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Evaluating comfort measures for commonly performed painful procedures in pediatric patients

Journal of Pain Research Aug 06, 2018

Dastgheyb S, et al. - Researchers conducted a retrospective review of 74,276 procedures performed at two pediatric hospitals investigating methods of managing pediatric pain by studying the correlation between the number of attempts to complete painful procedures, given different comfort measures. Three comfort measures (positions of comfort [POC], distraction [DIST], and pharmacological [PHARM]) most frequently offered were compared in the setting of four procedures (peripheral intravenous [PIV] catheter insertion, gastrointestinal tube placement, incision procedures, and bladder catheterization). Observations suggest DIST was significantly superior for three of the four procedures (PIV catheterization, incision wound, and urinary catheterization) among infants aged <1 year and for PIV catheterization among toddlers aged 1–3 years. POC vs the other two methods performed slightly better for older children, although it performed significantly better only for PIV catheterization and urinary catheterization among adolescents aged 13–21 years and children aged 9–12 years, respectively.

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