Effectiveness of lidocaine spray on radial arterial puncture pain: A randomized double-blind placebo controlled trial

Yıldız, İsmail; Yıldırım, Çağdaş; Özhasenekler, Ayhan; Şener, Alp; Gökhan, Şervan

doi:10.1016/j.ajem.2021.09.077

Cited by 6 publications

(6 citation statements)

References 34 publications

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“…Our results were inconsistent with the findings of Joris Datema [ 22 ] that the local administration of lidocaine spray failed to effectively relieve the pain of adult patients during intravenous intubation. However, İsmail Ufuk Yıldız [ 19 ] also indicated that lidocaine spray contributed to relieving the pain of adult patients during radial artery puncture, which was consistent with the results of this study. The underlying reasons may be individual differences, different doses of lidocaine spray, and different puncture sites.…”

Section: Discussionsupporting

confidence: 90%

“…Compared with lidocaine cream and Vapocoolant spray, lidocaine spray has the advantages of quick onset, long duration of anesthesia, and convenient use. Some researchers have used lidocaine spray to relieve pain related to venipuncture, radial artery puncture [ 18 , 19 ], insertion of intrauterine device [ 20 ], and thoracic tube removal [ 21 ], but some studies have also shown that lidocaine spray cannot effectively relieve local pain caused by intravenous intubation [ 22 ]. At present, the pain control of lidocaine spray in the non-coring needle puncture into the TIVAP remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Effect of lidocaine spray on relieving non-coring needle puncture-related pain in patients with totally implantable venous access port: a randomized controlled trial

Zhu

Zhang

et al. 2023

Support Care Cancer

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Purpose Patients with the placement of a totally implantable venous access port (TIVAP) commonly suffer from pain caused by inserting a non-coring needle. At present, lidocaine cream and cold spray are extensively used for pain management, but they are complex to manage in busy medical environments and developing countries. The lidocaine spray combines the analgesic effect of lidocaine cream and the rapid onset of cold spray, which can effectively alleviate the pain related to non-coring needle puncture in patients with TIVAP. This randomized-controlled trial aimed to explore the effectiveness, acceptability, and safety of lidocaine spray in relieving the pain of non-coring needle puncture in patients with TIVAP. Methods A total of 84 patients who were hospitalized in the oncology department of a Grade III Level-A hospital in Shanghai from January 2023 to March 2023 and were implanted with TIVAP and required non-coring needle puncture were selected as the study subjects. The recruited patients were randomly assigned to the intervention group and the control group (n=42). Before routine maintenance, the intervention group received lidocaine spray 5 min before disinfection, while the control group received water spray 5 min before disinfection. The main clinical outcome was pain, and the degree of puncture pain in both groups was evaluated using the visual analogue scale. Results There were no significant differences between the two groups in age, gender, educational level, body mass index, port implantation time, and disease diagnosis (P>0.05). The pain score in the intervention and control groups was 15.12±6.61mm and 36.50±18.79mm, respectively (P<0.001). There were 2 (4.8%) patients with moderate pain in the intervention group and 18 (42.9%) patients with moderate pain in the control group (P<0.001). In the control group, 3 (7.1%) patients reported severe pain. The median comfortability score for the two groups of patients was 10, but there was a difference between the two groups (P<0.05) because the intervention group tilted to the right. The successful puncture rate of the first time puncture had no difference between the two groups, both being 100%. Moreover, 33 patients (78.6%) in the intervention group and 12 patients (28.6%) in the control group reported that they would choose the same spray for intervention in the future (P<0.001). During the 1 week of follow-up, 1 patient in the intervention group developed skin itching (P>0.05). Conclusions The local use of lidocaine spray in patients with TIVAP is effective, acceptable, and safe to alleviate the pain caused by non-coring needle puncture. Trial registration Chinese Clinical Trial Registry (registration number: ChiCTR2300072976)

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Effect of lidocaine spray on relieving non-coring needle puncture-related pain in patients with totally implantable venous access port: a randomized controlled trial

