- Aseptic technique needs to be maintained during VAD insertion, regardless of the type of pain management strategy used.
- The expert panel emphasized the importance of offering children, infants and parents/guardians the choice of a variety of pain management interventions.
- Some children do not prefer topical anesthetic due to the increase in overall procedure time (i.e., topical anesthetic can take longer to take effect).
- A physician order may be required prior to administration of pharmacological pain management interventions.
- Decisions around pharmacological pain management interventions may require an individualized risk–benefit assessment, including (but not limited to) factors such as:
- person and family preference;
- presence of needle phobia, or fear/anxiety about the procedure;
- DiVA score/history of DiVA; and
- type of pharmacological intervention and potential side effects, such as vasoconstriction associated with some topical medications.
- It may not be possible to offer pharmacological or non-pharmacological pain management strategies to persons needing vascular access in an emergency care situation. Health providers should not delay the life-saving treatments of persons during emergency situations.
To view Practice Notes from the Evidence click here
Assessment and Device Selection for Vascular Access
Point of Care Resources