare the efficacy of various singlecomponent or multicomponent topical anaesthetic agents for repair of dermal laceration
Cochrane Summary: Skin-to-skin care with newborns cuts down procedural pain
Johnston C, Campbell-Yeo M, Disher T, Benoit B, Fernandes A, Streiner D, Inglis D, Zee R
Johnston C, Campbell-Yeo M, Disher T, Benoit B, Fernandes A, Streiner D, Ingl...
The primary objectives were to determine the effect of SSC alone on pain from medical or nursing procedures in neonates compared to no intervention, sucrose or other analgesics, or additions to simple SSC such as rocking; and to determine the effects of t
Cochrane Summary: Sucrose for analgesia in newborn infants undergoing painful procedures
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
The secondary objectives were to determine the safety of SSC care for relieving procedural pain in infants; and to compare the SSC effect in different postmenstrual age subgroups of infants.
Cochrane Summary: Sweet taste to ease injection needle pain in children aged one to 16 years
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
This is an updated version of the original Cochrane review published in Issue 10, 2011: Sweet tasting solutions for reduction of needle-related procedural pain in children aged one to 16 years. We re-ran the search in October 2014. Review question: Do swe
Cochrane Summary: Nonpharmacological management of infant and young child procedural pain
Pillai Riddell RR, Racine NM, Gennis HG, Turcotte K, Uman LS, Horton RE, Ahola Kohut S, Hillgrove Stuart J, Stevens B, Lisi DM
Pillai Riddell RR, Racine NM, Gennis HG, Turcotte K, Uman LS, Horton RE, Ahol...
We examined 13 different types of commonly investigated non-pharmacological treatments (excluding breastmilk, sucrose, and music) to determine theirefficacyfor pain reactions after an acutely painful procedure (right after the needle ('pain reactivity') a
Cochrane Summary: Sweet-tasting solutions for needle-related pain in infants up to one year of age
Kassab M, Foster JP, Foureu M, Fowle C
Kassab M, Foster JP, Foureu M, Fowle C
The use of needles that break the skin and cause pain is a common practice around the world with babies aged between one month and 12 months (Appendix 4). In thisreviewwe were interested in whether giving babies sugar-based solutions to taste when the nee
Cochrane Overview: The Cochrane Library and procedural pain in children: an overview of reviews
Curtis S, Wingert A, Ali S
Curtis S, Wingert A, Ali S
Objective: To summarize Cochrane reviews assessing the effects of various interventions used for pain in non-neonatal children undergoing painful medical procedures.
Cochrane Summary: Breastfeeding or breast milk for procedural pain in neonates
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Breastfeeding provides pain relief for newborn babies undergoing painful procedures. Medicine for pain relief is commonly given for major painful procedures, but may not be given for minor painful procedures such as blood sampling (by heel prick orvenepun
Cochrane Summary: Venepuncture versus heel lance for blood sampling in term neonates
Shah V, Ohlsson A
Shah V, Ohlsson A
In most countries, a blood sample from newborn babies is needed forscreeningtests. A heel lance is the standard way of taking blood, but it is a painful procedure with no optimal method of pain relief known. Thisreviewof trials found evidence thatvenepunc
Cochrane Summary: Tissue adhesives for traumatic lacerations in children and adults
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Cuts (lacerations) often need to be closed to ensure proper healing, and prevent infection or unattractivescarring. Wounds may be closed with stitches (sutures), staples, tapes or glue (tissueadhesive). Thereviewfound that glue is an excellent substitute
Intranasal drugs for analgesia and sedation in children admitted to pediatric emergency department: a narrative review
Pansini V, Curatola A, Gatto A, Lazzareschi I, Ruggiero A, Chiaretti A.
Pansini V, Curatola A, Gatto A, Lazzareschi I, Ruggiero A, Chiaretti A.
Acute pain is one of the most common symptoms in children admitted to the Pediatric Emergency Department (PED) and its management represents a real clinical challenge for pediatricians.
Systematic Review: Digital Technology Distraction for Acute Pain in Children: AMeta-analysis
Michelle Gates,Lisa Hartling,Jocelyn Shulhan-Kilroy,Tara MacGregor,Samantha Guitard,Aireen Wingert,Robin Featherstone,Ben Vandermeer,Naveen Poonai,Janeva Kir...
Michelle Gates,Lisa Hartling,Jocelyn Shulhan-Kilroy,Tara MacGregor,Samantha G...
