Featured Research

from universities, journals, and other organizations

Study Shows Nitrous Oxide Reduces Children’s Anxiety And Pain During Suturing

Date:
January 8, 2001
Source:
Washington University School Of Medicine
Summary:
In a new study, researchers at Washington University School of Medicine in St. Louis determined that nitrous oxide (laughing gas) is more effective in sedating young children during facial suturing than the more traditional use of an oral pain medication.

St. Louis, Jan. 7, 2001 — To young children and their parents, a trip to the emergency room for stitches can mean not only the pain of an injury but also anxiety about the procedure.

In a new study, researchers at Washington University School of Medicine in St. Louis determined that nitrous oxide (laughing gas) is more effective in sedating young children during facial suturing than the more traditional use of an oral pain medication. The study, which appears in the January issue of Annals of Emergency Medicine, examined 204 children ages 2 to 6. Lacerations requiring sutures contribute to as many as half of emergency department visits by injured children.

"The nitrous oxide worked very well at reducing anxiety in the age group we studied," said Jan D. Luhmann, M.D., assistant professor of pediatrics in the Division of Emergency Medicine at the School of Medicine and St. Louis Children’s Hospital. "Prior to this study, nitrous oxide had not been commonly used in pediatric emergency units. We knew of its widespread and successful use by dentists in the outpatient setting, so we postulated that it would work well in our setting, too." Luhmann said the method also showed fewer side effects such as irritability and dizziness and reduced recovery time from approximately an hour to under 5 minutes when compared to the oral pain medication midazolam.

Children ranging in age from 2 to 6 received one of four different kinds of care: 1) standard care, which included comforting and topical anesthesia augmented with injected lidocaine if needed; 2) standard care and oral midazolam; 3) standard care and nitrous oxide; or 4) standard care, oral midazolam and nitrous oxide. Videotapes of the procedures were blindly scored using the Observational Scale of Behavioral Distress-Revised to assess distress at the beginning of the procedure and during wound cleaning, lidocaine injecting, suturing and recovery. The doctors who inserted the sutures and were blinded to the method of sedation administered to their patients noted adverse effects. Parents also completed questionnaires.

Both the parents and physicians scored the use of standard care combined with nitrous oxide as the highest of all the care methods in reducing pain and anxiety. The standard care, oral midazolam and nitrous oxide method ranked second

In a related editorial, Baruch S. Krauss, M.D., of the Children’s Hospital emergency department in Boston indicates the study succeeded in demonstrating that nitrous oxide meets most of the characteristics necessary for an ideal procedure of this kind. However, he also indicates that a larger sample size is needed to reliably profile the incidence and severity of adverse events.

The full-time and volunteer faculty of Washington University School of Medicine are the physicians and surgeons of Barnes-Jewish and St. Louis Children's hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation. Through its affiliations with Barnes-Jewish and St. Louis Children's hospitals, the School of Medicine is linked to BJC HealthCare.


Story Source:

The above story is based on materials provided by Washington University School Of Medicine. Note: Materials may be edited for content and length.


Cite This Page:

Washington University School Of Medicine. "Study Shows Nitrous Oxide Reduces Children’s Anxiety And Pain During Suturing." ScienceDaily. ScienceDaily, 8 January 2001. <www.sciencedaily.com/releases/2001/01/010108072424.htm>.
Washington University School Of Medicine. (2001, January 8). Study Shows Nitrous Oxide Reduces Children’s Anxiety And Pain During Suturing. ScienceDaily. Retrieved August 28, 2014 from www.sciencedaily.com/releases/2001/01/010108072424.htm
Washington University School Of Medicine. "Study Shows Nitrous Oxide Reduces Children’s Anxiety And Pain During Suturing." ScienceDaily. www.sciencedaily.com/releases/2001/01/010108072424.htm (accessed August 28, 2014).

Share This




More Health & Medicine News

Thursday, August 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Killer Amoeba Found in Louisiana Water System

Killer Amoeba Found in Louisiana Water System

AP (Aug. 28, 2014) State health officials say testing has confirmed the presence of a killer amoeba in a water system serving three St. John the Baptist Parish towns. (Aug. 28) Video provided by AP
Powered by NewsLook.com
Who Could Be Burnt by WHO's E-Cigs Move?

Who Could Be Burnt by WHO's E-Cigs Move?

Reuters - Business Video Online (Aug. 28, 2014) The World Health Organisation has called for the regulation of electronic cigarettes as both tobacco and medical products. Ciara Lee looks at the impact of the move on the tobacco industry. Video provided by Reuters
Powered by NewsLook.com
CDC Director On Ebola Outbreak: 'It's Worse Than I Feared'

CDC Director On Ebola Outbreak: 'It's Worse Than I Feared'

Newsy (Aug. 28, 2014) CDC director Tom Frieden says the Ebola outbreak is even worse than he feared. But he also said there's still hope to contain it. Video provided by Newsy
Powered by NewsLook.com
How A 'Rule Of Thumb' Could Slow Down Drinking

How A 'Rule Of Thumb' Could Slow Down Drinking

Newsy (Aug. 28, 2014) A study suggests people who follow a "rule of thumb" when pouring wine dispense less than those who don't have a particular amount in mind. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins