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Sedation for blood test for teenager?

181 replies

Thisisarubbishusername · 20/01/2026 13:52

Has anyone’s teenager been given nasal or other sedation at an NHS hospital to allow a blood test to be administered to a severely phobic teen? Our son needs blood tests but has a severe phobia of fainting during/after the procedure, after having fainted before. I’m not sure that all the CBT, distraction, preparation and other techniques he’s trying are going to be enough. Thank you.

OP posts:
Thisisarubbishusername · 22/01/2026 15:22

burntoutnurse · 22/01/2026 14:43

Haven’t read all replies.

but where I work. We often get teens coming for blood tests and they can’t/wont do sedation. Because they have to come in as inpatient and often the beds aren’t available (because they’ve got to be Monitored for so many hours afterwards. We have a paeds ward and a paeds assessment ward but often most are too full and busy to accommodate sedation of a bigger child (the dose they need to for sedation is massive, obviously weight depending) I’ve seen them use Ketamine one to get an mri done but that was with a severely autistic teen.

things you could try to reassure him

numbing cream might be give him
time to work himself up. So try the cold spray.

lay him down but not flat and ask them to attach him to a monitor so he’s reassured if he does faint he’s being looked after

and the brutal approach is just have them hold him down. Which isn’t nice! But gets the job done.

what bloods does he need to have?

Thanks for sharing your knowledge/experience. I’m afraid I draw the line at restraint.

the endocrine team have requested the bloods so he definitely needs them.

finger prick might be an option as a last resort

OP posts:
Justsaynonow · 23/01/2026 23:33

@Thisisarubbishusername One of mine outgrew her fear of needles with my support. The other's has persisted into adulthood. No way would tough love alone be effective. She uses emla (or orajel, in a pinch) and sublingual ativan.

3point5 · 24/01/2026 10:01

Thisisarubbishusername · 22/01/2026 15:22

Thanks for sharing your knowledge/experience. I’m afraid I draw the line at restraint.

the endocrine team have requested the bloods so he definitely needs them.

finger prick might be an option as a last resort

Please try a call with your GP. I have a really understanding GP who actually has struggles with blood tests herself and has been really great exploring different solutions with me. She totally understands it's a phobia I struggle to control.

researchers3 · 24/01/2026 10:05

Doseofreality · 20/01/2026 17:29

I’m a tough love advocate, sorry. Probably not what you want to hear but, if it were one of mine, I’d offer to take them up to the kid’s oncology ward so they could tell the kids there that they were worried about a blood test.

Lovely. I'm sure that would be brilliant morale for the children there.

HarvestMouseandGoldenCups · 24/01/2026 12:20

Doseofreality · 22/01/2026 14:18

I’ve been on a kid’s oncology ward, I’ve seen toddlers screaming as they are cannulated for chemo. I’ve also seen children whose veins have collapsed because of the amount of drugs they have had running through them and they are having blood taken from their ankle or neck.

So, yes, I’d be very much in the “tough love” team and doing everything I possible could to make it easier for the staff having to deal with this.

Good for you. Tough love doesn’t work on phobias. It just makes it worse because phobias aren’t rational - they’re part of the animal, instinctive part of the brain.

Blood injection injury phobia is the only phobia to have a physiological reaction (fainting).

I find your reaction to a frightened child quite disgusting. When someone’s parent dies you don’t say ‘well X’s child died and that was worse’. When someone loses their job you don’t say ‘well some people are homeless so shut up’. It’s such a cold, inhuman reaction to a child scared of a medical test.

janj52301 · 15/02/2026 18:53

My youngest feels faint and sometimes passes out when she gives blood. She still insists on doing it but uses a permanent site in the city, her records show it and she is treated separately and promptly.

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