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sindoiam
Buzzy-to offset pain for pediatrics with PIV's

Has anyone had any personal experience positive or negative with the use of Buzzy (vibrating bee with unique ice pack-.."crowds out pain for sending stronger motion and temperature sensations down the nerves...") for pediatric peripheral IV starts?

Thank you,

Marcie Delgado, RN, VA-BC

IV Therapist

Nemours Children's Hospital

Orlando, Fl

lynncrni
 I just visited their

 I just visited their website, very interesting product!! Sure is a lot of hospitals listed as using this product. Anyone from CHOA know about this product? I hope Linda Burns responds, maybe Darcy Doellman, or Dana Runde, Angela Lee, or any other peds infusion nurses. It looks like they have some good evidence to support the individual components of this product, and lots of testimonials, I did not find reference to a good randomized trial of this product, but I could have overlooked it. I read their page on the physiology of this product and the use of Gate Theory. I am also a proponent of nonpharmacological means to control pain. If you try this, please share your experiences! It appears to be worth a trial. Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

edunigan
Buzzy

Hello,

I am a Child Life Specialist in the pediatric emergency department. If you are not familiar with the role, my job is to help kids cope with whatever is facing them in the peds ED. Usually that involves procedures and needlesticks. Of course, managing their pain can help them to better cope with such procedures. I love the topical analgesics for IV starts, but most of the time, RNs will say they do not have time to use them. As an alternative, we use Buzzy all the time for needlestick pain management. The good thing is that it works in 30 seconds and works well for most children. (It can be used in addition to topical analgesics to increase the effectiveness too.) The little ones (about 2y/o and younger) usually don't like the ice pack because it seems they are more sensitive to it, but the Buzzy body alone can be used in those cases and still be effective. Most kids say Buzzy is helpful...working with the gate control theory...some kids don't react at all to the needlestick, especially if they are prepared ahead of time, able to see how the Buzzy works and become familiar with it, and then are engaged in diversional activities (or whatever their coping technique is) during. Other kids say they feel a duller sensation of the poke. Some say it didn't help and those are usually the anxious kiddos who started crying before the poke. 

It goes 2-5cm proximal to the "poke" ("between the brain and the pain") at least 30 seconds before the procedure and remains there until the needle is out. For IM injections, it goes on the site for at least 30 seconds, then moves proximal the 2-5cm and stays in place while the site is cleaned and poked.

Infection control had no problems with the Buzzy, although we did have to get a separate freezer for the wings. We use the blue reusable gel-pack wings and everything is disinfected between patients with the hospital cleaning wipes. Oh, and the wings should be frozen solid when used so that they do not absorb the vibration, reducing Buzzy's effectiveness. They stay frozen for about 5 minutes, so I usually take 2 or 3 sets with me in the carrying bag with the larger ice packs to keep them cold, in case the IV insertion takes a few attempts or the one I let the kid manipulate and familiarize with ahead of time melts.

I hope that was helpful and let me know if you have any other questions.

Erika

Erika Dunigan, CCLS, CFLE, CTS

Child Life Specialist

Pediatric Emergency Department

lynncrni
 Is the skin antiseptic agent

 Is the skin antiseptic agent applied before the Buzzy is put on or after it is applied? I can see where 5 cm above the puncture site would not interfere with the prepped area but it looks like 2 cms would interfere with the area where the skin antiseptic would need to be applied. Any feedback on this issue? Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

edunigan
I am not sure. We have never

I am not sure. We have never had a problem with the Buzzy causing the procedure to be "dirty." I guess usually we are somewhere between the 2 and 5cm away, not necessarily the 2cm.

Also, I believe there is an article in the December 2011 pediatric emergency care journal about the use of Buzzy with IV starts, which could give you more EBP support about its usage for that procedure.

 

Erika

Erika Dunigan, CCLS, CFLE, CTS

Child Life Specialist

Pediatric Emergency Department

edunigan
Oh, and to answer your other

Oh, and to answer your other question: usually the RN is cleaning the site during those 30 seconds that the Buzzy is sitting there so that the time of the procedure really is not lengthened by its usage. The RNs use chloraprep or alcohol wipes here.

 

Erika

Erika Dunigan, CCLS, CFLE, CTS

Child Life Specialist

Pediatric Emergency Department

lynncrni
 So it sounds like there is

 So it sounds like there is plenty of room to scrub the insertion site below the Buzzy. Thanks! Lynn

Lynn Hadaway, M.Ed., RN, BC, CRNI

Lynn Hadaway Associates, Inc.

126 Main Street, PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

jill nolte
my Buzzy results

 I bought a Buzzy and used it to start piv's on 3 adults today (tiny sample I know).  Boy are we sold - it worked wonderfully!  It took a bit of practice to get the device incorporated into my iv routine but not a big deal really.  The patients were very impressed.  We also used a disposable Buzzy ice wing to test the device on a co-worker.  She used it to relieve the itch from a spot of poison ivy and it worked.  It will be my standard baby shower gift from now on, every kid needs one of these things.  Thanks for the tip Marcie.

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