Effectiveness of tattoo cream on children’s pain and fear during venipuncture procedure: a randomized controlled trial

Effectiveness of tattoo cream on children’s pain and fear during venipuncture procedure: a randomized controlled trial


  • Sherzad Khudeida Suleman Department of Women's and Children's Health, University of Uppsala
  • Nizer Yahya Medicine college, Duhok University
  • Stefan Nilsson Department of Health and Caring Sciences, University of Gothenburg
  • Karin Enskär Department of Women's and Children's Health, University of Uppsala


Pharmacology, pain, fear, child, Venipuncture


 Background and aim: The venipuncture procedure causes significant discomfort, fear, and pain in children. This study aimed to evaluate the effectiveness of TKTX cream, also known as tattoo cream, in reducing pain and fear during venipuncture in children. Methods: In this parallel randomized controlled trial, children aged 6–12 years were randomly assigned to either an intervention group or a control group. The intervention group (n = 44) received TKTX cream during the venipuncture procedure, while the control group (n = 44) received no cream. The outcomes of the procedure were evaluated by the children, their parents, and an observing nurse within 2–3 minutes after the procedure. Results: Patients receiving TKTX cream (5% lidocaine, 5% prilocaine, and 1% epinephrine) reported significantly lower mean levels of pain and fear than did the control group, as measured by the children, mothers, and nurse observers. In the control group, the average pain levels were 6.88, 6.93, and 6.98, whereas in the experimental group, they were significantly lower at 3.02, 3.02, and 2.52, respectively. Furthermore, the TKTX cream group exhibited significantly lower levels of fear than did the control group, at 2.52, 2.57, and 2.52, respectively, compared to 3.02, 3.07, and 3.97, respectively, in the control group. Additionally, TKTX-Cream has been shown to improve the success rate of procedures in children, shorten procedure times, and cause only minor changes to the dermis. Conclusions: This study demonstrated that TKTX-Cream is effective in reducing children’s pain and fear during venipuncture procedures.


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How to Cite

Suleman SK, Yahya N, Nilsson S, Enskär K. Effectiveness of tattoo cream on children’s pain and fear during venipuncture procedure: a randomized controlled trial. Acta Biomed [Internet]. 2024 Jun. 21 [cited 2024 Jul. 25];95(3):e2024105. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/15266