Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis
<p>Abstract</p> <p>Background</p> <p>Intra-articular corticosteroid injection in juvenile idiopathic arthritis (JIA) is often associated with anxiety and pain. Recent reports advocate the use of nitrous oxide (NO), a volatile gas with analgesic, anxiolytic and sedative...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-01-01
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| Series: | Pediatric Rheumatology Online Journal |
| Online Access: | http://www.ped-rheum.com/content/6/1/1 |
| _version_ | 1811264003223060480 |
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| author | Harel Liora Press Joseph Tauber Tsivia Rothschild Michal Chapnick Gil Uziel Yosef Hashkes Philip J |
| author_facet | Harel Liora Press Joseph Tauber Tsivia Rothschild Michal Chapnick Gil Uziel Yosef Hashkes Philip J |
| author_sort | Harel Liora |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Intra-articular corticosteroid injection in juvenile idiopathic arthritis (JIA) is often associated with anxiety and pain. Recent reports advocate the use of nitrous oxide (NO), a volatile gas with analgesic, anxiolytic and sedative properties.</p> <p>Objective</p> <p>To prospectively evaluate the effectiveness and safety of NO analgesia for intra-articular corticosteroid injection in JIA, and to assess patients and staff satisfaction with the treatment.</p> <p>Methods</p> <p>NO was administered to JIA patients scheduled for joint injection. The patient, parent, physician and nurse completed visual-analog scores (VAS) (0–10) for pain, and a 5-point satisfaction scale. Change in heart rate (HR) during the procedure was recorded in order to examine physiologic response to pain and stress. Patient's behavior and adverse reactions were recorded.</p> <p>Results</p> <p>54 procedures (72 joints) were performed, 41 females, 13 males; 39 Jewish, 13 Arab; mean age was 12.2 ± 4.7 year. The median VAS pain score for patients, parents, physicians and nurses was 3. The HR increased ≥ 15% in 10 patients. They had higher VAS scores as evaluated by the staff. The median satisfaction level of the parents and staff was 3.0 and 5.0 respectively. Adverse reactions were mild.</p> <p>Conclusion</p> <p>NO provides effective and safe sedation for JIA children undergoing intra-articular injections.</p> |
| first_indexed | 2024-04-12T19:55:20Z |
| format | Article |
| id | doaj.art-34ffa7fcee8b47bbb5224a6f2333aef6 |
| institution | Directory Open Access Journal |
| issn | 1546-0096 |
| language | English |
| last_indexed | 2024-04-12T19:55:20Z |
| publishDate | 2008-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Pediatric Rheumatology Online Journal |
| spelling | doaj.art-34ffa7fcee8b47bbb5224a6f2333aef62022-12-22T03:18:40ZengBMCPediatric Rheumatology Online Journal1546-00962008-01-0161110.1186/1546-0096-6-1Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritisHarel LioraPress JosephTauber TsiviaRothschild MichalChapnick GilUziel YosefHashkes Philip J<p>Abstract</p> <p>Background</p> <p>Intra-articular corticosteroid injection in juvenile idiopathic arthritis (JIA) is often associated with anxiety and pain. Recent reports advocate the use of nitrous oxide (NO), a volatile gas with analgesic, anxiolytic and sedative properties.</p> <p>Objective</p> <p>To prospectively evaluate the effectiveness and safety of NO analgesia for intra-articular corticosteroid injection in JIA, and to assess patients and staff satisfaction with the treatment.</p> <p>Methods</p> <p>NO was administered to JIA patients scheduled for joint injection. The patient, parent, physician and nurse completed visual-analog scores (VAS) (0–10) for pain, and a 5-point satisfaction scale. Change in heart rate (HR) during the procedure was recorded in order to examine physiologic response to pain and stress. Patient's behavior and adverse reactions were recorded.</p> <p>Results</p> <p>54 procedures (72 joints) were performed, 41 females, 13 males; 39 Jewish, 13 Arab; mean age was 12.2 ± 4.7 year. The median VAS pain score for patients, parents, physicians and nurses was 3. The HR increased ≥ 15% in 10 patients. They had higher VAS scores as evaluated by the staff. The median satisfaction level of the parents and staff was 3.0 and 5.0 respectively. Adverse reactions were mild.</p> <p>Conclusion</p> <p>NO provides effective and safe sedation for JIA children undergoing intra-articular injections.</p>http://www.ped-rheum.com/content/6/1/1 |
| spellingShingle | Harel Liora Press Joseph Tauber Tsivia Rothschild Michal Chapnick Gil Uziel Yosef Hashkes Philip J Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis Pediatric Rheumatology Online Journal |
| title | Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis |
| title_full | Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis |
| title_fullStr | Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis |
| title_full_unstemmed | Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis |
| title_short | Nitrous Oxide sedation for intra-articular injection in juvenile idiopathic arthritis |
| title_sort | nitrous oxide sedation for intra articular injection in juvenile idiopathic arthritis |
| url | http://www.ped-rheum.com/content/6/1/1 |
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