1 of Table 7 Synthesis Table -: J-tip

Practice Area: Drugs and Devices for Needlesticks/Procedures: J-Tip

Topic Citation Sample Key Findings Comments Jimenez, N, Bradford, H, Seidel, KD, 116 Children More time from application to IV Pediatric patients have J-Tip – a Sousa, M & Lynn AM 7-19 yrs start with EMLA thicker subcutaneous needle- A comparison of a needle-free J-Tip had lower pain scores tissue-deeper less injection system for local anesthesia Both treatment groups had similar penetration of local anes injection versus EMLA for intravenous catheter outcomes with success on first Ref: Fine, B found that system insertion in the pediatric patient attempt. J-Tip – decrease children younger than Anesth Analg 2006;102:411-4 vasoconstriction. EMLA not 7 seemed more always on for 60 mins. disturbed by j-Tip RCT (carbon dioxide gas cartridge drives plunger down the barrel of Fast, absence of the syringe, expelling medication vasoconstriction through a micro-orifice. Penetrates the skin surface and J-Tip is a needless Food subQ tissue to a depth of 5-8 mm and Drug Adm injection in 0.2s system. J-Tip app with 1% 84% reported no pain with J-Tip buffered lido is not Compared with 64% with EMLA painful and had better anesthetic effect compared with EMLA Cost = ? Spanos, S, Booth, R, Koenigh et al 75 Children 30 minute ELA-Max Anesthesia in 5 minutes J-Tip – a Jet Injection of 1% Buffered Lidocaine 8-15 yrs J-tip 1% Lidocaine with j-tip needle- versus Topical ELA-Max for No follow-up for less Anesthesia Before peripheral Pain with j-tip J-Tip less pain complications with J- injection Intravenous Catheterization in Pain with IV start tip ( ? can scar) system Children Video-taped Blinded observers scores for pain Pediatric Emergency Care 2008, were less for J-tip 24(8) : 511-515 CRT Nurses who started IV- reported less pain in the J-tip grop 2 of Table 7 Cooper, JA, Bromley, LM, UK study Less pain with J-tip delivery than J-tip gives wide J-Tip – a Baranowski, AP, & Barker SGE 72 patients needles but more pain with distribution needle- Evaluation of a needle-free injection Adults over 18 yrs cannulation Difficult delivery in thin less system for local anaesthesia prior to Prior to patients with less subQ injection venous cannulation anesthesia No difference in number of failed tissue. Original use was system Anaesthesia 200 55: 247-250 J-tip or with a 25 cannulations- but clinicians felt it for insultin-administered G needle/syring was hard with lidocaine. in abdomen or thigh Pain of treatment which has more subQ and pain of tissue than hard or hand. starting IV J-Tip 1.80 pounds and 2 RCT ml syringewas 0.01 pounds Lysakowski, C, Dumont, L, Tramer, Swiss study Pt received midazolam orally Estimated cost for MR & Tassonyi, E 14-88yrs prior to procedure lidocaine jet was $4.1 - A needle-free jet-injection system with 4 groups; Jet with lidocaine decreased pain. $4.2. Incremental; cost- J-Tip – a lidocaine for peripheral intravenous No treatment- 2% reduced pain scores by 50% effectiveness needle- cannula insertion: a randomized simulated sound 1/5 of patients reported moderate ration(ICER) was $10- less controlled trial with cost-effectiveness Jet with saline pain from the jet delivery $11 for injection analysis. Jet with 1% system Anesthesia & Analgesia 2003: 96: Jet with 2% Device failure in 1/10 of 215-219 400 patients application

RCT