Effectiveness of External Vibration for Pain Relief During Intravenous Access in Adult Patients
| Status: | Completed |
|---|---|
| Conditions: | Anxiety, Anxiety, Chronic Pain |
| Therapuetic Areas: | Musculoskeletal, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 40 |
| Updated: | 2/7/2019 |
| Start Date: | October 17, 2016 |
| End Date: | August 24, 2017 |
Effectiveness of External Vibration for Pain Relief During Peripheral Intravenous Cannulation in Adult Patients
A large number of dentoalveolar (tooth extraction) procedures performed by Oral and
Maxillofacial Surgeons utilize intravenous sedation. Procedures commonly performed may
include surgical removal of teeth, bone grafting, surgical placement of dental implants, and
removal of cysts or tumors from the jaws, among others. Obtaining peripheral intravevenous
(IV) cannulation often proves to be a very stressful and anxious event for the patient. The
anxiety and stress from the venipuncture alone affects not only the psychological stability
of the patient, but also the patient's physiology. The Buzzy vibration external stimulation
device has shown to be an effective tool in pediatric venipunture procedures. The aim of this
study is to investigate the effects of the Buzzy stimulation device in pain and anxiety
reduction during peripheral intravenous cannulation in an adult population.
Enrollees in this study will be patients who will undergo dental surgery with intravenous
sedation. The patients who are enrolled will receive an IV either with or without the Buzzy.
The Buzzy is a small vibration device which will be placed next to the IV placement site.
Maxillofacial Surgeons utilize intravenous sedation. Procedures commonly performed may
include surgical removal of teeth, bone grafting, surgical placement of dental implants, and
removal of cysts or tumors from the jaws, among others. Obtaining peripheral intravevenous
(IV) cannulation often proves to be a very stressful and anxious event for the patient. The
anxiety and stress from the venipuncture alone affects not only the psychological stability
of the patient, but also the patient's physiology. The Buzzy vibration external stimulation
device has shown to be an effective tool in pediatric venipunture procedures. The aim of this
study is to investigate the effects of the Buzzy stimulation device in pain and anxiety
reduction during peripheral intravenous cannulation in an adult population.
Enrollees in this study will be patients who will undergo dental surgery with intravenous
sedation. The patients who are enrolled will receive an IV either with or without the Buzzy.
The Buzzy is a small vibration device which will be placed next to the IV placement site.
The participants will be randomized into two groups, those who use the Buzzy system
(experimental), and routine IV start (control). Prior to knowing their group, all patients
will answer the "Before Intravenous Catheterization" portion of the form in order to
eliminate bias. After this portion is complete, their group (experimental vs control) will be
determined from opening a blinded envelope.
A tourniquet will be placed, followed by the Buzzy stimulation device (if in the experimental
group). An alcohol swab will be used and then a 22 gauge IV catheter will be inserted,
connected to fluids, and secured with tape. The antecubital fossa or the dorsal hand/wrist
will be the only sites used in the study. All participants will fill out the post-insertion
questions on the form and those patients that used the Buzzy system will then fill out the
several specific questions related to the experimental group. This will conclude the
patient's involvement in the study. The patient will then continue with treatment as planned.
We will plan to exclude cases where the IV is not obtained on the first attempt, if a smaller
or larger gauge IV catheter is required, or if an insertion site not listed above is
required. The case will be excluded if adjunctive steps are taken to obtain IV access (i.e.
Oral sedation, nitrous oxide, heat packs).
(experimental), and routine IV start (control). Prior to knowing their group, all patients
will answer the "Before Intravenous Catheterization" portion of the form in order to
eliminate bias. After this portion is complete, their group (experimental vs control) will be
determined from opening a blinded envelope.
A tourniquet will be placed, followed by the Buzzy stimulation device (if in the experimental
group). An alcohol swab will be used and then a 22 gauge IV catheter will be inserted,
connected to fluids, and secured with tape. The antecubital fossa or the dorsal hand/wrist
will be the only sites used in the study. All participants will fill out the post-insertion
questions on the form and those patients that used the Buzzy system will then fill out the
several specific questions related to the experimental group. This will conclude the
patient's involvement in the study. The patient will then continue with treatment as planned.
We will plan to exclude cases where the IV is not obtained on the first attempt, if a smaller
or larger gauge IV catheter is required, or if an insertion site not listed above is
required. The case will be excluded if adjunctive steps are taken to obtain IV access (i.e.
Oral sedation, nitrous oxide, heat packs).
Inclusion Criteria:
- Ages 18 and 40.
- Eligible for third molar removal with sedation.
Exclusion Criteria:
- Not eligible for surgery.
- Not eligible for sedation.
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