Rev. Soc. Bras. Enferm. Ped.2019;19(1):39-45.
Simultaneous intramuscular application as an alternative to pain relief in pediatrics – systematic review
DOI: 10.31508/1676-3793201900006
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. There was no statistical pain difference between the groups, regarding to the scales OSBD-R, Wong-Baker and VAS, applied to preschoolers. However, most parents opted for simultaneous technique and the scores of OSBD-R and VAS scales were higher in the sequential group.
Conclusion
Although there are evidences that simultaneous intramuscular injection reduces the pain of children who need to receive two intramuscular applications, conducting studies adequate to the Brazilian reality are needed.
Keywords: Acute pain; Child; Injections intramuscular; Nursing; Pediatric nursing
