Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial

Introduction: Peripheral intravenous (IV) cannulation are routine procedures in emergency department (ED) admissions. Vapocoolant sprays have a potential advantage over other topical agents.We aimed to see how effective vapocoolant spray was in reducing pain during intravenous cannulation versus a c...

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Main Authors: Cihan Bedel, Fatih Selvi, Mehmet Akçimen
Format: Article
Language:English
Published: Selçuk University 2021-09-01
Series:Genel Tıp Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1952470
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author Cihan Bedel
Fatih Selvi
Mehmet Akçimen
author_facet Cihan Bedel
Fatih Selvi
Mehmet Akçimen
author_sort Cihan Bedel
collection DOAJ
description Introduction: Peripheral intravenous (IV) cannulation are routine procedures in emergency department (ED) admissions. Vapocoolant sprays have a potential advantage over other topical agents.We aimed to see how effective vapocoolant spray was in reducing pain during intravenous cannulation versus a control group in this study. Materials and Methods: This is a prospective, randomized control study consisting of patients who were admitted to the ED. The study included patients aged 18 and over who applied to the ED and had IV cannulation. The patients were divided into 2 groups as control and vapocoolant spray groups. Age, gender, and dominant hand status of all patient groups were recorded. Side effects were observed after the application. The Visual Analogue Scale (VAS), which is the most widely used scale to measure pain, was used. Results: 206 individuals were randomized. The mean age of the vapocoolant spray group was 46.40±16.44 years, while it was 46.75±17.49 years for the control group. The vapocoolant spray group was found to have significantly lower mean VAS values during IV cannulation than the control group (1.47±1.32 vs. 3.97±1.97 p<0.001). It was found that the vapocoolant spray-applied group had a significantly lower percentage in terms of moderate pain (VAS>3 cm) compared to the control group (7.8% vs 58.3%, p<0.001). Besides, the percentage of severe pain (VAS>5.4 cm) in the spray-applied group was found to be significantly lower than the control group (1% vs. 20.4%, p<0.001). Conclusion: The vapocoolant spray can be used effectively to mitigate the pain associated with the pre-IV cannulation procedure and can be an alternative method for reducing pain in emergency departments.
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spelling doaj.art-574348bac35944a693ccd2cc606a05e62023-09-14T08:24:53ZengSelçuk UniversityGenel Tıp Dergisi2602-37412021-09-0131329529810.54005/geneltip.989829154Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trialCihan Bedel0Fatih Selvi1Mehmet Akçimen2Antalya Education and Research Hospital, Emergency Medicine DepartmentAntalya Training and Research Hospital, Deparment of Emergency Medicine, Antalya, TurkeyAntalya Training and Research Hospital, Deparment of Emergency Medicine, Antalya, TurkeyIntroduction: Peripheral intravenous (IV) cannulation are routine procedures in emergency department (ED) admissions. Vapocoolant sprays have a potential advantage over other topical agents.We aimed to see how effective vapocoolant spray was in reducing pain during intravenous cannulation versus a control group in this study. Materials and Methods: This is a prospective, randomized control study consisting of patients who were admitted to the ED. The study included patients aged 18 and over who applied to the ED and had IV cannulation. The patients were divided into 2 groups as control and vapocoolant spray groups. Age, gender, and dominant hand status of all patient groups were recorded. Side effects were observed after the application. The Visual Analogue Scale (VAS), which is the most widely used scale to measure pain, was used. Results: 206 individuals were randomized. The mean age of the vapocoolant spray group was 46.40±16.44 years, while it was 46.75±17.49 years for the control group. The vapocoolant spray group was found to have significantly lower mean VAS values during IV cannulation than the control group (1.47±1.32 vs. 3.97±1.97 p<0.001). It was found that the vapocoolant spray-applied group had a significantly lower percentage in terms of moderate pain (VAS>3 cm) compared to the control group (7.8% vs 58.3%, p<0.001). Besides, the percentage of severe pain (VAS>5.4 cm) in the spray-applied group was found to be significantly lower than the control group (1% vs. 20.4%, p<0.001). Conclusion: The vapocoolant spray can be used effectively to mitigate the pain associated with the pre-IV cannulation procedure and can be an alternative method for reducing pain in emergency departments.https://dergipark.org.tr/tr/download/article-file/1952470intravenous cannulationpainvapocoolant sprayperiferik intravenöz kanülasyonağrıbuhar soğutucu sprey
spellingShingle Cihan Bedel
Fatih Selvi
Mehmet Akçimen
Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial
Genel Tıp Dergisi
intravenous cannulation
pain
vapocoolant spray
periferik intravenöz kanülasyon
ağrı
buhar soğutucu sprey
title Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial
title_full Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial
title_fullStr Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial
title_full_unstemmed Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial
title_short Vapocoolant spray for intravenous cannulation pain: a Prospective, randomized controlled trial
title_sort vapocoolant spray for intravenous cannulation pain a prospective randomized controlled trial
topic intravenous cannulation
pain
vapocoolant spray
periferik intravenöz kanülasyon
ağrı
buhar soğutucu sprey
url https://dergipark.org.tr/tr/download/article-file/1952470
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AT mehmetakcimen vapocoolantsprayforintravenouscannulationpainaprospectiverandomizedcontrolledtrial