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Clinical Investigations: Pulmonary LabPain During Arterial Puncture
Section snippets
Materials and Methods
We conducted a prospective double-blind study of 270 consecutive patients (187 men and 83 women; age, 60±12 years) undergoing lung function tests who required measurement of arterial blood gases. The study, approved by the hospital ethics committee, required that we describe the procedure carefully to all patients, but with no reference to pain that might be experienced. Two main groups were formed. Group A (n=210; 139 men and 71 women, age, 61±12 years) was formed to study pain of arterial
Results
Mean magnitude of pain reported on the visual analog scale for all arterial punctures carried out without either local anesthesia or placebo was 3.01±1.94 cm. After local anesthesia (subgroups A2 and B2), the mean levels of pain for arterial and venous punctures were 1.50±1.54 cm and 1.38±1.18 cm, respectively. Mean magnitude of pain produced by arterial or venous puncture and range of pain in each subgroup are shown in Table 1. We found significant differences between subgroups A1, A3, and B1
Discussion
To our knowledge, this is the first systematic study to show a relation between the magnitude of pain experienced by the patient and the use or not of local anesthesia before the procedure. The intensity of pain produced by direct arterial puncture, with no prior local anesthesia, ranged from slight to moderate in our subjects. Local anesthesia with mepivacaine before the procedure, however, produced a significant reduction in pain, which became even less than that elicited by conventional
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Ethyl chloride spray, a local anesthetic in arterial blood gas sampling: A randomized, controlled, double-blinded study
2022, American Journal of Emergency MedicineInterventions to reduce arterial puncture-related pain: A systematic review and meta-analysis
2022, International Journal of Nursing StudiesCitation Excerpt :Arterial puncture was always an elective procedure performed at the radial site except in two (Lightowler and Elliott, 1997, García García et al., 2005) studies, which did not specify the access site. Arterial puncture was performed by physicians (n = 20) (Bobbia et al., 2013, Lightowler and Elliott, 1997, Giner et al., 1996, Joly et al., 1998, Kim et al., 2007, Latsios et al., 2017, Olday et al., 2002, Russell et al., 1988, Tran et al., 2002, Farahmand et al., 2017, Haynes, 2015, Rüsch et al., 2017, Ibrahim et al., 2015, Yee et al., 2015, France et al., 2008, Grandpierre et al., 2019, Hajiseyedjavady et al., 2012, Wade et al., 2015, Baskın et al., 2014, Tatlı et al., 2018), nurses (n = 11) (Matheson et al., 2014, Patout et al., 2015, Lasocki et al., 2020, Mayoral et al., 2010, Guevara Sanz and Conde Anguita, 2001, Micu et al., 2006, Ballesteros-Peña et al., 2017, L'Her et al., 2001, Pagnucci et al., 2020, Guevara Sanz and Requena Castillo, 2011, Carpizo et al., 2014), respiratory therapists (n = 4) (Cortés-Télles et al., 2012, Tran et al., 2002, Aaron et al., 2003, Mahto et al., 2016), and experienced researchers (n = 2) (Bastami et al., 2015, Khalil, 2017). Six (García García et al., 2005, Giner et al., 2000, Smith et al., 1990, Ruetzler et al., 2012, Giner et al., 1997, Sherwin et al., 2003) studies did not report who performed the procedure (Table 1).
10% Lidocaine spray as a local anesthetic in blood gas sampling: A randomized, double-blind, placebo-controlled study
2021, American Journal of Emergency MedicineAssessment of the SpO<inf>2</inf>/FiO<inf>2</inf> ratio as a tool for hypoxemia screening in the emergency department
2021, American Journal of Emergency MedicineCitation Excerpt :This indicator has been validated in many pathological situations [3,4] but requires an arterial blood sample and therefore is often not immediately accessible upon the patient's admission. Arterial puncture is also a source of pain and complications [5-8]. Validation of a noninvasive tool could allow us to improve triage time and patient orientation upon admission.
Gender Differences among Nurses in Managing Arterial Puncture-Related Pain: A Multicenter Cross-Sectional Study
2024, Healthcare (Switzerland)
Supported by Grant SEPAR-1994
revision accepted July 5.