Reducing the Trauma of Voiding Cystourethrograms Without Sedation

Abstract 

During a voiding cystourethrogram pediatric patients can experience pain, embarrassment, and fear. Although much research exists on the use of sedation to minimize the risk of emotional and physical trauma during these exams, little documentation exists on the effectiveness of nonsedation techniques. Understanding of the possible stressors associated with this imaging study in combination with developmentally appropriate use of distraction, relaxation, medical play, and pre-procedure preparation can potentially reduce the negative emotional impact for many children without the risks and concerns associated with sedation.

Keywords: Voiding cystourethrogram, Pediatric catherization, Sedation alternatives