Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial

Yıl 2021, Cilt: 31 Sayı: 3, 295 - 298, 20.09.2021

Fatih Selvi , Cihan Bedel , Mehmet Akçimen

https://doi.org/10.54005/geneltip.989829

Öz

Introduction: Peripheral intravenous (IV) cannulation are routine procedures in emergency department (ED) admissions. Vapocoolant sprays have a potential advantage over other topical agents.We aimed to see how effective vapocoolant spray was in reducing pain during intravenous cannulation versus a control group in this study.
Materials and Methods: This is a prospective, randomized control study consisting of patients who were admitted to the ED. The study included patients aged 18 and over who applied to the ED and had IV cannulation. The patients were divided into 2 groups as control and vapocoolant spray groups. Age, gender, and dominant hand status of all patient groups were recorded. Side effects were observed after the application. The Visual Analogue Scale (VAS), which is the most widely used scale to measure pain, was used.
Results: 206 individuals were randomized. The mean age of the vapocoolant spray group was 46.40±16.44 years, while it was 46.75±17.49 years for the control group. The vapocoolant spray group was found to have significantly lower mean VAS values during IV cannulation than the control group (1.47±1.32 vs. 3.97±1.97 p<0.001). It was found that the vapocoolant spray-applied group had a significantly lower percentage in terms of moderate pain (VAS>3 cm) compared to the control group (7.8% vs 58.3%, p<0.001). Besides, the percentage of severe pain (VAS>5.4 cm) in the spray-applied group was found to be significantly lower than the control group (1% vs. 20.4%, p<0.001).
Conclusion: The vapocoolant spray can be used effectively to mitigate the pain associated with the pre-IV cannulation procedure and can be an alternative method for reducing pain in emergency departments.

Anahtar Kelimeler

Intravenous cannulation, pain, vapocoolant spray

İntravenöz Kanülasyon Ağrısı İçin Vapocoolant Sprey: Prospektif, Randomize Kontrollü Bir Çalışma

Öz

Amaç: Periferik intravenöz (IV) kanülasyon, acil servis (ED) başvurularında rutin prosedürlerdir. Vapocoolant spreylerin diğer topikal ajanlara göre potansiyel bir avantajı vardır. Bu çalışmada bir kontrol grubuna kıyasla intravenöz kanülasyon sırasında ağrıyı azaltmada vapocoolant spreyin ne kadar etkili olduğunu görmeyi amaçladık.
Materyal-Metod: Bu, acil servise kabul edilen hastalardan oluşan prospektif, randomize bir kontrol çalışmasıdır. Çalışmaya acil servise başvuran ve IV kanülasyon yapılan 18 yaş ve üzeri hastalar dahil edildi. Hastalar kontrol ve vapocoolant sprey grubu olarak 2 gruba ayrıldı. Tüm hasta gruplarının yaş, cinsiyet ve baskın el durumu kaydedildi. Uygulamadan sonra yan etkiler gözlendi. Ağrıyı ölçmek için en yaygın kullanılan ölçek olan Görsel Analog Skala (VAS) kullanıldı.
Bulgular:206 kişi randomize edildi. Vapocoolant sprey grubunun yaş ortalaması 46,40±16,44 yıl, kontrol grubu içinse 46,75±17,49 yıl idi. Vapocoolant sprey grubunun, IV kanülasyon sırasında kontrol grubuna göre önemli ölçüde daha düşük ortalama VAS değerlerine sahip olduğu bulundu (1,47±1,32'ye karşı 3,97±1,97 p<0,001). Vapocoolant sprey uygulanan grubun orta şiddette ağrı (VAS>3 cm) açısından kontrol grubuna göre anlamlı olarak daha düşük bir yüzdeye sahip olduğu bulundu (%7,8'e karşı %5,3, p<0,001). Ayrıca sprey uygulanan grupta şiddetli ağrı yüzdesi (VAS>5,4 cm) kontrol grubuna göre anlamlı derecede düşük bulundu (%1'e karşı %20,4, p<0,001).
Sonuç: Vapocoolant sprey, IV öncesi kanülasyon prosedürüne bağlı ağrıyı azaltmak için etkili bir şekilde kullanılabilir ve acil servislerde ağrıyı azaltmak için alternatif bir yöntem olabilir.

Anahtar Kelimeler

Periferik intravenöz kanülasyon, ağrı, buhar soğutucu sprey

Kaynakça

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