• Clinical pediatrics · Dec 2013

    Randomized Controlled Trial

    The 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.

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