Skin Sterility After Application of a Vapocoolant Spray Part 2

Mlynek, Karolina; Hwang, Lyahn; Richards, Bryson G.; Schleicher, William F.; Gharb, Bahar Bassiri; Procop, Gary W.; Tuohy, Marion J.

doi:10.1007/s00266-015-0509-5

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…The quick cooling of the skin decreases the impulses speed that travels between nerve fibers [33]. They are efficient, inexpensive, and easy to apply methods of pain reduction [34]. While we found that they are effective methods of pain reduction in venous cannulation, the results of previous studies are not consistent.…”

Section: Discussioncontrasting

confidence: 79%

Comparison of music and vapocoolant spray in reducing the pain of venous cannulation in children age 6-12: a randomized clinical trial

et al. 2022

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Background Venous cannulation is among the most stressful and painful experiences of children hospitalization. Children with thalassemia need regular blood transfusion which needs venous access each time. The quality of care and quality of life of children will be improved if appropriate methods are used to reduce pain. This study aimed to compare vapocoolant spray and music in the reduction of pain of Venous cannulation in children with thalassemia. Methods The study was a randomized controlled clinical trial with a cross-over design. Thirty-six children with thalassemia from Thalassemia Patients of Pasteur Hospital in Bam from October to December 2020 and were recruited and randomly allocated to two arms. The pain of venous cannulation (no treatment) was measured in the first blood transfusion session as control. In the second and third sessions, two arms received music and vapocoolant spray before the venous cannulation with a cross-over design. The intensity of pain was measured by a Visual Analogue Scale (VAS). The change in pain scores was tested by ANOVA and Tukey post-hoc test between three measurements. Results During and after the cannulation, the pain was significantly lower in the vapocoolant measurement than in control and music (p < 0.05). There was a significant effect of vapocoolant spray during the procedure F (2, 90) = 25.604, p = 0.001. Also, there was a significant effect of vapocoolant spray after the procedure F (2, 90) = 10.087, p = 0.004). Music did not reduce the pain during cannulation (p = 0.413) and after that (p = 0.807) significantly when compared with control. Conclusions Vapocoolant was an effective method of pain reduction in the reduction of venous cannulation pain. Music was not effective in the reduction of venous cannulation pain when we compared it with controls. The pain of venous cannulation is rated as high and it can have negative effects on the children. There is a need to do more research on the methods of pain reduction of venous cannulation. Trial registration The trial is registered: IRCT20111019007844N13, 13/03/2020. Available at: https://en.irct.ir/trial/42904.

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Section: Discussioncontrasting

confidence: 79%

Comparison of music and vapocoolant spray in reducing the pain of venous cannulation in children age 6-12: a randomized clinical trial

et al. 2022

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“…A significant decrease in bacterial colony counts in unprepared skin following TRS application was reported by Evans et al (2015). Two additional studies confirm the findings of skin sterility after application of TRS (Mlynek, 2015; Polishchuk, 2012). Studies using TRS prior to multiple needlestick procedures including accessing dialysis port have not noted an increase in infections.…”

supporting

confidence: 53%

Topical Refrigerant Spray for IVs: Patient/Provider Responses - Prospective, Double-blind, Randomized Study

2020

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Painful procedures are common. Patients prefer analgesia for painful procedures. Studies indicate that use of a topical refrigerant spray (TRS) prior to needlestick procedures decreases needlestick pain. TRS is easy to apply, inexpensive, has fast onset, and avoids needlestick pain and anxiety, and needlestick injury risk. Patient and health care provider (HCP) acceptance of any technique is essential before it is adopted. This study evaluated the decrease in pain with TRS and the patient and HCP satisfaction and acceptance of TRS for peripheral intravenous (PIV) placement. Adults (N = 300) randomized to placebo or TRS and HCPs (N = 300) placing PIVs answered questionnaires. Patients had significantly less pain than with prior PIVs, and were satisfied with and would use TRS in the future (P < 0.001). HCP felt that patients had significantly (P < 0.001) less pain with TRS than the placebo, and were satisfied with the TRS, and would use TRS in the future. Registered at Clinicaltrials.gov NCT01670487

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“…The patient workflow can be more efficient as ECS produces an instant anesthetic effect compared to the time required to draw up the injectable anesthetic, to give the injection and to wait (a few minutes) for the anesthetic to take effect. Furthermore, a number of studies have demonstrated that ECS does not contaminate a sterile field, with some studies demonstrating ECS to have disinfective and antimicrobial properties . In that regard, Azar et al have shown ECS to be as effective as the antiseptic povidone iodine.…”

Section: Discussionmentioning

confidence: 99%

“…There is a saving of 0.11 US$ per injection using ECS. Furthermore, a number of studies have demonstrated that ECS does not contaminate a sterile field, [11][12][13] with some studies demonstrating ECS to have disinfective and antimicrobial properties. [13][14][15] In that regard, Azar et al 14 have shown ECS to be as effective as the antiseptic povidone iodine.…”

Section: Re S U L Tsmentioning

confidence: 99%

Ethyl chloride spray for musculoskeletal ultrasound‐guided injections: An alternative to subcutaneous injection of local anesthetic solution

Shah

Vidoni

McGarry

et al. 2017

J of Clinical Ultrasound

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Ultrasound-guided injections such as steroid injections are common procedures involving the musculoskeletal system. They are usually performed after a subcutaneous injection of local anesthetic (LA), which can be painful. In 126 consecutive patients, local anesthesia was performed using ethyl chloride spray prior to a therapeutic ultrasound-guided injection in joints, tendons, or bursae. Ninety-nine (78.5%) patients found the use of ethyl chloride spray helpful. The use of ethyl chloride spray is an effective, patient-friendly alternative to the standard injection of local aesthetic for ultrasound-guided therapeutic musculoskeletal injections with the advantage of a lower cost of $0.18 per procedure.

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Skin Sterility After Application of a Vapocoolant Spray Part 2

Abstract: The use of the vapocoolant spray does not compromise the sterility of the skin following alcohol prep. Both 70 % isopropyl alcohol antiseptic preparation and skin preparation followed by vapocoolant spray significantly reduce skin colonization when compared to unprepared skin (p < 0.001).

Cited by 6 publications

References 16 publications

Comparison of music and vapocoolant spray in reducing the pain of venous cannulation in children age 6-12: a randomized clinical trial

Comparison of music and vapocoolant spray in reducing the pain of venous cannulation in children age 6-12: a randomized clinical trial

Topical Refrigerant Spray for IVs: Patient/Provider Responses - Prospective, Double-blind, Randomized Study

Ethyl chloride spray for musculoskeletal ultrasound‐guided injections: An alternative to subcutaneous injection of local anesthetic solution

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