Effect of site selection on pain of intravenous cannula insertion: A prospective randomised study

Goudra, Basavana Gouda; Galvin, Eilish M.; Singh, Preet Mohinder; Lions, Jimme

doi:10.4103/0019-5049.147166

Cited by 22 publications

(23 citation statements)

References 9 publications

(8 reference statements)

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“…Peripheral venous cannulation, a routine clinical preoperative procedure, is sometimes considered painful . In our previous study, the median level of pain intensity resulting from venous cannulation on the hand was found to be close to our proposed cut‐off level of the VCP test (2.0 VAS units) .…”

Section: Discussionsupporting

confidence: 63%

“…Repeated attempts result in more pain . The region of cannulation also influences the pain intensity induced; for example, the antecubital fossa is associated with less pain than is the back of the hand . Nevertheless, many operators do not routinely offer pain relief because of time loss, considered lack of indication, belief that it makes the procedure more difficult, or peer pressure not to …”

Section: Introductionmentioning

confidence: 99%

“…8 The region of cannulation also influences the pain intensity induced; for example, the antecubital fossa is associated with less pain than is the back of the hand. 11 Nevertheless, many operators do not routinely offer pain relief because of time loss, considered lack of indication, belief that it makes the procedure more difficult, or peer pressure not to. 10,12 It was recently shown that peripheral venous cannulation-induced pain (VCP) intensity can be used to predict the risk for postoperative pain in patients subjected to elective laparoscopic cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

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Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation

Persson

Åkeson

2018

Pain Practice

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Background It has previously been reported that venous cannulation‐induced pain (VCP) can be used to predict acute postoperative pain after laparoscopic cholecystectomy. Patients rating VCP at ≥2.0 VAS units had 3.4 times higher risk for moderate or severe pain. The purpose of this study was to evaluate if VCP scores of ≥2.0 VAS units are associated with higher risk for acute postoperative pain after various common surgical procedures. Methods In a prospective clinical observational study, 600 male and female 18‐ to 80‐year‐old patients scheduled for elective surgery were included. The primary outcome measure was the difference in maximum postoperative pain intensity between low responders (VCP < 2.0) and high responders (VCP ≥ 2.0) to VCP. Secondary outcome measures were the difference in proportion of patients with moderate or severe postoperative pain between low and high responders, and potential influence of age, gender, and preoperative habitual pain. Results Patients scoring VCP ≥2.0 VAS units reported higher acute postoperative pain intensity levels than those scoring VCP <2.0 VAS units (median 3.0 [interquartile range 0.0 to 5.0] vs. 0.2 [interquartile range 0.0 to 4.0], P = 0.001), and also had 1.7 times higher risk for moderate or severe postoperative pain (P = 0.005). Moderate or severe postoperative pain was reported by 38% of patients with VCP scores of ≥2.0 VAS units and by 26% with VCP scores of <2.0 VAS units (P = 0.005). Conclusion Scoring of VCP intensity before surgery, requiring no specific equipment or training, is useful to predict individual risks for moderate or severe postoperative pain, regardless of patient age or gender, in a setting involving different kinds of surgery.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation

Persson

Åkeson

2018

Pain Practice

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“…The antecubital area and back of the hand are mostly preferred for the PIC. Because the antecubital vein, which is more commonly used F I G U R E 1 Flow diagram in the PIC applications, has been reported to be less painful than the veins in the back of the hand in the literature, the PICs were all applied to the antecubital vein in the left arm (Goudra, Galvin, Singh, & Lions, 2014). An autoguard shielded PEU-Vialon (BD-Venflon, Becton Dickinson) was used to start the PIC.…”

Section: Pic Insertion Proceduresmentioning

confidence: 99%

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Başak

Duman

Demırtaş

2019

Journal of Clinical Nursing

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Aims and objectives This study aimed to determine the effect of methods of distraction to relieve pain associated with the peripheral intravenous catheter (PIC) insertion procedure, thus improving patient satisfaction. Specifically, we examined such effect by playing 3D videos with virtual reality goggles and showing pictures to the patient containing distractive optical illusions. Background In the literature, although the efficacy of various pharmacological methods for reducing pain associated with the insertion of PIC has been evaluated in adults, studies on nonpharmacological methods are limited. Methods The research was conducted with a randomised controlled single‐blind experimental study. The sample consisted of 120 patients. While nothing is applied to the control group, cards containing distractive optical illusion pictures and playing 3D videos with VR goggles during PIC insertion is applied for distraction groups. The data collection form consisted of items that measured the sociodemographic characteristics of the patients and a visual analog scale. The CONSORT checklist was followed in reporting this study. This study is registered with ClinicalTrials.gov. No. NCT03945929. Results The mean pain level was 4.72 ± 3.15 in the control group and 3.41 ± 2.81 in the distraction groups and the difference was found to be statistically significant (p = .02). When the mean satisfaction level between the groups was compared, it was found to be 5.12 ± 3.41 in the control group and 8.07 ± 2.67 in the groups undergoing distraction methods. The difference between them was statistically significant (p = .01). Conclusions This study found that the use of cards containing distractive optical illusion pictures and playing 3D videos with VR goggles during PIC insertion in adult patients were both effective. Relevance to clinical practice These distraction methods may be used to reduce pain due to PIC insertion in nonurgent and less urgent adult patients in the emergency department.

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“…The peripheral venous catheter is the common and essential intravenous (IV) device, frequently used in medical practices (Bijayalaxmi, Urmila, & Prasad, 2010;Webster, Osborne, Rickard, & New, 2015). Peripheral intravenous cannulation (PIC) is an invasive procedure performed in hospitalized patients (Goudra, Galvin, Singh, & Lions, 2014;Urbanetto Jde, Peixoto, & May, 2016;Webster et al, 2008), where the patient's skin is punctured with a needle to allow insertion of a temporary plastic tube into a vein.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practice towards care and maintenance of peripheral intravenous cannula among nurses in Chitwan Medical College Teaching Hospital, Nepal

Osti

Khadka²,

Wosti

et al. 2019

Nursing Open

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Aim The study is mainly concerned about the care and maintenance of peripheral intravenous cannulation: to determine the knowledge and practice of nurses towards care and maintenance of IV cannula and to find out the obstacles encountered in caring and maintaining IV cannula. Intravenous cannulation is a common procedure performed by nurses in every hospital and closely associated with the risk of nosocomial infections if standard care is not provided. Design A descriptive cross‐sectional study design was carried out. Methods Nurses' knowledge and practice towards care and maintenance of peripheral intravenous cannula were assessed using a validated semi‐structured self‐administered questionnaire through the census method. Data were analysed through SPSS program. The comparison was done between knowledge and practice. Results The findings revealed that 84.72% respondents were doing correct practices despite the fact that only 82.47% respondents had proper knowledge. Most nurses have good knowledge of caring and maintaining peripheral intravenous cannulation but there were some without proper knowledge and practice. This could be a potential risk factor for patient safety.

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Effect of site selection on pain of intravenous cannula insertion: A prospective randomised study

Cited by 22 publications

References 9 publications

Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation

Prediction of Acute Postoperative Pain from Assessment of Pain Associated With Venous Cannulation

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Knowledge and practice towards care and maintenance of peripheral intravenous cannula among nurses in Chitwan Medical College Teaching Hospital, Nepal

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