Does Combined Use of the J-tip® and Buzzy® Device Decrease the Pain of Venipuncture in a Pediatric Population?

Y. Liza Kearl, Sheryl Yanger, Sandra Montero, Elizabeth Morelos-Howard, Ilene Claudius*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Both the J-tip® (a needle-free device for subcutaneous delivery of lidocaine) and the Buzzy® (a cooled, vibrating device to employ gate control to minimize procedural pain) have shown some efficacy in diminishing the pain of venipuncture. Purpose: To develop an optimal protocol for pre-venipuncture/IV start pain management by investigating the impact of adding the use of Buzzy® prior to the use of the J-tip®. Procedures: Pediatric emergency department patients aged 1. month to 21. years were prospectively enrolled in Phase 1 (J-tip® only) then Phase 2 (Buzzy®. +. J-tip®) for analgesia prior to venipuncture or IV start. Age-appropriate pain scale scores were collected for the subsequent procedure, as well the administration of lidocaine via J-tip®. Main findings: With the combined intervention (phase 2), 14.2% of patients had a pain scale score >. 3 with venipuncture and 16.1% had a pain scale score >. 3 with application of the J-tip® itself. With no intervention for pain relief, 71% of patients experienced a pain scale score >. 3 for venipuncture. With the J-tip® alone (phase 1), 21% had a pain scale score >. 3 with venipuncture and 22.3% had a pain scale score >. 3 with application of the J-tip® itself. Conclusions: Patients receiving either intervention reported lower scores on pain scales during venipuncture or IV start than the no analgesia group. The combined intervention did not yield a significant decrease in scores on pain scale scores over the J-tip® alone.

Original languageEnglish (US)
Pages (from-to)829-833
Number of pages5
JournalJournal of Pediatric Nursing
Volume30
Issue number6
DOIs
StatePublished - Nov 2015

Keywords

  • Gated pain theory
  • Lidocaine
  • Needle-free device
  • Pain management
  • Pain scale
  • Venipuncture

ASJC Scopus subject areas

  • Pediatrics

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