Pediatric anesthesia & critical care

The Effectiveness of Bubble‐Blowing as a Distraction Technique During Pediatric Intravenous Cannulation: A Randomized Controlled Trial

Paediatr AnaesthPublished Randomised controlled trial

Primary resultResult — go to the resultMedian difference 0.0 95% CI −1.0 to 1.0

Authors' 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

OutcomeBubble-blowingVideo-watchingMedian difference (95% CI)P value
Anxiety before IV cannulation (mYPAS-Short Form)Co-primary aim27.1 (IQR 22.9–52.1)36.5 (IQR 22.9–63.4)0.0 (−10.4 to 0.0)P = 0.178
OutcomeBubble-blowingVideo-watchingOR (95% CI)P value
Increase in pain during IV cannulation57%56%0.97 (0.42–2.24)P > 0.999
Increase in anxiety30%52%2.48 (1.04–6.02)P = 0.030

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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