Abstract Objective To check if there is scientific evidence to prove that simultaneous intramuscular application reduces pain in pediatric patients, when compared to sequential application. Methods Systematic review of primary studies about the subject, on the bases Pubmed, CINAHL, LILACS Scopus and Web of Science. Results Three randomized clinical trials were analyzed that compared the pain in children submitted to both techniques. In the evaluation of the NIPS, MBPS and VAS scales, infants had lower pain score during simultaneous application. […]