Diminishing pain during venipunctures in children
Reference of this article: González Rodríguez P. Diminishing pain during venipunctures in children. Rev Pediatr Aten Primaria. 2006;8:127-138.
Published in Internet: 31-03-2006
Venipunctures and heel lancing are common procedures in Paediatric Care and may be
a source of pain, discomfort, and distress for children, parents and health professionals. Preliminary
studies suggest that pain experienced by infants in the neonate period may have
long-lasting effects on future infant behaviour.
To control the pain associated with minor procedures as venipuncture and heel lancing
there are some treatments. Topical anesthetics can be placed proactively to control the pain
associated with venipuncture.
Recent studies have suggested methods by which neonatal distress during painful procedures
can be minimized. Sucrose has been found to decrease the response to noxious stimuli
such as heel sticks and injections in neonates.
Although children don?t get many painful procedures in Primary Care, health care providers
should identify patients at risk of increased pain and its side-effects. In particular children with a history of vasovagal reaction to needles and those who require repeated venipunctures
and who had painful procedures before.
Keywords● Heel lancing ● Pain ● Topical anesthetic ● Venipuncture