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