Interventions to reduce arterial puncture-related pain: A systematic review and meta-analysis

Gonella, Silvia; Clari, Marco; Conti, Alessio; Simionato, Laura; Tassone, Cristina; Berchialla, Paola; Campagna, Sara

doi:10.1016/j.ijnurstu.2021.104131

Cited by 9 publications

(6 citation statements)

References 69 publications

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“…The main finding of this study is that a greater proportion of male nurses than female nurses use some strategy to minimize ABG puncture pain (45.0% vs. 30.0%). If we also focus exclusively on local anesthetic infiltration, which is recommended by WHO [ 2 ] and considered to be the most effective method [ 30 ], in our study, a higher proportion of men perceive it as effective (39.6% vs. 28.3%) and a lower proportion of men never use it (67.6% vs. 87.3%). Although we did not find similar studies evaluating the use of pain minimization strategies by gender, different authors [ 31 ] also found in other contexts that healthcare professionals do not use local anesthetic infiltration to reduce pain when performing ABG punctures.…”

Section: Discussionmentioning

confidence: 83%

Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study

Mateos-Arroyo,

Zaragoza-García,

Sánchez-Gómez

et al. 2024

Healthcare

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There is evidence that healthcare can be executed differentially depending on the gender of patients, researchers, and clinicians. The aim was to analyze the possible existence of nursing gender differences in pain management produced by arterial puncture for blood gas analysis. A cross-sectional, multicenter study designed was conducted in Castilla-la Mancha (Spain). Variables of interest were collected from nurses in the public health system of a European region through a questionnaire. Data were collected for four months; the primary outcome was the use of any intervention to reduce pain and the explanatory variable was the nurse’s gender. Bivariate analysis was carried out to assess associations between gender and pain-reducing interventions and a multivariate model was created with those factors that were relevant using logistic regression. A significantly higher proportion of men reported using some form of intervention (45% vs. 30%) and had more specific training (45.9% vs. 32.4%). The adjusted probability of using pain-reducing interventions by men was 71% higher than women. Thus, we found gender differences in the management of pain caused by arterial punctures performed by nurses as the main healthcare providers.

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Section: Discussionmentioning

confidence: 83%

Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study

Mateos-Arroyo,

Zaragoza-García,

Sánchez-Gómez

et al. 2024

Healthcare

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“…Rusch et al [ 57 ] found that vapocoolant spray significantly mitigated discomfort compared to lidocaine after evaluating the overall discomfort associated with both the anesthetic application and artery puncture. A meta-analysis also stated that cryotherapy emerged as beneficial in reducing patients’ perception of arterial puncture-related pain [ 58 ]. Nevertheless, two studies [ 48 , 52 ] comprising 140 patients were included in our meta-analysis and reported that vapocoolant was not effective in reducing the intensity of arterial puncture pain compared to the control group.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the effectiveness of spray for arterial puncture remains uncertain. Moreover, although 80% of people currently consider arterial punctures to be very painful [ 59 ], most have not undergone analgesic techniques [ 58 ], which also reminds us to focus on pain management for patients with arterial puncture.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of vapocoolant spray for vascular puncture in children and adults: A systematic review and meta-analysis

et al. 2023

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Objective The aim was to evaluate the effectiveness and safety of the vapocoolants for vascular puncture in children and adults. Method The search was carried out in PubMed, Web of Science, Embase and The Cochrane Library, from inception to March 2022. Randomized controlled trials comparing vapocoolants to control conditions for participants received intravenous cannulation or arterial puncture were included. Two reviewers independently performed selection of studies, data extraction, and assessment of risk of bias. The analysis was performed using fixed or random-effects model with mean differences or standardized mean difference and risk ratios. Results A total of 25 studies involving 3143 participants were included. Compared with control conditions, vapocoolants may not decrease the pain of patients with arterial puncture (SMD = -0.36, 95% CI = -0.92 to -0.19, P = 0.20), but may more effectively relieve pain for adults received vein puncture (SMD = -0.65, 95% CI = -0.85 to -0.45, P < 0.00001). The application of vapocoolant increased the procedural difficulty of medical personnel (RR = 2.49, 95% CI = 1.62 to 3.84, P<0.000 1) and participants were more willing to use the spray in the future (RR = 1.88, 95% CI = 1.34 to 2.64, P = 0.0002). There was no significant difference for the first attempt success rate of the procedure and the occurrence of adverse events. Conclusions Vapocoolant spray may relieve pain in adults received vein puncture and cannot cause severe side effects, but is ineffective in children. It also had no effect on patients with arterial puncture. In addition, the application of spray increases procedural difficulties for medical professionals, but does not decrease first attempt success rate, and many patients would like to use the spray again for pain relief in the future. Thus, more rigorous and large-scale studies are needed to determine its effectiveness in vascular access.

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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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Interventions to reduce arterial puncture-related pain: A systematic review and meta-analysis

Cited by 9 publications

References 69 publications

Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study

Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study

Efficacy and safety of vapocoolant spray for vascular puncture in children and adults: A systematic review and meta-analysis

10 best practice tips with radial arterial catheterization

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