Articoli e studi clinici

Buzzy® Literature Review

In questa sezione è possibile consultare gli articoli dedicati a Buzzy® e alla terapia del dolore non farmacologica, le apparizioni internazionali di Buzzy® e alcune ricerche scientifiche indipendenti. Cliccando qui i sanitari possono accedere ai contenuti per professionisti (lingua inglese).

ARTICOLI 

STUDI

  • Yılmaz D, Heper Y, Gözler L Effect of the Use of Buzzy® during Phlebotomy on Pain and Individual Satisfaction in Blood Donors. Pain Management Nursing 2017 Aug. "Results indicate that use of the Buzzy device was an effective method of reducing the pain of phlebotomy and increasing phlebotomy satisfaction in healthy adult male blood donors."
  • Gerçeker GÖ, Binay Ş, Bilsin E, Kahraman A, Yılmaz HB Effects of Virtual Reality and External Cold and Vibration on Pain in 7- to 12-Year-Old Children During Phlebotomy: A Randomized Controlled Trial Journal of PeriAnesthesia Nursing 2018 Mar 17. "Results suggest that VR and external cold and vibration are effective in reducing the pain in 7- to 12-year-old children during phlebotomy."
  • Abidin, N., Yahya, N., Izaham, A., Mat, W., Zain, J., Zainuddin, M., Mahdi, SAssessing the Effectiveness of a Thermomechanical Device (Buzzy®) in Reducing Venous Cannulation Pain in Adult Patients [PDF] Middle East Journal of Anesethesiology 2018 Feb. "The Buzzy® device and its vibration component significantly reduced venous cannulation pain in adult patients."
  • Inal S., Kelleci M. The Effect of External Thermomechanical Stimulation and Distraction on Reducing Pain Experienced by Children During Blood Drawing. Pediatr Emerg Care. 2017 Sep 5. When the 3 study groups were compared with the control group, all 3 groups had significantly lower pain levels than the control group. The lowest pain level was measured in the combined condition (Buzzy and DistrACTION Cards). The mean score of the device group was lower than the distraction group.
  • Potts, D., Davis KF, Fein J. A Vibrating Cold Device to Reduce Pain in the Pediatric Emergency Department: A Randomized Clinical Trial. Pediatr Emerg Care. 2017 Jan 24. In 224 children undergoing venipuncture who were randomized to Buzzy or LMX4, there was no difference in pain, staff or family acceptance, or phlebotomy success. IVs with Buzzy took 3.5 minutes, IVs with LMX took 40.5m (P<.0001).
  • Effect of Buzzy® application on pain and injection satisfaction in adult patients who received intramuscular injection. Melek Şahin et al., J Nurs Care 2015, 4:4 presented at 3rd Euro Nursing Conference July 27-29, 2015 Valencia, Spain n=65. Conclusion: "Buzzy® device was an effective method in decreasing injection pain and in improving post injection satisfaction in adult patients received [sic] IM injection."
  • Sahiner N, Inal S. The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children.  J Perianesth Nurs. 2015 Jun;30(3):228-35.  104 7-year olds receiving the Tdap vaccine received either Buzzy or standard care during the vaccination.  Pain was rated by parents, nurses, and by self-report, with all showing significant pain reduction of 71-75%.  In addition, despite slightly greater initial anxiety in the Buzzy group (often associated with greater reported pain), researchers found anxiety was also reduced by 70% on average during the immunization in the group using Buzzy.
  • McGinnis K, Murray E, Cherven B, McCracken C, Travers C. Effect of Vibration on Pain Response to Heel Lance: A Pilot Randomized Control Trial. Adv Neonatal Care. 2016 Aug 16.
  • Joseph D. Rundell BS, Joshua A. Sebag, BA, Tracey C. Vlahovic DPM, Robert W. Herpen DPM Carl Kihm, DPM. Use of an External Vibratory Device as a Pain Management Adjunct for Injections of the Foot and Ankle Temple University, Philadelphia PA Click here to view the PDF. The use of vibratory stimulation via the Buzzy® unit significantly decreased pain compared to cold spray alone, decreasing pain 1.3 points on the NPRS and 1.76 on the WBPFS (p=.022, .030). The authors conclude Buzzy "provided a worthwhile decrease associated with foot and ankle injections... cost effective, user friendly, and well tolerated pain management adjunct."
  • Joshua A. Sebag, BA, Joseph D. Rundell BS, Tracey C. Vlahovic, DPM, and Robert W. Herpen DPM. The Effect of Vibratory Stimulation on Protective Sensation within the Foot.Temple University, Philadelphia PA Click here to view the PDF "This study has demonstrated external vibratory sensation is capable of producing a transient diminished sensation (p<.00001).... The ability to reduce sensation and perhaps act on the continuum of pain, while remaining cost effective, makes this a reasonable adjunct in podiatric clinical practice."
  • Schreiber S, Cozzi G, Rutigliano R, Assandro P, Tubaro M, Cortellazzo Wiel L, Ronfani L, Barbi E.  Analgesia by cooling vibration during venipuncture in children with Cognitive Difficulties.  Acta Paediatr. 2015 Sept 24. http://www.ncbi.nlm.nih.gov/pubmed/26401633. 70 children without verbal skills were rated using the Non-Communicating Children’s Pain Checklist – 91.4% had no or mild procedural pain using Buzzy, compared to 61.1% in the no intervention group. (p=0.003)
