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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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The Pain Matcher (Cefar Medical AB, Sweden) is an instrument for electrical stimulation that provides constant current stimulation despite variable skin resistance. The electrical charge per second is extremely low and causes no tissue damage. The intensity value (0 to 99) is directly related to the pulse width and is displayed on a liquid crystal screen
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f2-prm-20-e28: The Pain Matcher (Cefar Medical AB, Sweden) is an instrument for electrical stimulation that provides constant current stimulation despite variable skin resistance. The electrical charge per second is extremely low and causes no tissue damage. The intensity value (0 to 99) is directly related to the pulse width and is displayed on a liquid crystal screen

Mentions: Pain perception was assessed using an electrical stimulation device, the Pain Matcher (23,24). The device provides constant current stimulation despite variable skin resistance. It is controlled by a microprocessor, which provides rectangular pulses at a frequency of 10 Hz and an amplitude of 10 mA. The stimulus intensity is increased by raising from zero to a possible maximum of 396 (in increments of four) over a total of 99 steps. The electrical charge per second is extremely low and causes no tissue damage. The intensity value (0 to 99) relates directly to the pulse width and is displayed on a liquid crystal display screen (Figure 2). The subjects were instructed to grasp the electrodes of the Pain Matcher between the thumb and index finger of their right hand. The electrical stimulation was started by the subjects, who were told to press a button on the device at the first noticeable sensation (the sensation threshold). Subsequently, the device was restarted, and the subjects were instructed to press the button when the perceived signal became painful (the pain threshold). This method is highly reliable, well tolerated by patients, reported to be easy to use, and may be useful when evaluating pain perception in both patients and control subjects (23,24).


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)

The Pain Matcher (Cefar Medical AB, Sweden) is an instrument for electrical stimulation that provides constant current stimulation despite variable skin resistance. The electrical charge per second is extremely low and causes no tissue damage. The intensity value (0 to 99) is directly related to the pulse width and is displayed on a liquid crystal screen
© Copyright Policy
Related In: Results  -  Collection

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

f2-prm-20-e28: The Pain Matcher (Cefar Medical AB, Sweden) is an instrument for electrical stimulation that provides constant current stimulation despite variable skin resistance. The electrical charge per second is extremely low and causes no tissue damage. The intensity value (0 to 99) is directly related to the pulse width and is displayed on a liquid crystal screen
Mentions: Pain perception was assessed using an electrical stimulation device, the Pain Matcher (23,24). The device provides constant current stimulation despite variable skin resistance. It is controlled by a microprocessor, which provides rectangular pulses at a frequency of 10 Hz and an amplitude of 10 mA. The stimulus intensity is increased by raising from zero to a possible maximum of 396 (in increments of four) over a total of 99 steps. The electrical charge per second is extremely low and causes no tissue damage. The intensity value (0 to 99) relates directly to the pulse width and is displayed on a liquid crystal display screen (Figure 2). The subjects were instructed to grasp the electrodes of the Pain Matcher between the thumb and index finger of their right hand. The electrical stimulation was started by the subjects, who were told to press a button on the device at the first noticeable sensation (the sensation threshold). Subsequently, the device was restarted, and the subjects were instructed to press the button when the perceived signal became painful (the pain threshold). This method is highly reliable, well tolerated by patients, reported to be easy to use, and may be useful when evaluating pain perception in both patients and control subjects (23,24).

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