2.50
Hdl Handle:
http://hdl.handle.net/10755/159109
Type:
Presentation
Title:
Predictors of Topical Anesthetic Effectiveness for Children's Pain
Abstract:
Predictors of Topical Anesthetic Effectiveness for Children's Pain
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Kleiber, Charmaine, FAAN, PhD, MSN, RN
P.I. Institution Name:University of Iowa
Title:Associate Professor
Contact Address:College of Nursing, Newton Rd, Iowa City, IA, 52242, USA
Contact Telephone:319-335-7086
Co-Authors:Ann Marie McCarthy, FAAN, PhD, MSN, RN, Associate Professor; Kirsten Hanrahan, MSN, RN, Project Director; Debra Schutte, PhD, RN, Assistant Professor; and Milena Floria-Santos
Purpose: The use of topical Lidocaine creams (e.g., EMLA) prior to
intravenous (IV) insertion does not prevent pain for some children. Prior
research shows that approximately 1/2 of children report significant pain
despite the correct use of topical anesthetics. To develop effective pain
prevention interventions, predictive variables must be identified. The
purpose of this study is to identify variables that explain the variation
in children's pain. Conceptual Framework: Perceived pain is an interaction
of physiological, psychological and developmental elements. Age, gender,
previous experience, temperament, anxiety and genotype have been
identified as potential contributors to increased pain sensitivity in
children. Methods: A cross-sectional correlational design is used. This
poster reports on 100 children enrolled thus far in a larger study on
interventions for pain relief. Subjects are children with a chronic
illness between the ages of 4 and 10 who are scheduled for an IV insertion
for treatment or diagnostic reasons. EMLA is applied per standard protocol
one hour prior to the IV procedure. The child's perception of pain is the
dependent variable and is measured with the "Oucher" scale (0 to 10)
immediately after the IV procedure. Independent variables are the child's
age, gender, genotype, estimated number of painful procedures previously
experienced, temperament as measured with the Dimensions of Temperament
Scale-Revised, and child state anxiety as measured with a vertical 0 to 10
semantic descriptive scale. Blood and cheek swabs are collected for DNA
extraction and genotyping of variants within three genes that are
hypothesized to play a role in peripheral pain mediation: Endothelin 1,
Endothelin Receptor B1, and Endothelin Receptor A. Plan of analysis:
Multiple regression models will be used to select the best set of
predictors of ineffective pain prevention related to the use of topical
anesthetics for IV insertion. Key words: children, pain, Lidocaine.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredictors of Topical Anesthetic Effectiveness for Children's Painen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159109-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predictors of Topical Anesthetic Effectiveness for Children's Pain</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kleiber, Charmaine, FAAN, PhD, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, Newton Rd, Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-335-7086</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">charmaine-kleiber@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ann Marie McCarthy, FAAN, PhD, MSN, RN, Associate Professor; Kirsten Hanrahan, MSN, RN, Project Director; Debra Schutte, PhD, RN, Assistant Professor; and Milena Floria-Santos</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The use of topical Lidocaine creams (e.g., EMLA) prior to <br/> intravenous (IV) insertion does not prevent pain for some children. Prior <br/> research shows that approximately 1/2 of children report significant pain <br/> despite the correct use of topical anesthetics. To develop effective pain <br/> prevention interventions, predictive variables must be identified. The <br/> purpose of this study is to identify variables that explain the variation <br/> in children's pain. Conceptual Framework: Perceived pain is an interaction <br/> of physiological, psychological and developmental elements. Age, gender, <br/> previous experience, temperament, anxiety and genotype have been <br/> identified as potential contributors to increased pain sensitivity in <br/> children. Methods: A cross-sectional correlational design is used. This <br/> poster reports on 100 children enrolled thus far in a larger study on <br/> interventions for pain relief. Subjects are children with a chronic <br/> illness between the ages of 4 and 10 who are scheduled for an IV insertion <br/> for treatment or diagnostic reasons. EMLA is applied per standard protocol <br/> one hour prior to the IV procedure. The child's perception of pain is the <br/> dependent variable and is measured with the &quot;Oucher&quot; scale (0 to 10) <br/> immediately after the IV procedure. Independent variables are the child's <br/> age, gender, genotype, estimated number of painful procedures previously <br/> experienced, temperament as measured with the Dimensions of Temperament <br/> Scale-Revised, and child state anxiety as measured with a vertical 0 to 10 <br/> semantic descriptive scale. Blood and cheek swabs are collected for DNA <br/> extraction and genotyping of variants within three genes that are <br/> hypothesized to play a role in peripheral pain mediation: Endothelin 1, <br/> Endothelin Receptor B1, and Endothelin Receptor A. Plan of analysis: <br/> Multiple regression models will be used to select the best set of <br/> predictors of ineffective pain prevention related to the use of topical <br/> anesthetics for IV insertion. Key words: children, pain, Lidocaine.</td></tr></table>en_GB
dc.date.available2011-10-26T21:42:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:42:47Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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