Limits...
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.

Show MeSH

Related in: MedlinePlus

Graphic representation of cumulative values of sensation and pain threshold measurements at different times of the protocol
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4325897&req=5

f3-prm-20-e28: Graphic representation of cumulative values of sensation and pain threshold measurements at different times of the protocol

Mentions: Table 2 presents the results of the statistical analysis (paired analysis) comparing Pain Matcher values at different times during aquarium contemplation. No differences between sensation thresholds at different times of the procedure were observed. However, pain thresholds were significantly augmented after 5 min, 10 min, 20 min and 30 min of aquarium contemplation compared with initial threshold values before exposure, and they remained significantly higher 10 min after aquarium contemplation ceased compared with the initial measurement (Figure 3). Statistical analysis revealed no significant difference between pain threshold measures after 30 min of aquarium exposure and 10 min after exposure ended (Wilcoxon test; Z=−1.591, P=0.112). These findings suggest a remnant effect of aquarium exposure on healthy subjects.


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)

Graphic representation of cumulative values of sensation and pain threshold measurements at different times of the protocol
© Copyright Policy
Related In: Results  -  Collection

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

f3-prm-20-e28: Graphic representation of cumulative values of sensation and pain threshold measurements at different times of the protocol
Mentions: Table 2 presents the results of the statistical analysis (paired analysis) comparing Pain Matcher values at different times during aquarium contemplation. No differences between sensation thresholds at different times of the procedure were observed. However, pain thresholds were significantly augmented after 5 min, 10 min, 20 min and 30 min of aquarium contemplation compared with initial threshold values before exposure, and they remained significantly higher 10 min after aquarium contemplation ceased compared with the initial measurement (Figure 3). Statistical analysis revealed no significant difference between pain threshold measures after 30 min of aquarium exposure and 10 min after exposure ended (Wilcoxon test; Z=−1.591, P=0.112). These findings suggest a remnant effect of aquarium exposure on healthy subjects.

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