Introduction: Related needle procedures are the most common performed among the pediatric population and many children experience significant levels of pain and stress during such performance. The research has highlighted the use of the Buzzy®, a bee-shaped device, whose vibrations in contact with the skin and the pain stimulus determine a reduction in perceived pain. Reducing pain and anxiety can prevent negative memories in future procedures. Objective: To evaluate the effectiveness of the Buzzy® device for the management of related needle pain and outcomes in children compared to other pharmacological interventions and not aimed at reducing pain during such procedures. Materials and Methods: Search within the databases was conducted from December 2021 through February 2022 to identify RCTs using the Buzzy® device for pain management in children undergoing related needle procedures. The selection of studies, data extraction and assessment of the risk of bias and the quality of the tests were performed with the PRISMA method. Results: A total of 12 RCTs involving a sample of 2054 participants aged 18 months to 18 years were included in this review. The Buzzy® device was compared with control groups without treatment or with pharmacological and non-pharmacological treatments. The Buzzy® was significantly more effective in reducing the child's self-assessed pain and anxiety, perceived by parents and external observers, compared to no treatment or compared to non-pharmacological interventions. Less effective than pharmacological treatment. Discussion: The Buzzy® device appears to be a promising intervention for pediatric pain management during related needle procedures. However, the effectiveness of the device with respect to no intervention or other pharmacological interventions or does not remain uncertain due to the presence of significant heterogeneity and very low quality tests. Conclusion: Buzzy® is a potentially advantageous and easily implemented device in daily clinical practice. However, considering the limited quality of evidence available, additional RCTs are needed to support and demonstrate the efficacy of this device.
Introduzione: Le procedure ago correlate sono le più comuni eseguite tra la popolazione pediatrica e molti bambini sperimentano livelli significativi di dolore e stress durante tale prestazione. La ricerca ha messo in luce l’utilizzo del Buzzy®, un dispositivo a forma di ape, le cui vibrazioni a contatto con la cute e lo stimolo algico determinano una riduzione del dolore percepito. Ridurre il dolore e l’ansia può prevenire ricordi negativi nelle future procedure. Obiettivo: Valutare l’efficacia del dispositivo Buzzy® per la gestione del dolore ago correlato e gli esiti nei bambini rispetto ad altri interventi farmacologici e non volti a ridurre il dolore durante tali procedure. Materiali e metodi: La ricerca nei databases è stata condotta da dicembre 2021 fino a febbraio 2022 per identificare RCTs che utilizzavano il dispositivo Buzzy® per la gestione del dolore nei bambini sottoposti a procedure ago correlate. La selezione degli studi, l’estrazione dei dati e la valutazione del rischio di bias e la qualità delle prove sono state eseguite col metodo PRISMA. Risultati: In questa revisione sono stati inclusi un totale di 12 RCTs che hanno coinvolto un campione di 2054 partecipanti di età compresa tra i 18 mesi e i 18 anni. Si è messo a confronto il dispositivo Buzzy® con gruppi di controllo senza trattamento o con trattamenti farmacologici e non. Il Buzzy® era significativamente più efficace nella riduzione del dolore e dell’ansia autovalutati dal bambino, percepiti dai genitori e da osservatori esterni rispetto a nessun trattamento o rispetto a interventi non farmacologici. Meno efficace rispetto a quelli farmacologici. Discussione: Il dispositivo Buzzy® sembra essere un intervento promettente per la gestione del dolore pediatrico durante le procedure ago correlate. Tuttavia l'efficacia del dispositivo rispetto a nessun intervento o ad altri interventi farmacologici o non rimane incerta per la presenza di un’eterogeneità significativa e prove di qualità molte basse. Conclusione: Buzzy® è un dispositivo potenzialmente vantaggioso e facilmente attuabile nella pratica clinica quotidiana. Tuttavia, considerando la limitata qualità delle prove disponibili, sono necessari ulteriori RCTs per supportare e dimostrare l'efficacia di questo dispositivo.
DISPOSITIVO BUZZY COME STRATEGIA NELLA GESTIONE DEL DOLORE PEDIATRICO DURANTE LE PROCEDURE AGO CORRELATE: UNA REVISIONE SISTEMATICA
CROSTELLI, MATTIA
2020/2021
Abstract
Introduction: Related needle procedures are the most common performed among the pediatric population and many children experience significant levels of pain and stress during such performance. The research has highlighted the use of the Buzzy®, a bee-shaped device, whose vibrations in contact with the skin and the pain stimulus determine a reduction in perceived pain. Reducing pain and anxiety can prevent negative memories in future procedures. Objective: To evaluate the effectiveness of the Buzzy® device for the management of related needle pain and outcomes in children compared to other pharmacological interventions and not aimed at reducing pain during such procedures. Materials and Methods: Search within the databases was conducted from December 2021 through February 2022 to identify RCTs using the Buzzy® device for pain management in children undergoing related needle procedures. The selection of studies, data extraction and assessment of the risk of bias and the quality of the tests were performed with the PRISMA method. Results: A total of 12 RCTs involving a sample of 2054 participants aged 18 months to 18 years were included in this review. The Buzzy® device was compared with control groups without treatment or with pharmacological and non-pharmacological treatments. The Buzzy® was significantly more effective in reducing the child's self-assessed pain and anxiety, perceived by parents and external observers, compared to no treatment or compared to non-pharmacological interventions. Less effective than pharmacological treatment. Discussion: The Buzzy® device appears to be a promising intervention for pediatric pain management during related needle procedures. However, the effectiveness of the device with respect to no intervention or other pharmacological interventions or does not remain uncertain due to the presence of significant heterogeneity and very low quality tests. Conclusion: Buzzy® is a potentially advantageous and easily implemented device in daily clinical practice. However, considering the limited quality of evidence available, additional RCTs are needed to support and demonstrate the efficacy of this device.| File | Dimensione | Formato | |
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https://hdl.handle.net/20.500.12075/8691