Addressing parental concerns about pain during childhood vaccination: Is there enough time to include pain management in the ambulatory setting?

Clinical Journal of Pain

Volumn 28, Issue 3, 2012, Pages 238-242

  Taddio, Anna ^a,b   Hogan, Mary Ellen ^a,b   Gerges, Sandra ^a,b   Girgis, Angela ^a,b   Moyer, Paul ^a,b   Wang, Linda ^a,b   Murphy, Claire ^c   Ho, Tommy ^b   Greenberg, Saul ^b   Ipp, Moshe ^b  

^a UNIVERSITY OF TORONTO   (Canada)

^b HOSPITAL FOR SICK CHILDREN   (Canada)

^c Departments of Family and Community Medicine   (Canada)

Author keywords

children; implementation; outpatient clinic; pain management; vaccination

Indexed keywords

ANALGESIA; ARTICLE; CHILD; CHILDHOOD VACCINATION; CLINICAL ARTICLE; HUMAN; INFANT; OUTPATIENT DEPARTMENT; PAIN; PRESCHOOL CHILD; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROSPECTIVE STUDY; TIME; VACCINATION;

ADOLESCENT; AMBULATORY CARE FACILITIES; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; LINEAR MODELS; MALE; PAIN; PAIN MANAGEMENT; PARENTS; TIME FACTORS; TORNADOES; VACCINATION;

EID: 84857056156     PISSN: 07498047     EISSN: 15365409     Source Type: Journal    
DOI: 10.1097/AJP.0b013e31822af81c     Document Type: Article

References (19)

1. Taddio A, Chambers CT, Halperin SA, et al. Inadequate pain management during routine childhood immunizations: The nerve of it. Clin Ther. 2009;31:S152-S167.
2. Reis EC, Roth EK, Syphan JL, et al. Effective pain reduction for multiple immunization injections in young infants. Arch Pediatr Adolesc Med. 2003;157:1115-1120. (Pubitemid 37433178)
3. Taddio A, Manley J, L Potash, et al. Routine immunization practices: Use of topical anesthetics and oral analgesics. Pediatrics. 2007;120:e637-e643. (Pubitemid 47358277)
4. Shah V, Taddio A, Rieder MJ. HELPinKIDS Team. Effectiveness and tolerability of pharmacological and combined interventions for reducing injection pain during routine childhood immunizations: Systematic review and meta-Analyses. Clin Ther. 2009;31(Suppl 2):S104-S151.
5. Taddio A, Ilersich AL, Ipp M, et al. HELPinKIDS Team. Physical interventions and injection techniques for reducing injection pain during routine childhood immunizations: Systematic review of randomized controlled trials and quasi-randomized controlled trials. Clin Ther. 2009;31(Suppl 2):S48-S76.
6. Chambers C, Taddio A, Uman LS, et al. HELPinKIDS Team. Psychological interventions for reducing pain and distress during routine childhood immunizations: A systematic review. Clin Ther. 2009;31(Suppl 2):S77-S103.
7. Parvez E, Stinson J, Boon H, et al. Mothers' beliefs about analgesia during childhood immunization. Paediatr Child Health. 2010;15:289-293.
8. Schechter NL, Bernstein BA, Zempsky WT, et al. Educational outreach to reduce immunization pain in office settings. Pediatrics. 2010;126:e1514-e1521.
9. Kikuta A, Boon H, Shah V, et al. Survey of attitudes and practices of physicians and nurses regarding analgesia during routine childhood immunizations. Can J Infect Dis Med Microbiol. 2010;21:197 (abstract P051).
10. Wright S, Yelland M, Heathcote K, et al. Fear of needles: Nature and prevalence in general practice. Aust Fam Phys. 2009;38:172-176.
11. Robieux IC, Kumar R, Rhadakrishnan S, et al. The feasibility of using EMLA cream in pediatric outpatient clinics. Can J Hosp Pharm. 1990;43:235-236.
12. Fein JA, Callahan JM, Boardman CR. Intravenous catheterization in the ED: Is there a role for topical anesthesia? Am J Emerg Med. 1999;17:624-625. (Pubitemid 29480865)
13. Fein JA, Callahan JM, Boardman CR, et al. Predicting the need for topical anesthetic in the pediatric emergency department. Pediatrics. 1999;104:e19.
14. Fein JA, Gorelick MH. The decision to use topical anesthetic for intravenous insertion in the pediatric emergency department. Acad Emerg Med. 2006;13:264-268.
15. Taddio A, Yiu A, Smith R, et al. Variability in clinical practice guidelines for sweetening agents in newborn infants undergoing painful procedures. Clin J Pain. 2009;25:153-155.
16. Schechter NL. From the ouchless place to comfort central: The evolution of a concept. Pediatrics. 2008;122:S154-S160.
17. Kikuta A, Gardezi F, Dubey V, et al. Practices and perceptions about pain and pain management during routine childhood immunizations: Findings from a focus-group study with nurses working in Toronto Public Health. Can J Infect Dis Med Microbiol. 2011. (In press).
18. Taddio A, AppletonM, Bortolussi B, et al. Reducing the pain of childhood vaccination-An evidence-based clinical practice guideline (summary). Can Med Assoc J. 2010;182:1989-1995.
19. http://www.sickkids.ca/Learning/SpotlightOnLearning/profilesin-learning/ help-eliminate-pain-in-kids/index.html.