ShotBlocker During Intramuscular Injection Randomized Control Trial

ConditionNeonatal Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age37-42
SponsorLauren Fortier

About this trial

The objective of this trial is to evaluate the effect of Bionix ShotBlocker on pain of injection of the first Hepatitis B vaccine in healthy newborns. ShotBlocker is a pain reducing tool used in babies, children, and adults for injections. Swaddling during the injection and administration of oral sucrose prior to the injection are established standards of care for painful procedures in neonates. The investigators hypothesize that the use of ShotBlocker in addition to swaddling and oral sucrose administration will lessen the pain response.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Infants born at UMass Memorial Medical Center (UMMMC) via vaginal delivery or cesarean delivery and under the care of the nursery team

Term infants (37 to 42 weeks gestational age)

No acute illness that causes pain

Apgar score above 7 at 5 minutes

Disqualifiers

Swallow dysfunction

Congenital or genetic abnormalities

Infants who were exposed to sedatives within the last 12 hours

Infants with skin on thigh, hand, or foot that is not intact

Trial design

Design model

Parallel

Treatments tested in this trial

  • Bionix ShotBlocker

    Device

    This is a hospital-approved device used as standard-of-care in older children and adults to reduce pain during painful procedures. It is not considered established standard-of-care in the infant cohort.

  • Swaddling

    Other intervention

    Standard of care swaddling

  • Sucrose administration

    Other intervention

    Standard of care sucrose administration

  • Masimo Rad-97 Oximeter probe

    Other intervention

    Oximeter probe

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: ShotBlocker AdministrationExperimental treatment 4 interventions
Group B: Standard of Care Comfort ToolsActive comparator 3 interventions

Trial outcomes

Primary outcomes

1

Difference in the heart rate before, during, and after Hepatitis B vaccine injection between the control and intervention groups.

The primary outcome measure is the difference in the physiologic response before, during, and after the injection between the control and intervention groups as reflected as heart rate. Difference in heart rate will be evaluated through the measurements of heart rate recorded by a Masimo Rad-97 Oximeter.

Time frame
up to 4 minutes
2

Difference in the blood oxygen saturation before, during, and after Hepatitis B vaccine injection between the control and intervention groups.

The primary outcome measure is the difference in the physiologic response before, during, and after the injection between the control and intervention groups as reflected by blood oxygen saturation. Difference in blood oxygen saturation will be evaluated through transcutaneous measurements recorded by a Masimo Rad-97 Oximeter.

Time frame
up to 4 minutes

Secondary outcomes

1

Difference in pain score before, during, and after Hepatitis B vaccine injection between the control and intervention groups.

The secondary outcome measure is the difference in the pain score using the Premature Infant Pain Profile (PIPP) before, during, and after injection between the control and intervention groups. PIPP scores range from 0 to 15 and a lower score indicates a better outcome. For example, a PIPP score of 0 indicates no pain. There will be an Opt-In Video Recording option to assign a PIPP score before, during, and after vaccine administration. Infant response will be filmed during injection and evaluated by a blinded medical professional that did not participate in study procedures to assign a PIPP score.

Time frame
up to 3 minutes

Other outcomes

Sponsors and contacts

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

Lauren Fortier

Lead sponsor

University of Massachusetts, Worcester

Sponsor institution