  • Moadad N, Kozman K, et al. Distraction Using the BUZZY for Children During an IV Insertion.  J Pediatr Nurs. 2015 Sep 22. In this randomized control trial (RCT), children between the ages of 4 to 12years were assigned to either an intervention or a control group. The intervention group (n=25) had the "BUZZY" applied during IV insertion while the control group (n=23) did not have the "BUZZY". Pain scores were significantly lower in the "BUZZY" group for children and the nurses. Time to a successful IV insertion did not differ between groups. Gender, age, previous hospitalization, diagnoses and analgesics were all factors associated with the children's pain scores. However, a multiple regression analysis found that only the "BUZZY" remained a significant predictor of pain scores in children.
  • Kearl YL, Yanger S, Montero S, Morelos-Howard E, Claudius I.  Does Combined Use of the J-tip and Buzzy Device Decrease the Pain of Venipuncture in a Pediatric Population? J Pediatr Nurs.  2015 July 27. In patients 1 month to 21 years, with the J-tip® alone (phase 1), 21% had a pain scale score >3 with venipuncture and 22.3% had a pain scale score >3 with application of the J-tip® itself. With Buzzy + Jtip, (phase 2), 14.2% of patients had a pain scale score >3 with venipuncture and 16.1% had a pain scale score >3 with application of the J-tip® itself. However, the pain reductions with Buzzy did not reach statistical significance.
  • Bahorski J, Hauber RP et al.  Mitigating procedural pain during venipuncture in a pediatric population. Int J Nurs Stud. 2015 Jun 10. (15)00191-1. Children 18 months to 17 years requiring veni-puncture were randomized to Buzzy vibration only, LMX4, or both.  A 3x4 factorial design was used, evaluating age, ethnicity, sex, and intervention.  For the 173 children participating, CHEOPS and WBFPS ratings of pain relief did not significantly differ between Buzzy and LMX.  For Caucasian children, the combination of Buzzy AND LMX provided improved pain relief compared to either group (p=.006) No difference by age or gender was noted. Per the authors, “mechanical vibration [Buzzy] appears to be as effective as a topical anesthetic in children regardless of age, ethnic group, or sex. It has the advantage of being a fast-acting, cost effective, non-pharmacological preparatory intervention for venipuncture in children.”
  • Canbulat N, Ayhan F, Inal S.  Effectiveness of External Cold and Vibration for Procedural Pain Relief During Peripheral Intravenous Cannulation in Pediatric Patients.  Pain Management Nursing, 2015 Feb;16(1):33-9. The authors describe 176 patients aged 7 to 12 years who were randomized to either a control group that received no cannulation intervention and the experimental group that received external cold and vibration via Buzzy.  The same nurse conducted the peripheral IV cannulation in all children.  Cold and vibration were applied 1 minute before the peripheral IV and continued until the end of the procedure.  Pre-procedural anxiety did not differ.  Comparison of the two groups showed 52-60% pain reduction (p<.001) and significantly lower anxiety levels in the experimental group than in the control group during the peripheral IV cannulation.  “Buzzy can be considered to provide an effective combination of cold and vibration that can be used during pediatric peripheral IV cannulation by pediatric nurses.”
  • Whelan HM, Kunselman AR et al.  The Impact of a Locally Applied Vibrating Device on Outpatient Venipuncture in Children.  Clin Pediatr 2014 Oct;53(12):1189-95. As part of a quality improvement project, patients and phlebotomists were surveyed prior to initiation of implementation of the vibrating device Buzzy.  Prior to the device, 17 of 29 children (59%) indicated they wished something had been used to decrease venipuncture pain.  80% of those using the vibrating device (n=35) indicated that they would like it used for future procedures.  Children with previous venipuncture experiences appeared to benefit most.  81% of phlebotomists reported the vibration made the procedure easier; none reported it complicated the procedure.  The study concluded that locally applied vibration appears to be a well-accepted technique to minimize discomfort that may facilitate the procedure.
  • 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.  J Pediatr Child Health October 18 2013. Pain from 5.36 ->2.44, 54% reduction in injection pain. N=199 p<.001 pain, p=.007 fear reduction.
  • Inal S, Kelleci M. Buzzy relieves pediatric venipuncture pain during blood specimen collection. MCN Am J Matern Child Nurs 2012 Sep;37(5):339-45.Buzzy alone no distraction: 6.56 -> 2.78, 58% reduction in pain. Fear 52% reduction. N=120 p<.001
  • 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. Pain reduced by child, parent, and nurse reports median 4 to median 2 = 50%. N=87 p=.005 – p=.036 Improved IV success OR 3.05 (1.03-9.02)
  • 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. This was a crossover pilot study of 16 adult patients using Buzzy or nothing and 14 patients using vapocoolant spray or nothing. The Buzzy device prototype significantly reduced pain (p=.035) while vapocoolant spray did not. Those with greater needle anxiety were more likely to experience pain relief with Buzzy: each 20 mm of prior anxiety increased the likelihood of intervention pain relief (odds ratio 2, P=0.043).

 

 

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