-
Clinical pediatrics · Dec 2013
Randomized Controlled TrialThe effect of a medical clown on pain during intravenous access in the pediatric emergency department: a randomized prospective pilot study.
- Ido Wolyniez, Ayelet Rimon, Dennis Scolnik, Alejandro Gruber, Oren Tavor, Eli Haviv, and Miguel Glatstein.
- 1Dana-Dwek Children Hospital, University of Tel Aviv, Tel Aviv, Israel.
- Clin Pediatr (Phila). 2013 Dec 1;52(12):1168-72.
BackgroundWe report the effect of the presence of a medical clown during insertion of an intravenous catheter during their emergency department visit.MethodsProspectively randomized to either the presence or absence of a male medical clown during the procedure. Pain was assessed using the Faces Pain Scale-Revised in children 4 to 7 years old, and visual analog scales in children 8 years and older. Parental situational anxiety was recorded using the State-Trait Anxiety Inventory after the procedure.ResultsThe presence of a medical clown during a painful procedure in the pediatric emergency department tended to improve pain scores in children younger than 7 years. Parental situational anxiety was significantly reduced in parents of children older than 8 years (P = .02).ConclusionTherapeutic clowns are useful for diminishing pain and anxiety during painful procedures being performed on children in the emergency department.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..