Objective:To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.
Local and Topical Anesthetics for Pediatric Patients in theEmergencyDepartment
Mace SE, Whiteman P, Avarello JT, Ojo A, Rose E, Valente J, Joseph M
Mace SE, Whiteman P, Avarello JT, Ojo A, Rose E, Valente J, Joseph M
Painful diagnostic and therapeutic procedures are common in the emergency department. Adequately treating pain, including the pain of procedures is an essential component of the practice of emergency medicine.
Efficacy of the Buzzy Device for Pain Management During Needle-related Procedures: A Systematic Review and Meta-Analysis
Ballard A, Khadra C, Adler S, Trottier ED, Le May S.
Ballard A, Khadra C, Adler S, Trottier ED, Le May S.
Objective:This systematic review and meta-analysis examined the effectiveness of the Buzzy device combining cold and vibration for needle-related procedural pain in children.
Cochrane Systematic Review: Psychological interventions for needlerelated procedural pain and distress in children and adolescents
BirnieKA, NoelM, ChambersCT, UmanLS, ParkerJA
BirnieKA, NoelM, ChambersCT, UmanLS, ParkerJA
Objectives: To provide an update to our 2006 review assessing the efficacy of psychological interventions for needle-related procedural pain and distress in children and adolescents.
Systematic Review: Vapocoolant spray versus placebo spray/no treatment for reducing pain from intravenous cannulation: A meta-analysis of randomized controlled trials.
Zhu Y,Peng X,Wang S,Chen W,Liu C,Guo B,Zhao L,Gao Y,Wang K,Lou F.
Zhu Y,Peng X,Wang S,Chen W,Liu C,Guo B,Zhao L,Gao Y,Wang K,Lou F.
Objectives:The objective of our meta-analysis is to compare the effectiveness of vapocoolant spray and placebo spray/no treatment for pain reduction during intravenous cannulation.
Systematic Review: Clinical efficacy of virtual reality for acute procedural pain management: A systematic review and meta-analysis
Evelyn Chan, Samantha Foster , Ryan Sambell , Paul Leong
Evelyn Chan, Samantha Foster , Ryan Sambell , Paul Leong
There is no comprehensive, high-quality systematic review that specifically assesses the efficacy of virtual reality on acutely painful healthcare interventions, nor has there been any quantitative data synthesis on this topic. We therefore conducted a sy
The role of inhaled methoxyflurane in acute pain management
Porter KM, Dayan AD, Dickerson S, Middleton PM.
Porter KM, Dayan AD, Dickerson S, Middleton PM.
Methoxyflurane is an inhaled analgesic administered via a disposable inhaler which has been used in Australia for over 40 years for the management of pain associated with trauma and for medical procedures in children and adults. Now available in 16 countr
Cochrane Systematic Review: Topical anaesthetics for pain control during repair of dermal laceration
TayebBO, EidelmanA, EidelmanCL, McNicolED, CarrDB
TayebBO, EidelmanA, EidelmanCL, McNicolED, CarrDB
Objectives: To compare the efficacy and safety of infiltrated local anaesthetics with those of topical local anaesthetics for repair of dermal lacerations and to evaluate the efficacy and safety of various single or multi-component topical anaesthetics to
Systematic Review: LidocaineGelforUrethralCatheterizationinChildren: AMeta-Analysis.
Chua ME,Firaza PNB,Ming JM,Silangcruz JMA,Braga LH,Lorenzo AJ
Chua ME,Firaza PNB,Ming JM,Silangcruz JMA,Braga LH,Lorenzo AJ
Objective:To compare the efficacy and safety of lidocaine gel vs nonanesthetic gel (NAG) in reducing transurethral bladder catheterization (TUBC) procedural pain in children.
Systematic Review: What is theBestPain ManagementDuringGastricTubeInsertionforInfantsAged0-12months: ASystematic Review.
Chen S,Zhang Q,Xie RH,Wen SW,Harrison D
Chen S,Zhang Q,Xie RH,Wen SW,Harrison D
Synthesized evidence on the effectiveness of pain management for nasogastric tube (NGT) and orogastric tube (OGT) insertions in infants is lacking. This paper is a systematic review of the effectiveness of pain management for gastric tube (GT) insertion i
Systematic Review: Sweet Solutions to Reduce Procedural Pain in Neonates: AMeta-analysis
Denise Harrison,Catherine Larocque,Mariana Bueno,Yehudis Stokes,Lucy Turner,Brian Hutton,Bonnie Stevens
Denise Harrison,Catherine Larocque,Mariana Bueno,Yehudis Stokes,Lucy Turner,B...
