• Noelia García-Aracil, Juan Diego Ramos-Pichardo, María Elena Castejón-de la Encina, Lourdes José-Alcaide, Rocío Juliá-Sanchís, and Ángela Sanjuan-Quiles.
• Departamento de Enfermería de la Universidad de Alicante, España. Servicio de Emergencias Sanitarias de Alicante, España.
• Emergencias. 2018 Jun 1; 30 (3): 182-185.

ObjectivesTo assess the effectiveness of a physical method of managing pain and fear in children and anxiety in the accompanying adult during venous puncture in the emergency department.Material And MethodsQuasi-experimental study of 3 groups: one group used a combination of directed distraction by means of a vibration device with ice pack, a second group received only distraction, and no strategy was used in the third.ResultsPain and adult anxiety were similar in the 2 groups in which a pain management strategy was applied. Pain and adult anxiety were greater when no strategy was adopted. We detected no differences in the level of the children's fear.ConclusionDirected distraction can be useful for managing pain in children and it reduces the anxiety experienced by accompanying adults. The use of a vibration device with ice does not add benefits. Fear is not reduced by any of these measures.

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