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 |
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container_title | The Clinical journal of pain |
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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 & Wilkins, Inc</publisher><subject>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</subject><ispartof>The Clinical journal of pain, 2009-07, Vol.25 (6), p.490-494</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4466-7513c96fe456109b345630ecd7398b5b9e6395ff56e470dd8a280212633206453</citedby><cites>FETCH-LOGICAL-c4466-7513c96fe456109b345630ecd7398b5b9e6395ff56e470dd8a280212633206453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21654132$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19542796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cohen, Lindsey L</creatorcontrib><creatorcontrib>MacLaren, Jill E</creatorcontrib><creatorcontrib>DeMore, Melissa</creatorcontrib><creatorcontrib>Fortson, Beverly</creatorcontrib><creatorcontrib>Friedman, Abby</creatorcontrib><creatorcontrib>Lim, Crystal S</creatorcontrib><creatorcontrib>Gangaram, Balram</creatorcontrib><title>A Randomized Controlled Trial of Vapocoolant for Pediatric Immunization Distress Relief</title><title>The Clinical journal of pain</title><addtitle>Clin J Pain</addtitle><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.</description><subject>Anesthetics, Local - administration & dosage</subject><subject>Anesthetics, Local - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ethyl Chloride - administration & dosage</subject><subject>Ethyl Chloride - therapeutic use</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Immunization - adverse effects</subject><subject>Immunomodulators</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Pain - drug therapy</subject><subject>Pain - etiology</subject><subject>Pain - psychology</subject><subject>Pain Measurement</subject><subject>Pharmacology. Drug treatments</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0749-8047</issn><issn>1536-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1v1DAQQC0EotvCP0AoF7iljL_j42oLpagSVVXgaDnJWDU48WInquivx1VXgPBl7NGb8cwj5BWFUwpGv9t-ujqFHihHTjvqAAQVT8iGSq5aKcA8JRvQwrQdCH1Ejkv5DkAl6-A5OaJGCqaN2pBv2-bazWOawj2OzS7NS04x1utNDi42yTdf3T4NKUU3L41PubnCMbglh6G5mKZ1DvduCWluzkJZMpbSXGMM6F-QZ97Fgi8P8YR8-fD-Zvexvfx8frHbXraDEEq1WlI-GOVRSFW36nmNHHAYNTddL3uDihvpvVQoNIxj5-oCjDLFOQMlJD8hbx_77nP6uWJZ7BTKgLGOi2ktVmlRFRlWQfEIDjmVktHbfQ6Ty78sBfsg1Fah9n-htez1of_aTzj-LToYrMCbA-DK4KLPbh5C-cMxqqSg_J__71JcMJcfcb3DbG_RxeXWQj1MQtcyAAO6vtqHlOK_AXfjjPY</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Cohen, Lindsey L</creator><creator>MacLaren, Jill E</creator><creator>DeMore, Melissa</creator><creator>Fortson, Beverly</creator><creator>Friedman, Abby</creator><creator>Lim, Crystal S</creator><creator>Gangaram, Balram</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200907</creationdate><title>A Randomized Controlled Trial of Vapocoolant for Pediatric Immunization Distress Relief</title><author>Cohen, Lindsey L ; MacLaren, Jill E ; DeMore, Melissa ; Fortson, Beverly ; Friedman, Abby ; Lim, Crystal S ; Gangaram, Balram</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4466-7513c96fe456109b345630ecd7398b5b9e6395ff56e470dd8a280212633206453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anesthetics, Local - administration & dosage</topic><topic>Anesthetics, Local - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ethyl Chloride - administration & dosage</topic><topic>Ethyl Chloride - therapeutic use</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Immunization - adverse effects</topic><topic>Immunomodulators</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Pain - drug therapy</topic><topic>Pain - etiology</topic><topic>Pain - psychology</topic><topic>Pain Measurement</topic><topic>Pharmacology. Drug treatments</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cohen, Lindsey L</creatorcontrib><creatorcontrib>MacLaren, Jill E</creatorcontrib><creatorcontrib>DeMore, Melissa</creatorcontrib><creatorcontrib>Fortson, Beverly</creatorcontrib><creatorcontrib>Friedman, Abby</creatorcontrib><creatorcontrib>Lim, Crystal S</creatorcontrib><creatorcontrib>Gangaram, Balram</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cohen, Lindsey L</au><au>MacLaren, Jill E</au><au>DeMore, Melissa</au><au>Fortson, Beverly</au><au>Friedman, Abby</au><au>Lim, Crystal S</au><au>Gangaram, Balram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Randomized Controlled Trial of Vapocoolant for Pediatric Immunization Distress Relief</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2009-07</date><risdate>2009</risdate><volume>25</volume><issue>6</issue><spage>490</spage><epage>494</epage><pages>490-494</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><coden>CJPAEU</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19542796</pmid><doi>10.1097/AJP.0b013e3181a00414</doi><tpages>5</tpages></addata></record> |
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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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