Objective: To review all trials evaluating sweet solutions for analgesia in neonates and to conduct cumulative meta-analyses (CMAs) on behavioral pain outcomes.
Cochrane Systematic Review: Sucrose for analgesia in newborn infants undergoing painful procedures
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
Objective: To determine the efficacy, effect of dose and safety of oral sucrose for relieving procedural pain in neonates.
Cochrane Systematic Review: Breastfeeding for procedural pain in infants beyond the neonatal period
Harrison D, Reszel J, Bueno M, et al.
Harrison D, Reszel J, Bueno M, et al.
Objectives:To determine the effect of breastfeeding on procedural pain in infants beyond the neonatal period (first 28 days of life) up to one year of age compared to no intervention, placebo, parental holding, skin-to-skin contact, expressed breast milk,
Cochrane Systematic Review: Nonpharmacological management of infant and young child procedural pain
Pillai RiddellRR, RacineNM, GennisHG, TurcotteK, UmanLS, HortonRE, Ahola KohutS, Hillgrove StuartJ, StevensB, LisiDM
Pillai RiddellRR, RacineNM, GennisHG, TurcotteK, UmanLS, HortonRE, Ahola Kohu...
Objectives: To assess the efficacy of non-pharmacological interventions for infant and child (up to three years) acute pain, excluding breastmilk, sucrose, and music. Analyses accounted for infant age (preterm, neonate, older) and pain response (pain reac
Systematic Review: A systematic review of vapocoolants for reducing pain from venipuncture and venous cannulation in children and adults
Hogan ME, Smart S, Shah V, Taddio A
Hogan ME, Smart S, Shah V, Taddio A
Our aim was to systematically review the literature regarding the analgesic effectiveness of vapocoolants in children and adults.
Systematic Review: Pediatric clinical practice guidelines for acute procedural pain: a systematic review
Lee GY, Yamada J, Kyololo O, Shorkey A, Stevens B
Lee GY, Yamada J, Kyololo O, Shorkey A, Stevens B
Objective: To systematically review the quality of existing practice guidelines for acute procedural pain in children and provide recommendations for their use.
Review: Relief of pain and anxiety in pediatric patients in emergency medical systems
Fein JA, Zempsky WT, Cravero JP, Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine
Fein JA, Zempsky WT, Cravero JP, Committee on Pediatric Emergency Medicine an...
Control of pain and stress for children is a vital component of emergency medical care. Timely administration of analgesia affects the entire emergency medical experience and can have a lasting effect on a child's and family's reaction to current and futu
Cochrane Systematic Review: Sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age
Kassab M, Foster JP, Foureur M, Fowler C
Kassab M, Foster JP, Foureur M, Fowler C
Objectives: To determine the effectiveness of sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age compared with no treatment, placebo, other sweet-tasting solutions, or pharmacological or other non-pharmacolo
Cochrane Systematic Review: Breastfeeding or breast milk for procedural pain in neonates
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Objectives: The primary objective was to evaluate the effectiveness of breastfeeding or supplemental breast milk in reducing procedural pain in neonates. The secondary objective was to conduct subgroup analyses based on the type of control intervention, g
Cochrane Systematic Review: Sweet tasting solutions for reduction of needle-related procedural pain in children aged one to 16 years
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
Objectives: To determine the efficacy of sweet tasting solutions or substances for reducing needle-related procedural pain in children beyond one year of age.
Cochrane Systematic Review: Non-pharmacological management of infant and young child procedural pain
Pillai Riddell RR, Racine NM, Turcotte K, Uman LS, Horton RE, Din Osmun L, Ahola Kohut S, Hillgrove Stuart J, Stevens B, Gerwitz-Stern A
Pillai Riddell RR, Racine NM, Turcotte K, Uman LS, Horton RE, Din Osmun L, Ah...
Objectives: To assess the efficacy of non-pharmacological interventions for infant and child (up to three years) acute pain, excluding breastmilk, sucrose, and music. Analyses accounted for infant age (preterm, neonate, older) and pain response (pain reac
Systematic Review: The effectiveness of virtual reality distraction for pain reduction:a systematic review
Kevin M Malloy , Leonard S Milling
Kevin M Malloy , Leonard S Milling
This article provides a comprehensive review of controlled research on the effectiveness of virtual reality (VR) distraction for reducing pain.
