Comparison of Virtual Reality, EMLA Cream, and Standard Care for Pain During Blood Draws in Children

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age3-15
SponsorMarie Lulková

About this trial

This randomized controlled trial evaluates methods to reduce pain during venipuncture in children aged 3 to 15 years. The study compares three approaches: virtual reality distraction using a VR headset, topical anesthesia with EMLA cream, and standard care without an additional pain-reducing intervention. The main question is whether virtual reality reduces pain during venipuncture more effectively than EMLA cream or standard care. Pain is assessed immediately after venipuncture using the Wong-Baker Faces Pain Rating Scale (0-10). The planned study sample includes 450 children.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children aged 3 to 15 years.

Clinical indication for venipuncture.

Written informed consent provided by a parent or legal guardian and verbal or written assent from the child, as appropriate for age and cognitive ability.

Disqualifiers

Known hypersensitivity to local anesthetics.

Diagnosed mental disorder.

Current treatment with analgesic or anxiolytic medications.

Venipuncture not successful on the first attempt.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Virtual Reality Distraction

    Behavioral

    Virtual reality distraction is provided during venipuncture using a Meta Quest 3 headset. All participants assigned to this intervention view the same 360° wildlife video. Children can change the direction of view by moving their head but cannot control the content or sequence of the video. The headset is used throughout the venipuncture procedure.

  • Lidocaine-Prilocaine Cream

    Drug

    Topical EMLA cream containing lidocaine and prilocaine is applied to the planned venipuncture site, covered with an occlusive dressing, and left in place for at least 60 minutes before venipuncture.

Treatment groups

450 Participants
are divided into 3 treatment groups
Group A: Virtual RealityExperimental treatment 1 intervention
Group B: EMLA CreamActive comparator 1 intervention
Group C: Standard CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Pain Intensity During Venipuncture

Pain intensity is self-reported immediately after venipuncture using the Wong-Baker Faces Pain Rating Scale (0-10), where 0 indicates no pain and 10 indicates the worst pain. Lower scores indicate lower perceived pain intensity.

Time frame
Immediately after venipuncture

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Marie Lulková

Lead sponsor

Jan Evangelista Purkyne University

Sponsor institution