Application of clown care in hospitalized children: A scoping review. by Guo Xin, Fu Yingping, Chen Yue, Wu Jiaming, Hu Xue

“…Clown care is feasible and available for these kids, and it has been shown to have favorable impacts. …”
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Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. by Hilla Ben-Pazi, Avraham Cohen, Naama Kroyzer, Renana Lotem-Ophir, Yaakov Shvili, Gidon Winter, Lisa Deutsch, Yehuda Pollak

“…<h4>Objective</h4>We investigated the impact of clown-care on pain in 45 children with cerebral palsy who underwent recurrent Botulinum-toxin injections (age 7.04± 4.68 years). …”
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Procedural Pain Management in Patients with Cerebral Palsy Undergoing Botulinum Toxin Injection: A Systematic Review and Meta-Analysis by Silvia Faccioli, Alessandro Ehsani, Shaniko Kaleci, Giulia Tonini, Ilaria Tagliani, Mario Vetrano, Silvia Sassi

“…Several techniques were used, often in combination, such as non-pharmacological approaches (clown care or virtual reality); topical anesthesia with Emla^®®, vapocoolant spray, or ice; and light-to-deep sedation with inhaled nitrous oxide, intranasal fentanyl, rectal, enteral, or intravenous midazolam, or intravenous ketamine or propofol. …”
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