Systematic Review: Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials
Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L
Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L
Objective: The aim of this study was to conduct a systematic review of the efficacy of music therapy (MT) on pain and anxiety in children undergoing clinical procedures.
Review: Clinical implications of unmanaged needle-insertion pain and distress in children
Kennedy RM, Luhmann J, Zempsky WT
Kennedy RM, Luhmann J, Zempsky WT
This review summarizes the evidence for the importance of managing pediatric procedural pain and methods for reducing venous access pain.
Review: Needle pain in children: contextual factors
Walco GA
Walco GA
Pediatric pain experiences result from a complex interplay of genetic, experiential, and developmental factors. These elements, as they relate to needle-stick procedures and other relevant painful phenomena, are explored in this article so that the contex
Review: Pharmacologic approaches for reducing venous access pain in children
Zempsky WT
Zempsky WT
A variety of pharmacologic options are available to clinicians who want to provide effective and safe topical local anesthesia to children undergoing venous access procedures. These options can be distinguished on the basis of how they deliver active drug
Cochrane Systematic Review: Venepuncture versus heel lance for blood sampling in term neonates
Shah V, Ohlsson A
Shah V, Ohlsson A
Objectives: To determine whether venepuncture or heel lance is less painful and more effective for blood sampling in term neonates.
Systematic Review: Theroleofparentalpresencein thecontextofchildren'smedicalprocedures: asystematic review.
Piira T,Sugiura T,Champion GD,Donnelly N,Cole AS
Piira T,Sugiura T,Champion GD,Donnelly N,Cole AS
There are conflicting views and practices regarding whether or not parents should be present at the time of their child's medical procedure. A systematic review was conducted to assess the effects of parental presence in the paediatric treatment room on c
Cochrane Systematic Review: To determine whether venepuncture or heel lance is less painful and more effective for blood sampling in term neonates
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Objectives: To summarize the best available evidence for the effect of tissue adhesives in the management of traumatic lacerations in children and adults.
Intranasal drugs for analgesia and sedation in children admitted to pediatric emergency department: a narrative review
Pansini V, Curatola A, Gatto A, Lazzareschi I, Ruggiero A, Chiaretti A.
Pansini V, Curatola A, Gatto A, Lazzareschi I, Ruggiero A, Chiaretti A.
Acute pain is one of the most common symptoms in children admitted to the Pediatric Emergency Department (PED) and its management represents a real clinical challenge for pediatricians.
Systematic Review: Digital Technology Distraction for Acute Pain in Children: AMeta-analysis
Michelle Gates,Lisa Hartling,Jocelyn Shulhan-Kilroy,Tara MacGregor,Samantha Guitard,Aireen Wingert,Robin Featherstone,Ben Vandermeer,Naveen Poonai,Janeva Kir...
Michelle Gates,Lisa Hartling,Jocelyn Shulhan-Kilroy,Tara MacGregor,Samantha G...
Objective:To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.
Local and Topical Anesthetics for Pediatric Patients in theEmergencyDepartment
Mace SE, Whiteman P, Avarello JT, Ojo A, Rose E, Valente J, Joseph M
Mace SE, Whiteman P, Avarello JT, Ojo A, Rose E, Valente J, Joseph M
Painful diagnostic and therapeutic procedures are common in the emergency department. Adequately treating pain, including the pain of procedures is an essential component of the practice of emergency medicine.
Efficacy of the Buzzy Device for Pain Management During Needle-related Procedures: A Systematic Review and Meta-Analysis
Ballard A, Khadra C, Adler S, Trottier ED, Le May S.
Ballard A, Khadra C, Adler S, Trottier ED, Le May S.
Objective:This systematic review and meta-analysis examined the effectiveness of the Buzzy device combining cold and vibration for needle-related procedural pain in children.
Cochrane Systematic Review: Psychological interventions for needlerelated procedural pain and distress in children and adolescents
BirnieKA, NoelM, ChambersCT, UmanLS, ParkerJA
BirnieKA, NoelM, ChambersCT, UmanLS, ParkerJA
Objectives: To provide an update to our 2006 review assessing the efficacy of psychological interventions for needle-related procedural pain and distress in children and adolescents.
