Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography
With respect to the transfemoral approach, transradial procedures enable a drastic reduction of bleeding events and are associated with a reduction of mortality. Radial artery spasm (RAS) is one of the most common complications and may lead to patient discomfort and procedural failure. Currently, th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/9/2747 |
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| author | Caroline Birgy Antonin Trimaille Nathan Messas Jessica Ristorto Anas Kayali Benjamin Marchandot Thomas Cardi Sébastien Hess Marion Kibler Laurence Jesel Patrick Ohlmann Olivier Morel |
| author_facet | Caroline Birgy Antonin Trimaille Nathan Messas Jessica Ristorto Anas Kayali Benjamin Marchandot Thomas Cardi Sébastien Hess Marion Kibler Laurence Jesel Patrick Ohlmann Olivier Morel |
| author_sort | Caroline Birgy |
| collection | DOAJ |
| description | With respect to the transfemoral approach, transradial procedures enable a drastic reduction of bleeding events and are associated with a reduction of mortality. Radial artery spasm (RAS) is one of the most common complications and may lead to patient discomfort and procedural failure. Currently, there is no consensus on the optimal sedation protocol to avoid RAS. The aim of this study was to investigate the respective impact of opioids analgesia and inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox) on pain and occurrence of RAS during transradial coronary procedures. Consecutive patients undergoing transradial coronary angiography were prospectively enrolled in one, single center observational study (Nouvel Hôpital Civil, Strasbourg, France). Patients received opioids analgesia or inhalation sedation with Kalinox. The primary endpoints of the study were the incidence of a pain scale ≥5/10 and the occurrence of RAS. The secondary endpoints were the incidence of side effects. A total of 325 patients were enrolled (185 in the opioids analgesia group, 140 in the Kalinox group). RAS and pain scale ≥5 rates were not significantly different in the opioids analgesia and Kalinox groups (respectively 13.5% vs. 10.0% and 16.2% vs. 11.4%). Headache was more frequently observed in the Kalinox group (6.4% vs. 0.0%; <i>p</i> = 0.002). By multivariate analysis, female gender, BMI <25 kg/m<sup>2</sup>, puncture difficulty, the use of plastic needle and 6F sheath were identified as independent predictors of RAS. Procedural inhalation sedation by Kalinox is as safe as opioids analgesia during transradial coronary angiography. |
| first_indexed | 2024-03-10T16:50:24Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T16:50:24Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0a48dfc0cdd740c88f6c2de6494493842023-11-20T11:18:47ZengMDPI AGJournal of Clinical Medicine2077-03832020-08-0199274710.3390/jcm9092747Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary AngiographyCaroline Birgy0Antonin Trimaille1Nathan Messas2Jessica Ristorto3Anas Kayali4Benjamin Marchandot5Thomas Cardi6Sébastien Hess7Marion Kibler8Laurence Jesel9Patrick Ohlmann10Olivier Morel11Pôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FrancePôle d’Activité Médico-Chirurgicale Cardiovasculaire, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67000 Strasbourg, FranceWith respect to the transfemoral approach, transradial procedures enable a drastic reduction of bleeding events and are associated with a reduction of mortality. Radial artery spasm (RAS) is one of the most common complications and may lead to patient discomfort and procedural failure. Currently, there is no consensus on the optimal sedation protocol to avoid RAS. The aim of this study was to investigate the respective impact of opioids analgesia and inhalation sedation with a 50% nitrous oxide/oxygen premix (Kalinox) on pain and occurrence of RAS during transradial coronary procedures. Consecutive patients undergoing transradial coronary angiography were prospectively enrolled in one, single center observational study (Nouvel Hôpital Civil, Strasbourg, France). Patients received opioids analgesia or inhalation sedation with Kalinox. The primary endpoints of the study were the incidence of a pain scale ≥5/10 and the occurrence of RAS. The secondary endpoints were the incidence of side effects. A total of 325 patients were enrolled (185 in the opioids analgesia group, 140 in the Kalinox group). RAS and pain scale ≥5 rates were not significantly different in the opioids analgesia and Kalinox groups (respectively 13.5% vs. 10.0% and 16.2% vs. 11.4%). Headache was more frequently observed in the Kalinox group (6.4% vs. 0.0%; <i>p</i> = 0.002). By multivariate analysis, female gender, BMI <25 kg/m<sup>2</sup>, puncture difficulty, the use of plastic needle and 6F sheath were identified as independent predictors of RAS. Procedural inhalation sedation by Kalinox is as safe as opioids analgesia during transradial coronary angiography.https://www.mdpi.com/2077-0383/9/9/2747percutaneous coronary interventionradial artery spasmanalgesiaMEOPAKalinoxEntonox |
| spellingShingle | Caroline Birgy Antonin Trimaille Nathan Messas Jessica Ristorto Anas Kayali Benjamin Marchandot Thomas Cardi Sébastien Hess Marion Kibler Laurence Jesel Patrick Ohlmann Olivier Morel Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography Journal of Clinical Medicine percutaneous coronary intervention radial artery spasm analgesia MEOPA Kalinox Entonox |
| title | Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography |
| title_full | Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography |
| title_fullStr | Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography |
| title_full_unstemmed | Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography |
| title_short | Impact of Opioid Analgesia and Inhalation Sedation Kalinox on Pain and Radial Artery Spasm during Transradial Coronary Angiography |
| title_sort | impact of opioid analgesia and inhalation sedation kalinox on pain and radial artery spasm during transradial coronary angiography |
| topic | percutaneous coronary intervention radial artery spasm analgesia MEOPA Kalinox Entonox |
| url | https://www.mdpi.com/2077-0383/9/9/2747 |
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