کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2611200 1134620 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The Use of Topical Anesthesia During Intravenous Catheter Insertion in Adults: A Comparison of Pain Scores Using LMX-4 Versus Placebo
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی امداد اورژانس
پیش نمایش صفحه اول مقاله
The Use of Topical Anesthesia During Intravenous Catheter Insertion in Adults: A Comparison of Pain Scores Using LMX-4 Versus Placebo
چکیده انگلیسی

IntroductionIntravenous (IV) catheter placement is an extremely common painful procedure performed in all ages and healthcare settings, more often than not without anesthetic, despite clear research and guidelines demonstrating their effectiveness. This study examined differences in pain scores following topical anesthetic and placebo application, in a sample of healthy adult volunteers experiencing IV catheterization.MethodsDuring this prospective, placebo-controlled, double-blind study, 43 subjects were randomized to receive LMX-4 on one hand and hand cream on the other 30 minutes prior to IV catheterization. Paired t-tests were used to measure the difference in pain scores between hands. Pain scores were reported utilizing a visual analog scale (0-10 cm) immediately after each stick. As a control, the difficulty of the IV stick was rated on a 0-10 cm scale and recorded by the nurse who started the IV.ResultsThe mean pain score and standard deviation reported for the LMX-4 hand was 3.2 (SD=2.25, range, 0-8.5 cm), while the placebo hand was 4.67 (SD=2.25, range, 0.25-10 mm). The mean paired difference between LMX-4 and placebo hands was -1.37 (95% CI; -2.2, -0.49); subjects receiving LMX-4 reported clinically as well as statistically significant pain reductions (t=-3.17, p=0.003). When adjusted for difficulty of stick, pain scores continued to remain lower in the LMX-4 hand.DiscussionThese findings suggest that the topical use of LMX-4 anesthetic cream is a viable option for reducing the pain associated with IV catheter insertion in adults.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Emergency Nursing - Volume 35, Issue 4, July 2009, Pages 299–304
نویسندگان
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