Systematic Review: Vapocoolant spray versus placebo spray/no treatment for reducing pain from intravenous cannulation: A meta-analysis of randomized controlled trials.
Zhu Y,Peng X,Wang S,Chen W,Liu C,Guo B,Zhao L,Gao Y,Wang K,Lou F.
Zhu Y,Peng X,Wang S,Chen W,Liu C,Guo B,Zhao L,Gao Y,Wang K,Lou F.
Objectives:The objective of our meta-analysis is to compare the effectiveness of vapocoolant spray and placebo spray/no treatment for pain reduction during intravenous cannulation.
Systematic Review: Clinical efficacy of virtual reality for acute procedural pain management: A systematic review and meta-analysis
Evelyn Chan, Samantha Foster , Ryan Sambell , Paul Leong
Evelyn Chan, Samantha Foster , Ryan Sambell , Paul Leong
There is no comprehensive, high-quality systematic review that specifically assesses the efficacy of virtual reality on acutely painful healthcare interventions, nor has there been any quantitative data synthesis on this topic. We therefore conducted a sy
The role of inhaled methoxyflurane in acute pain management
Porter KM, Dayan AD, Dickerson S, Middleton PM.
Porter KM, Dayan AD, Dickerson S, Middleton PM.
Methoxyflurane is an inhaled analgesic administered via a disposable inhaler which has been used in Australia for over 40 years for the management of pain associated with trauma and for medical procedures in children and adults. Now available in 16 countr
Cochrane Systematic Review: Topical anaesthetics for pain control during repair of dermal laceration
TayebBO, EidelmanA, EidelmanCL, McNicolED, CarrDB
TayebBO, EidelmanA, EidelmanCL, McNicolED, CarrDB
Objectives: To compare the efficacy and safety of infiltrated local anaesthetics with those of topical local anaesthetics for repair of dermal lacerations and to evaluate the efficacy and safety of various single or multi-component topical anaesthetics to
Systematic Review: LidocaineGelforUrethralCatheterizationinChildren: AMeta-Analysis.
Chua ME,Firaza PNB,Ming JM,Silangcruz JMA,Braga LH,Lorenzo AJ
Chua ME,Firaza PNB,Ming JM,Silangcruz JMA,Braga LH,Lorenzo AJ
Objective:To compare the efficacy and safety of lidocaine gel vs nonanesthetic gel (NAG) in reducing transurethral bladder catheterization (TUBC) procedural pain in children.
Systematic Review: What is theBestPain ManagementDuringGastricTubeInsertionforInfantsAged0-12months: ASystematic Review.
Chen S,Zhang Q,Xie RH,Wen SW,Harrison D
Chen S,Zhang Q,Xie RH,Wen SW,Harrison D
Synthesized evidence on the effectiveness of pain management for nasogastric tube (NGT) and orogastric tube (OGT) insertions in infants is lacking. This paper is a systematic review of the effectiveness of pain management for gastric tube (GT) insertion i
Systematic Review: Sweet Solutions to Reduce Procedural Pain in Neonates: AMeta-analysis
Denise Harrison,Catherine Larocque,Mariana Bueno,Yehudis Stokes,Lucy Turner,Brian Hutton,Bonnie Stevens
Denise Harrison,Catherine Larocque,Mariana Bueno,Yehudis Stokes,Lucy Turner,B...
Objective: To review all trials evaluating sweet solutions for analgesia in neonates and to conduct cumulative meta-analyses (CMAs) on behavioral pain outcomes.
Cochrane Systematic Review: Sucrose for analgesia in newborn infants undergoing painful procedures
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A
Objective: To determine the efficacy, effect of dose and safety of oral sucrose for relieving procedural pain in neonates.
Cochrane Systematic Review: Breastfeeding for procedural pain in infants beyond the neonatal period
Harrison D, Reszel J, Bueno M, et al.
Harrison D, Reszel J, Bueno M, et al.
Objectives:To determine the effect of breastfeeding on procedural pain in infants beyond the neonatal period (first 28 days of life) up to one year of age compared to no intervention, placebo, parental holding, skin-to-skin contact, expressed breast milk,
Cochrane Systematic Review: Nonpharmacological management of infant and young child procedural pain
Pillai RiddellRR, RacineNM, GennisHG, TurcotteK, UmanLS, HortonRE, Ahola KohutS, Hillgrove StuartJ, StevensB, LisiDM
Pillai RiddellRR, RacineNM, GennisHG, TurcotteK, UmanLS, HortonRE, Ahola Kohu...
