Pediatric anesthesia & critical care
The Effectiveness of Bubble‐Blowing as a Distraction Technique During Pediatric Intravenous Cannulation: A Randomized Controlled Trial
Primary resultResult — go to the resultMedian difference 0.0 95% CI −1.0 to 1.0Authors' conclusion
The use of bubble-blowing as a distraction did not significantly reduce pain during or anxiety before IV cannulation compared to video-watching.
Study context
- Population
- Children aged 2 to 5 years undergoing awake IV cannulation in the medical imaging department105 analysed
- Participants
- 120 children
- Comparison
- Bubble-blowing vs video-watching distraction during IV cannulation
- Primary endpoint
- Pain during IV cannulation (FLACC scale) and anxiety before IV cannulation (mYPAS-Short Form)
Primary result
As reported in the abstract
Median difference
0.0
95% CI −1.0 to 1.0
P = 0.888
By group
Video-watching
2.0
median · IQR 0.0–7.0
Bubble-blowing
2.0
median · IQR 0.0–5.0
Bubble-blowing vs Video-watching
median difference 0.0 (95% CI −1.0 to 1.0); P = 0.888
Further findings
Median
| Outcome | Bubble-blowing | Video-watching | Median difference (95% CI) | P value | |
|---|---|---|---|---|---|
| Anxiety before IV cannulation (mYPAS-Short Form)Co-primary aim | 27.1 (IQR 22.9–52.1) | 36.5 (IQR 22.9–63.4) | 0.0 (−10.4 to 0.0) | P = 0.178 | |
| −15−10−505Difference (linear scale) |
| Outcome | Bubble-blowing | Video-watching | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Increase in pain during IV cannulation | 57% | 56% | 0.97 (0.42–2.24) | P > 0.999 | |
| Increase in anxiety | 30% | 52% | 2.48 (1.04–6.02) | P = 0.030 | |
| 0.10.31310Odds ratio (log scale) |
Original publication
The Effectiveness of Bubble‐Blowing as a Distraction Technique During Pediatric Intravenous Cannulation: A Randomized Controlled Trial. Paediatr Anaesth. Published 9 June 2025. doi:10. 1111/ pan. 15138
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