A Randomized Controlled Trial of Vapocoolant for Pediatric Immunization Distress Relief

OBJECTIVESThe purpose of this study was to evaluate the effectiveness of vapocoolant for preschoolersʼ immunization injection pain relief. METHODSFifty-seven 4 to 6-year-old children were randomized into vapocoolant alone or typical care conditions. Pain was measured at the baseline and at injection...

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Veröffentlicht in:The Clinical journal of pain 2009-07, Vol.25 (6), p.490-494
Hauptverfasser: Cohen, Lindsey L, MacLaren, Jill E, DeMore, Melissa, Fortson, Beverly, Friedman, Abby, Lim, Crystal S, Gangaram, Balram
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container_end_page 494
container_issue 6
container_start_page 490
container_title The Clinical journal of pain
container_volume 25
creator Cohen, Lindsey L
MacLaren, Jill E
DeMore, Melissa
Fortson, Beverly
Friedman, Abby
Lim, Crystal S
Gangaram, Balram
description OBJECTIVESThe purpose of this study was to evaluate the effectiveness of vapocoolant for preschoolersʼ immunization injection pain relief. METHODSFifty-seven 4 to 6-year-old children were randomized into vapocoolant alone or typical care conditions. Pain was measured at the baseline and at injection via self-report, caregiver report, nurse report, and by an observational scale. RESULTSSelf-report of pain suggested that children in the vapocoolant alone condition demonstrated stronger increases in pain from baseline to injection than children in the typical care condition. All other measures showed significant increases in pain from baseline to injection, but no other measures indicated treatment effects. DISCUSSIONThis study revealed that vapocoolant is not an effective pain management intervention for childrenʼs intramuscular injections.
doi_str_mv 10.1097/AJP.0b013e3181a00414
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METHODSFifty-seven 4 to 6-year-old children were randomized into vapocoolant alone or typical care conditions. Pain was measured at the baseline and at injection via self-report, caregiver report, nurse report, and by an observational scale. RESULTSSelf-report of pain suggested that children in the vapocoolant alone condition demonstrated stronger increases in pain from baseline to injection than children in the typical care condition. All other measures showed significant increases in pain from baseline to injection, but no other measures indicated treatment effects. DISCUSSIONThis study revealed that vapocoolant is not an effective pain management intervention for childrenʼs intramuscular injections.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/AJP.0b013e3181a00414</identifier><identifier>PMID: 19542796</identifier><identifier>CODEN: CJPAEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Anesthetics, Local - administration &amp; dosage ; Anesthetics, Local - therapeutic use ; Biological and medical sciences ; Child ; Child, Preschool ; Ethyl Chloride - administration &amp; dosage ; Ethyl Chloride - therapeutic use ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Immunization - adverse effects ; Immunomodulators ; Male ; Medical sciences ; Neurology ; Pain - drug therapy ; Pain - etiology ; Pain - psychology ; Pain Measurement ; Pharmacology. 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METHODSFifty-seven 4 to 6-year-old children were randomized into vapocoolant alone or typical care conditions. Pain was measured at the baseline and at injection via self-report, caregiver report, nurse report, and by an observational scale. RESULTSSelf-report of pain suggested that children in the vapocoolant alone condition demonstrated stronger increases in pain from baseline to injection than children in the typical care condition. All other measures showed significant increases in pain from baseline to injection, but no other measures indicated treatment effects. 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subjects Anesthetics, Local - administration & dosage
Anesthetics, Local - therapeutic use
Biological and medical sciences
Child
Child, Preschool
Ethyl Chloride - administration & dosage
Ethyl Chloride - therapeutic use
Female
Fundamental and applied biological sciences. Psychology
Humans
Immunization - adverse effects
Immunomodulators
Male
Medical sciences
Neurology
Pain - drug therapy
Pain - etiology
Pain - psychology
Pain Measurement
Pharmacology. Drug treatments
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Vertebrates: nervous system and sense organs
title A Randomized Controlled Trial of Vapocoolant for Pediatric Immunization Distress Relief
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