Needle-Related or Minor Procedural Pain in Pediatric Patients CPG Synopsis-Needle-Related or Minor Procedural Pain in Pediatric Patients CPG Synopsis

Needle-Related or Minor Procedural Pain in Pediatric Patients CPG Synopsis

Pdf Summary

This clinical practice guideline focuses on strategies to reduce needle-related or minor procedural pain in pediatric patients in the emergency department. The guideline addresses the problem of pediatric patients experiencing stress and anxiety during procedures such as IV catheterization, bladder catheterization, venipuncture, immunization administration, and nasogastric tube placement. The document highlights the deficiencies in pain assessment and management in the emergency department, particularly with children.<br /><br />The guideline presents various interventions to reduce pain and distress during these procedures. Behavioral interventions such as breastfeeding, skin-to-skin contact, parental holding, hypnosis, distraction techniques, verbal coaching, breathing exercises, and the use of handheld electronic devices are recommended. The presence of clowns and the use of patient information/preparation in combination with distraction techniques are also supported. Techniques like listening to music and reducing anxiety have shown to be effective as well.<br /><br />Dermal anesthetic preparations, such as lidocaine or tetracaine creams or patches, are found to be effective in reducing pain associated with IV cannulation, venipuncture, and immunization. Other interventions like the use of Pentafluoropropane and tetrafluoroethane, ethyl vinyl chloride, sucrose, local application of ice and vibration, and subdermal local anesthetic with needle-free delivery are also recommended for pain reduction.<br /><br />The guideline provides levels of recommendation for each intervention, with Level A indicating high-quality evidence, Level B indicating moderate-quality evidence, and Level C indicating limited or low-quality evidence. Insufficient evidence or no evidence is noted for some interventions.<br /><br />This clinical practice guideline aims to bridge the gap between practice and available evidence to positively impact patient care in emergency nursing. For a more detailed review of the guideline, the full document can be accessed at the provided link.

Meta Tag

pediatric patients needle

pediatric patients IV

pediatric patients intravenous

pediatric patients venipuncture

pediatric patients catheterization

pediatric patients NG tube

pediatric patients pain

pediatric patients nasogastric

pediatric patients anxiety

pediatric patients hypnosis

pediatric patients distraction

pediatric patients CPG

pediatric patients needle stick

pediatric patients virtual reality

pediatric patients music

pediatric patients clown

pediatric patients EMLA

pediatric patients animal therapy

pediatric patients therapy dog

pediatric patients emotional support

pediatric patients breastfeeding

pediatric patients vapocoolant

pediatric patients pain ease

pediatric patients buzzy

pediatric patients sucrose

pediatric patients anesthetic

pediatric patients subdermal

pediatric patients clinical practice guideline

Keywords

pediatric patients

emergency department

needle-related pain

procedural pain

behavioral interventions

distraction techniques

dermal anesthetic preparations

lidocaine

tetracaine creams

patient care