BUZZY® RESEARCH  (Addresses Buzzy-specific research; for general pain research, go to Pain Info)

PUBLICATIONS:

Inal S, Kelleci M. Buzzy relieves pediatric venipuncture pain during blood specimen collection. MCN Am J Matern Child Nurs 2012;in press.

Inal S, Kelleci M.  Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw.  International Journal of Nursing Practice 2012; 18: 210–219

Baxter AL, Cohen LL, Von Baeyer C. An Integration of Vibration and Cold Relieves Venipuncture Pain in a Pediatric Emergency Department.  Pediatr Emerg Care, 2011 Dec;27(12): 1151-6. View results as power point poster, or html version.

Baxter AL, Leong T, Mathew B. External thermomechanical stimulation versus vapocoolant for adult venipuncture pain : Pilot data on a novel device.  Clin J Pain, 2009 October ;25(8):705-10.

PRESENTATIONS:

K. Russell, R. Nicholson, L. Legge, E. Leauanae, A. Olsen, S. Marsh. R. Naidu.   Reducing the pain of Bicillin injections in the Rheumatic Fever population of CMDHB. Counties Manukau District Health Board: Whirinaki Child and Adolescent Mental Health Service*,Kidz First Children’s Hospital*, Home Health Care District Nurses, Rheumatic Fever District Nurses Resource Group, Paediatric Pharmacy.

         Introduction: In the Counties Manukau District Health Board (CMDHB) region 405 Rheumatic Fever (RF) patients were offered pain management with their monthly Bicillin injections. It was hypothesised this would reduce the pain and fear associated with this injection. Aims: To evaluate the effectiveness of pain management of Bicillin injections.

         Methods: A “Buzzy®” vibrating cold pack device and 0.25 mls of Lignocaine 2% (mixed with the Bicillin prior to administration) were offered to patients. A pre and post survey was conducted evaluating pain scores at four time points (delivery, 2 min post, 1 hour post, next day). Fear of the injection and duration of that fear where also evaluated.

         Results: Just under half of patients (49%) responded. Pain at injection delivery and fear of injection scores were significantly higher for patients under 16 years compared with older patients. Patients who chose no intervention had significantly lower pain scores than those who subsequently chose an intervention. Paired data pre and post intervention was available (n=119). Mean pain score at delivery changed from 5.36/10 pre intervention to 2.44/10 post intervention (p ≤.001). Pain scores were significantly reduced at all four time points, as was fear of the injections. Lignocaine plus “Buzzy®” resulted in a greater improvement in pain score than Lignocaine alone during injection delivery. A separate file audit conducted 5 months after the study found that 66% of 405 RF patients were using Lignocaine, 43% were using “Buzzy®” and 73% were using one or both interventions.

         Conclusions: Offering analgesia with Bicillin injections has been popular with the RF population in CMDHB and is associated with reduced pain and fear.

Miller D, Pasek T. Buzzy in the Emergency Department: A Novel Pain Relief Device for Children.  Thirty-five patients had their pain assessed during a venipuncture procedure without pain management.  During this pre-BUZZY implementation phase, children's mean pain assessment scores were 3.9 to 4.6 [on a Wong Baker Faces scale].  66 patients used BUZZY for venipuncture.  Sample included 12% toddlers, 20% pre-schoolers, 48% school-age children, and 20% adolescents.  Mean pain assessment scores with BUZZY according to age were 1.2 to 3.4....  Overall, BUZZY appears to reduce venipuncture pain in a pediatric ED based on pain assessment score trends, patient report, & family comments.  Presented at the University of Pittsburgh Trauma Symposium, Pittsburgh, PA October 2011. 

Inal S, Kelleci M. External thermomechanical stimulation and distraction are effective on pain relief of children during blood draw.    International Nursing Research Conference, Burgos, Spain November 2010. (Abstract)  Results:  On a 0 to 10 scale, the mean of pain levels during the procedure in the control group was 4.46+/-2.9.  It was 1.38+/- 1.3 in the Buzzy group.  It was 2.43+/-1.3 in the distraction cards group and 0.53+/-0.9 in the buzzy + cards group.  There was a significant difference between all groups' mean of pain levels during the procedure (F=0.46, P<.05)

Ongoing: (these are independent clinical trials.   If your research is not available on ClinicalTrials.gov, please let us know in order to support investigators and avoid duplication of research efforts.)

Buzzy v. LMX4 

Buzzy for dental pain

Vibration assisted anesthesia for eyelid injections (no cold here, only vibration).