Pain Management Techniques in IV Access Procedures

Faculty

Needs Statement

Every year, hundreds of thousands of children are subjected to invasive procedures, including venipuncture and intravenous cannulation. Although procedural pain is very common, it continues to be underdiagnosed and undertreated despite the availability of multiple validated modalities for pain assessment and treatment. Accurate pediatric procedural pain evaluation requires knowledge of the existing assessment tools, such as visual analogue and faces pain scales, as well as behavioral and physiological cues. Comprehensive pain management requires familiarity with available environmental, nonpharmacological, and pharmacological treatment options, as well as an understanding of the professional guidelines for pediatric procedural pain management. Age-appropriate distraction, parental presence, deep breathing and relaxation techniques, counter-irritation, imagery, and hypnosis have been shown to be effective as nonpharmacological approaches in alleviating pediatric pain and distress. Topical/local analgesics available in a variety of delivery mechanisms—including creams, iontophoresis, transdermal patches, and the lidocaine powder intradermal injection system—have all been shown in clinical trials to be effective and safe for use as pharmacological treatments of procedural pain. Optimal outcomes can be best achieved through a multidisciplinary team approach that includes contributions from physicians, nurses, and clinical pharmacists.

Target Audience

This program is designed for health care practitioners (physicians, pharmacists, and nurses) involved with pediatric pain management pertaining to venipuncture and intravenous cannulation.

Objectives

1. Anticipate procedure-related pain and distress during venous access and other invasive procedures in ambulatory, inpatient, and critical care settings;
2. Assess pain severity through integration of patients’ self-reports and nonverbal/behavioral cues;
3. Employ topical analgesics and nonpharmacologic interventions to decrease or eliminate procedure-associated pain and discomfort in patient.

Accreditation

Medicine
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of Kentucky College of Medicine and HealthmattersCME. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this educational activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Each physician should claim only those hours of credit actually spent in the educational activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

Pharmacy
The University of Kentucky College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This activity has been assigned ACPE # 022-999-08-097-H01-P and will award up to 1.50 contact hours (0.15 CEUs) of continuing pharmacy education credit in states that recognize ACPE providers.

Statements of credit will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation and/or posttest and requesting credit online at conclusion of the activity. The College complies with the Accreditation Standards for Continuing Pharmacy Education.

Nursing
AdvancMed, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

AdvancMed is a provider approved by the California Board of Registered Nursing, Provider #13429. AdvancMed provides this activity for 1.50 nursing contact hour(s).

Faculty Disclosure

Dr. Luhmann is a member of the Anesiva, Inc. Speaker's Bureau.
Dr. Zempsky is both a consultant and a member of the Speaker's Bureau for Anesiva, Inc. and Vyteris, Inc.
Dr. Gurwitch has no relevant relationships to disclose.
Ms. Leahy is both a consultant and a member of the Speaker's Bureau for Anesiva, Inc.

 

 

Activity Sponsorship

This activity is jointly sponsored by the University of Kentucky, HealthmattersCME, and AdvancMed. Supported by an unrestricted educational grant from Anesiva.