Manipal Journal of Nursing and Health Sciences


Intravenous (IV) cannulation is a common procedure done in hospitals. Although it is an essential procedure providing easy access for IV hydration or medication, its insertion leads to pain, anxiety and distress in children. The study was undertaken with the objective of comparing the effectiveness of video assisted diversional (VAD) therapy and application of local anaesthetic (LA) agent on pain relief, behavioural response and physiological parameters among children. Methods: The study was done using an experimental post-test only control group design. The participants were randomized to one of the three groups, with 25 subjects in each group: experimental group 1 received video assisted diversional therapy (VAD), experimental group 2 received local anaesthetic agent (LA), and the control group received only standard care. Results: The post intervention pain scores in the VAD and LA group were lesser than those of the control group. There was no significant difference between the two intervention groups. In case of behavioural response, the VAD group showed a significant reduction of behavioural distress than the LA and control groups. In case of physiological parameters, a significant difference was seen in the rate of respiration during and post annulation in the VAD group. Both, VAD and LA groups showed a reduction in the systolic blood pressure post cannulation. Conclusion: The study concludes that the VAD therapy and LA during IV cannulation are equally good for pain reduction, with VAD being highly acceptable for reducing behavioural distress and physiological parameters.

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