Pain in children submitted to peripheral venipuncture. Prevention with eutectic mixture of local anesthetics
Keywords:
pain, child, painful procedures, peripheral venous puncture, topical anestheticsAbstract
In daily practice we are faced often with pain and suffering of children submitted to venipuncture whose minimization remains a real challenge and an urgent need for uniformity in the conduct of nurses towards this problematic. Currently, the use of local topical anesthetic to prevent pain in pediatric practice, especially in performing painful procedures should be recommended as essential in the integral assistance to children, ensuring a significant improvement of care. Objectives: To study the efficacy of EMLA ® occlusive patch in the prevention of pain in children submitted to venipuncture, as well as some factors that we consider in some way, contribute to a better understanding of pain in children subjected to painful procedures. Methods: Quasi-experimental study with a quantitative approach. The sample included 78 children aged 6 to 17 years, divided into two groups: GE, consisting of 47 children submitted to venipuncture with prior application of EMLA® , GC, consisting of 31 children submitted to venipuncture without application of topical anesthetics. Data were collected through a questionnaire which contained scales for pain assessment. Results: In total 24.4% of children assessed pain at index 0 (no pain), of which 23.1% was used topical anesthetic. In the GC observed average pain scores (4.81) significantly higher than in GE (1.96). Conclusion: The results indicate the effectiveness of topical anesthetic EMLA® in the prevention and reduction of pain in the child submitted to venipuncture and also allowed to verify the relationship of some variables with pain in the child submitted to this procedure.Downloads
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