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How can surgeonfish help pediatric surgeons? A pilot study investigating the antinociceptive effect of fish aquariums in adult volunteers.

Sanchez M, Delpont M, Bachy M, Kabbaj R, Annequin D, Vialle R - Pain Res Manag (2014)

Bottom Line: Multiple distraction strategies have been proposed to reduce the incidence of anxiety and pain in children.A statistically significant pain perception threshold augmentation was observed after a 5 min aquarium viewing.In the authors' department, FA-AAT is now used as a nonpharmacological antinociceptive technique in association with a protocol of inhalated oxygen⁄nitrous oxide mixtures for needle-related procedures.

View Article: PubMed Central - PubMed

ABSTRACT

Background: Multiple distraction strategies have been proposed to reduce the incidence of anxiety and pain in children. Animal-assisted therapy is acknowledged and used in children as an adjunctive treatment with cognitive, physical, psychosocial and spiritual benefits.

Objective: To determine the effect of fish aquarium animal-assisted therapy (FA-AAT) on pain perception in a cohort of healthy volunteers.

Methods: Sixty-nine healthy subjects (mean age 27.3 years) were exposed to >20 different species of soft or hard corals and >25 fish in a 1000 L saltwater aquarium. Pain perception was assessed using an electrical stimulation device, the Pain Matcher (Cefar Medical AB, Sweden), after 5 min, 10 min, 20 min and 30 min of continuous aquarium viewing. The measurements were repeated 10 min after stopping aquarium viewing.

Results: A statistically significant pain perception threshold augmentation was observed after a 5 min aquarium viewing. This threshold augmentation was also increased after 10 min, 20 min and 30 min of FA-AAT. A remnant effect was noted up to 10 min after exposure. This short post-viewing time period could be useful in clinical practice to perform certain painful procedures in children, such as those involving needles, under improved conditions immediately after aquarium exposure.

Conclusions: In the authors' department, FA-AAT is now used as a nonpharmacological antinociceptive technique in association with a protocol of inhalated oxygen⁄nitrous oxide mixtures for needle-related procedures. Children and parents are invited to watch the aquarium during the 10 min to 20 min before venous punctures.

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Pictures of the marine aquarium used for subjects’ distraction.AThe 265-gallon (approximately 1000 L) saltwater aquarium was located in the department’s main waiting room. Live population included >20 species of soft and hard corals and >25 fish with a specific lighting system that mimicked natural reef lighting at a depth of 5 m.BChildren and parents are invited to watch the aquarium
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f1-prm-20-e28: Pictures of the marine aquarium used for subjects’ distraction.AThe 265-gallon (approximately 1000 L) saltwater aquarium was located in the department’s main waiting room. Live population included >20 species of soft and hard corals and >25 fish with a specific lighting system that mimicked natural reef lighting at a depth of 5 m.BChildren and parents are invited to watch the aquarium

Mentions: A 265-gallon (approximately 1000 L) saltwater aquarium was used for the protocol (Figure 1). The aquarium was located in the main waiting room of the Department of Pediatric Orthopedics at Armand Trousseau Hospital in Paris, France. The live population included >20 different species of soft and hard corals, and >25 fish including several species of surgeonfish. The aquarium lighting system consisted of three LED projectors, mimicking natural reef lighting at a water depth of 5 m.


How can surgeonfish help pediatric surgeons? A pilot study investigating the antinociceptive effect of fish aquariums in adult volunteers.

Sanchez M, Delpont M, Bachy M, Kabbaj R, Annequin D, Vialle R - Pain Res Manag (2014)

Pictures of the marine aquarium used for subjects’ distraction.AThe 265-gallon (approximately 1000 L) saltwater aquarium was located in the department’s main waiting room. Live population included >20 species of soft and hard corals and >25 fish with a specific lighting system that mimicked natural reef lighting at a depth of 5 m.BChildren and parents are invited to watch the aquarium
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325897&req=5

f1-prm-20-e28: Pictures of the marine aquarium used for subjects’ distraction.AThe 265-gallon (approximately 1000 L) saltwater aquarium was located in the department’s main waiting room. Live population included >20 species of soft and hard corals and >25 fish with a specific lighting system that mimicked natural reef lighting at a depth of 5 m.BChildren and parents are invited to watch the aquarium
Mentions: A 265-gallon (approximately 1000 L) saltwater aquarium was used for the protocol (Figure 1). The aquarium was located in the main waiting room of the Department of Pediatric Orthopedics at Armand Trousseau Hospital in Paris, France. The live population included >20 different species of soft and hard corals, and >25 fish including several species of surgeonfish. The aquarium lighting system consisted of three LED projectors, mimicking natural reef lighting at a water depth of 5 m.

Bottom Line: Multiple distraction strategies have been proposed to reduce the incidence of anxiety and pain in children.A statistically significant pain perception threshold augmentation was observed after a 5 min aquarium viewing.In the authors' department, FA-AAT is now used as a nonpharmacological antinociceptive technique in association with a protocol of inhalated oxygen⁄nitrous oxide mixtures for needle-related procedures.

View Article: PubMed Central - PubMed

ABSTRACT

Background: Multiple distraction strategies have been proposed to reduce the incidence of anxiety and pain in children. Animal-assisted therapy is acknowledged and used in children as an adjunctive treatment with cognitive, physical, psychosocial and spiritual benefits.

Objective: To determine the effect of fish aquarium animal-assisted therapy (FA-AAT) on pain perception in a cohort of healthy volunteers.

Methods: Sixty-nine healthy subjects (mean age 27.3 years) were exposed to >20 different species of soft or hard corals and >25 fish in a 1000 L saltwater aquarium. Pain perception was assessed using an electrical stimulation device, the Pain Matcher (Cefar Medical AB, Sweden), after 5 min, 10 min, 20 min and 30 min of continuous aquarium viewing. The measurements were repeated 10 min after stopping aquarium viewing.

Results: A statistically significant pain perception threshold augmentation was observed after a 5 min aquarium viewing. This threshold augmentation was also increased after 10 min, 20 min and 30 min of FA-AAT. A remnant effect was noted up to 10 min after exposure. This short post-viewing time period could be useful in clinical practice to perform certain painful procedures in children, such as those involving needles, under improved conditions immediately after aquarium exposure.

Conclusions: In the authors' department, FA-AAT is now used as a nonpharmacological antinociceptive technique in association with a protocol of inhalated oxygen⁄nitrous oxide mixtures for needle-related procedures. Children and parents are invited to watch the aquarium during the 10 min to 20 min before venous punctures.

Show MeSH
Related in: MedlinePlus