Objectives: To assess the efficacy of non-pharmacological interventions for infant and child (up to three years) acute pain, excluding breastmilk, sucrose, and music. Analyses accounted for infant age (preterm, neonate, older) and pain response (pain reac
Systematic Review: A systematic review of vapocoolants for reducing pain from venipuncture and venous cannulation in children and adults
Hogan ME, Smart S, Shah V, Taddio A
Hogan ME, Smart S, Shah V, Taddio A
Our aim was to systematically review the literature regarding the analgesic effectiveness of vapocoolants in children and adults.
Systematic Review: Pediatric clinical practice guidelines for acute procedural pain: a systematic review
Lee GY, Yamada J, Kyololo O, Shorkey A, Stevens B
Lee GY, Yamada J, Kyololo O, Shorkey A, Stevens B
Objective: To systematically review the quality of existing practice guidelines for acute procedural pain in children and provide recommendations for their use.
Review: Relief of pain and anxiety in pediatric patients in emergency medical systems
Fein JA, Zempsky WT, Cravero JP, Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine
Fein JA, Zempsky WT, Cravero JP, Committee on Pediatric Emergency Medicine an...
Control of pain and stress for children is a vital component of emergency medical care. Timely administration of analgesia affects the entire emergency medical experience and can have a lasting effect on a child's and family's reaction to current and futu
Cochrane Systematic Review: Sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age
Kassab M, Foster JP, Foureur M, Fowler C
Kassab M, Foster JP, Foureur M, Fowler C
Objectives: To determine the effectiveness of sweet-tasting solutions for needle-related procedural pain in infants one month to one year of age compared with no treatment, placebo, other sweet-tasting solutions, or pharmacological or other non-pharmacolo
Cochrane Systematic Review: Breastfeeding or breast milk for procedural pain in neonates
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Shah PS, Herbozo C, Aliwalas LL, Shah VS
Objectives: The primary objective was to evaluate the effectiveness of breastfeeding or supplemental breast milk in reducing procedural pain in neonates. The secondary objective was to conduct subgroup analyses based on the type of control intervention, g
Cochrane Systematic Review: Sweet tasting solutions for reduction of needle-related procedural pain in children aged one to 16 years
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
Harrison D, Yamada J, Adams-Webber T, Ohlsson A, Beyene J, Stevens B
Objectives: To determine the efficacy of sweet tasting solutions or substances for reducing needle-related procedural pain in children beyond one year of age.
Cochrane Systematic Review: Non-pharmacological management of infant and young child procedural pain
Pillai Riddell RR, Racine NM, Turcotte K, Uman LS, Horton RE, Din Osmun L, Ahola Kohut S, Hillgrove Stuart J, Stevens B, Gerwitz-Stern A
Pillai Riddell RR, Racine NM, Turcotte K, Uman LS, Horton RE, Din Osmun L, Ah...
Objectives: To assess the efficacy of non-pharmacological interventions for infant and child (up to three years) acute pain, excluding breastmilk, sucrose, and music. Analyses accounted for infant age (preterm, neonate, older) and pain response (pain reac
Systematic Review: The effectiveness of virtual reality distraction for pain reduction:a systematic review
Kevin M Malloy , Leonard S Milling
Kevin M Malloy , Leonard S Milling
This article provides a comprehensive review of controlled research on the effectiveness of virtual reality (VR) distraction for reducing pain.
Systematic Review: Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials
Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L
Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L
Objective: The aim of this study was to conduct a systematic review of the efficacy of music therapy (MT) on pain and anxiety in children undergoing clinical procedures.
Review: Clinical implications of unmanaged needle-insertion pain and distress in children
Kennedy RM, Luhmann J, Zempsky WT
Kennedy RM, Luhmann J, Zempsky WT
This review summarizes the evidence for the importance of managing pediatric procedural pain and methods for reducing venous access pain.
Review: Needle pain in children: contextual factors
Walco GA
Walco GA
Pediatric pain experiences result from a complex interplay of genetic, experiential, and developmental factors. These elements, as they relate to needle-stick procedures and other relevant painful phenomena, are explored in this article so that the contex
Review: Pharmacologic approaches for reducing venous access pain in children
Zempsky WT
Zempsky WT
A variety of pharmacologic options are available to clinicians who want to provide effective and safe topical local anesthesia to children undergoing venous access procedures. These options can be distinguished on the basis of how they deliver active drug
Cochrane Systematic Review: Venepuncture versus heel lance for blood sampling in term neonates
Shah V, Ohlsson A
Shah V, Ohlsson A
Objectives: To determine whether venepuncture or heel lance is less painful and more effective for blood sampling in term neonates.
Systematic Review: Theroleofparentalpresencein thecontextofchildren'smedicalprocedures: asystematic review.
Piira T,Sugiura T,Champion GD,Donnelly N,Cole AS
Piira T,Sugiura T,Champion GD,Donnelly N,Cole AS
There are conflicting views and practices regarding whether or not parents should be present at the time of their child's medical procedure. A systematic review was conducted to assess the effects of parental presence in the paediatric treatment room on c
Cochrane Systematic Review: To determine whether venepuncture or heel lance is less painful and more effective for blood sampling in term neonates
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Farion K, Osmond MH, Hartling L, Russell K, Klassen T, Crumley E, Wiebe N
Objectives: To summarize the best available evidence for the effect of tissue adhesives in the management of traumatic lacerations in children and adults.
Emergency department strategies to combat the opioid crisis in children and adolescents
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.
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.
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
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
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
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
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.
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.
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
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
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
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 Medicine Cases Podcast: Pediatric Procedural Sedation (2016)
Dr. Amy Drendel
Dr. Amy Drendel
Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in
Bottom Line: Application of topical local anesthetic for potentially painful skin-breaking procedures
Alberta Health Services
Alberta Health Services
Objectives: To provide direction to health care professionals on the timely and safe application of topical local anesthetics prior to a painful skin-breaking procedure for in-patients and outpatients.
An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42.
Ali S, McGrath T, Drendel AL
Ali S, McGrath T, Drendel AL
Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in t
Video: Managing Procedural Anxiety in Children
Krauss BS, Krauss BA, Green SM.
Krauss BS, Krauss BA, Green SM.
This video describes the signs of acute anxiety in children and demonstrates approaches to interacting with children that minimize anxiety and maximize cooperation. Published: April 2016.
Psychological Interventions
BC Children's Hospital
BC Children's Hospital
Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence
Sucrose as a procedural analgesic for infants up to 12 months of age
BC Children's Hospital
BC Children's Hospital
Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non
Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older)
BC Children's Hospital
BC Children's Hospital
Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/
Emergency Medicine Cases Podcast: Pediatric Procedural Sedation (2016)
Dr. Amy Drendel
Dr. Amy Drendel
Episode 76: Join Dr. Amy Drendel, a world leader in pediatric pain management and procedural sedation research, as she discusses how best to manage pain and anxiety in
Bottom Line: Application of topical local anesthetic for potentially painful skin-breaking procedures
Alberta Health Services
Alberta Health Services
Objectives: To provide direction to health care professionals on the timely and safe application of topical local anesthetics prior to a painful skin-breaking procedure for in-patients and outpatients.
An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Pediatr Emerg Care 2016;32(1):36-42.
Ali S, McGrath T, Drendel AL
Ali S, McGrath T, Drendel AL
Objective: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in t
Video: Managing Procedural Anxiety in Children
Krauss BS, Krauss BA, Green SM.
Krauss BS, Krauss BA, Green SM.
This video describes the signs of acute anxiety in children and demonstrates approaches to interacting with children that minimize anxiety and maximize cooperation. Published: April 2016.
Psychological Interventions
BC Children's Hospital
BC Children's Hospital
Even with sedation, the success of a procedure is equally reliant upon careful consideration of psychosocial aspects as it is reliant on physical aspects. A sense of mastery and control experienced by parents and children is crucial to their confidence
Sucrose as a procedural analgesic for infants up to 12 months of age
BC Children's Hospital
BC Children's Hospital
Purpose: Oral sucrose and other sweet tasting solutions have been used for management of pain in infants for centuries. Studies done since the early 1990's have demonstrated that the administration of sucrose and non-nutritive sucking are effective non
Pain Ease(R): Topical anesthetic skin refrigerant (for children 4 years and older)
BC Children's Hospital
BC Children's Hospital
Purpose: Pain Ease spray is a vapocoolant (skin refrigerant) intended for topical application to skin and minor open wounds. It controls pain associated with injections (venipunctures, IV start) and minor surgical procedures (eg. irrigating laceration/