Zhu

Zhang

et al. 2023

Support Care Cancer

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“…Once identified, pharmacological or nonpharmacological pain management options can be used to reduce their pain. Pharmacological interventions include non‐opioid (NSAIDs, acetaminophen, ketamine, local anesthetics, clonidine, and gabapentin) and opioid analgesics 43,44 . Non‐pharmacological interventions include good pre and post‐procedure education, transcutaneous electrical nerve stimulation (TENS), music therapy, acupuncture, meditation, and relaxation therapy 44–46 .…”

Section: Discussionmentioning

confidence: 99%

Spasmodic Dysphonia Patients' Perception of Pain with Botulinum Toxin Injections

Heffernan

2023

The Laryngoscope

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ObjectivesTo evaluate spasmodic dysphonia patients' perception of pain associated with laryngeal botulinum toxin (BTX) injections and to determine factors associated with higher pain scores relative to other included patients.MethodsProspective cohort study. Adult patients with adductor spasmodic dysphonia that presented to a tertiary laryngology practice for BTX injections were recruited from March to July 2022. Patients completed the visual analog scale (VAS) pre‐procedure to quantify predicted pain. Ten minutes post‐procedure they completed VAS and the short form McGill Pain Questionnaire (SF‐MPQ). Factors that may affect pain were extracted from charts. Descriptive statistics, univariate, and multivariate analyses were conducted (alpha = 0.05).ResultsOne hundred and nineteen patients were included (63 ± 14 yo, 26% Male). SF‐MPQ reported mild pain (4.12 ± 4.05 out of 45) with a pain intensity of none to mild (0.70 ± 0.89 out of 5). Bilateral injections yielded significantly higher SF‐MPQ scores (5.19 ± 4.66) than unilateral injections (3.30 ± 3.30) (p = 0.012). There was a significant VAS reduction from pre 28.9 ± 24.6 mm (out of 10 mm) to post 24.5 ± 22.3 (p < 0.001). On multiple regression analyses, receiving a bilateral injection significantly (p < 0.05) contributed to a model that predicted higher pre‐VAS (p = 0.013). Bilateral injections (p < 0.05) and higher VHI‐10 (p < 0.05) contributed to a model that predicted higher total SF‐MPQ (p = 0.001) and affective SF‐MPQ (p = 0.001) scores. Not being a professional voice user (PVU) significantly (p < 0.05) contributed to a model that predicted higher post‐VAS (p = 0.008) scores.ConclusionsBTX injections were well tolerated with low pain scores. Factors associated with higher relative predicted or experienced pain included bilateral versus unilateral injection, PVU status, and higher VHI‐10.Level of EvidenceLevel 4 Laryngoscope, 2023

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“…Local anesthetic infiltration (lidocaine or mepivacaine), refrigerant sprays and vapo-coolants, and topically applied agents (gels, creams, or patches) are safe and effective choices. [25][26][27][28] Catheter-to-vessel ratio (CVR)…”

Section: Local Anesthesiamentioning

confidence: 99%

10 best practice tips with radial arterial catheterization

Imbrìaco

Spencer²,

Bardin-Spencer

2022

J Vasc Access

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Radial arterial catheters (RAC) are used extensively across critical care settings (Anesthesia, Intensive Care, Emergency Medicine) for continuous hemodynamic monitoring, allowing for immediate adjustments in vasopressor therapies and blood collection. Radial catheter failures are an ongoing significant issue for critical care clinicians with reported incidences at almost 25%. Common complications include loss of function, lack of blood return, poor quality waveforms and dislodgement, posing potential patient risks, and sudden loss of intra-arterial monitoring frequently requires prompt replacement. Contemporary research and technological improvements have highlighted several concepts to enhance the approach of RAC insertion and management while reducing immediate and late complications. The authors have prioritized the following 10 “best practice” aspects that may improve overall device function and reliability.

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Effectiveness of lidocaine spray on radial arterial puncture pain: A randomized double-blind placebo controlled trial

Cited by 6 publications

References 34 publications

Effect of lidocaine spray on relieving non-coring needle puncture-related pain in patients with totally implantable venous access port: a randomized controlled trial

Effect of lidocaine spray on relieving non-coring needle puncture-related pain in patients with totally implantable venous access port: a randomized controlled trial

Spasmodic Dysphonia Patients' Perception of Pain with Botulinum Toxin Injections

10 best practice tips with radial arterial catheterization

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