PReS-FINAL-2117: Dream doctors - medical clowns increase the effect of nitrous oxide sedation in intra-articular corticosteroid injection for juvenile idiopathic arthritis
نویسندگان
چکیده
Introduction Intra-articular corticosteroid injection (IASI), a common procedure in juvenile idiopathic arthritis (JIA), is usually associated with anxiety and pain. In previous study we concluded that nitrous oxide (NO) provides effective and safe sedation for such procedures. The efficacy in reducing pain was associated with the level of the child’s anxiety even before starting the procedure. Following the introduction of “Dream Doctors” in our hospital, we added medical clown as an important integral part of the team doing IASI.
منابع مشابه
Medical clowns facilitate nitrous oxide sedation during intra-articular corticosteroid injection for juvenile idiopathic arthritis.
BACKGROUND Intra-articular corticosteroid injection (IACI), a common procedure in juvenile idiopathic arthritis, is usually associated with anxiety and pain. In a previous study, we concluded that nitrous oxide (NO2) provides effective and safe sedation for such procedures. Following the introduction of medical clowns in our hospital, we added them as an integral part of the team performing IAC...
متن کاملMedical clowns: dream doctors as an important team member in the treatment of young children with juvenile idiopathic arthritis
Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children. An intra-articular corticosteroid injection (IAS), one of the cornerstones of treatment for this disease, is usuaLLy associated with anxiety and pain. A major part of the success in reducing the pain is associated with the level of the child's anxiety even before starting the procedure. This is a case ...
متن کاملPReS-FINAL-2101: Nitrous oxide analgesia for intra-articular injection in juvenile idiopathic arthritis: our experience
Methods A 50:50 mixture with NO and oxygen was administered to JIA patients over the age of 5 years scheduled for joint injection. In some cases additional sedative agents (local EMLA, orally midazolam, nasal fentanest) was administered. Every patient completed visual-analogue scores (VAS) (0-10) for pain immediately after the procedure, and after 30 and 60 minutes. The physician valuated sedat...
متن کاملNitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis
BACKGROUND Intra-articular corticosteroid injection in juvenile idiopathic arthritis (JIA) is often associated with anxiety and pain. Recent reports advocate the use of nitrous oxide (NO), a volatile gas with analgesic, anxiolytic and sedative properties. OBJECTIVE To prospectively evaluate the effectiveness and safety of NO analgesia for intra-articular corticosteroid injection in JIA, and t...
متن کاملNitrous oxide analgesia during intra-articular injection for juvenile idiopathic arthritis.
AIMS To evaluate the efficacy and safety of nitrous oxide-oxygen for children with juvenile idiopathic arthritis (JIA) undergoing intra-articular corticosteroid injection. METHODS A total of 55 consecutive patients with JIA undergoing intra-articular corticosteroid injection, using self administered nitrous oxide-oxygen for analgesia were studied. Patient, nurse, and parent pain scores were c...
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