Topikal nikotinat katkılı etofenamat kullanılmasının periferik venöz kanülasyon başarısına etkisi
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Dosyalar
Tarih
2008
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Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Periferik venöz kanülasyon, hospitalize olgularda sıklıkla uygulanan tıbbi işlemlerden biridir. Çalışmada, nikotinat katkılı etofenamatın (Thermo-Rheumon® Cream) pediyatrik olgularda venöz kanülasyon başarısı ve işlem ağrısı üzerindeki etkilerinin araştırılması amaçlandı. Gereç ve Yöntem: Elektif adenoidektomi ve/veya tonsillektomi ameliyatı planlanan, yaşları 7-12 arasında değişen, ASA fiziksel durumu I-II, 60 olgu iki grup halinde çalışmaya alındı. Etofenamat grubunda (n=30), topikal ajan (Thermo-Rheumon® Cream) non-dominant el sırtına uygulanıp, üzeri şeffaf örtü kapatıldıktan sonra 10 dk. beklendi. EMLA (eutectic mixture of local anesthetics) grubunda (n=30) ise girişim sahasına krem, işlemden 1 saat önce uygulanarak şeffaf örtü ile kapatıldı. Her iki grupta da venöz kanülasyon, 22 G kanül ile yapıldı. Kanülasyon zorluğu 4 dereceli bir skala ile işlem ağrısı, fasiyal ağrı skalasının (0-10 puan) yanı sıra, gözlemcinin davranışsal yanıtı değerlendirdiği 0-3 puan aralığında bir skala ile belirlendi. Bulgular: Etofenamat grubunda ilk girişte kanülasyon başarısı EMLA grubuna göre istatistiksel olarak anlamlı yüksek bulundu (p<0.05). Kaşıntı, eritem ve rahatsızlık hissi etofenamat grubunda daha yüksek idi (p<0.05). Hem fasiyal hem de davranışsal ağrı skorları, EMLA grubunda etofenamat grubuna kıyasla istatistiksel olarak anlamlı düzeyde düşük gözlendi (p<0.05). Sonuç: Nikotinat katkılı etofenamatın, pediyatrik popülasyonda venöz kanülasyon başarısını önemli ölçüde artırdığı, ancak işlem ağrısının azaltılması üzerine etkisinin sınırlı olduğu kanısına varıldı.
Objective: Venipuncture is a commonly performed procedure in hospitalized patients. In this study we aimed to investigate the effects of etofenamate with nicotinate (Thermo-Rheumon® Cream) on the effectiveness on venous cannulation success and procedural pain in pediatric patients. Patients and Methods: Sixty children, aged 7-12 yr, ASA physical status I-II, undergoing elective adenoidectomy and/or tonsillectomy surgery were allocated into two groups. In group etofenamate (n=30), topical agent was applicated on dorsum of the non dominant hand before venipuncture then covered with a transparent dressing for 10 min. In EMLA (eutectic mixture of local anesthetics) group (n=30), cream was applicated 1 hour before the procedure then covered with a transparent dressing. In both groups, venous cannulation was performed with 22 G cannula. Difficulty in cannulation was evaluated by a 4 point scale and procedural pain by facial pain scale (range 0-10) and behavioral response scale (range 0-3) were scored. Results: Significant venipuncture success at the first attempt was observed in group etofenamate compared with EMLA group (p<0.05). The incidences of pruritus, erythema and discomfort were higher in etofenamate group (p<0.05). Both facial and behavioral pain scores were found lower in EMLA group (p<0.05). Conclusion: We concluded that etofenamate with nicotinate may provide significant benefit in augmenting the venipuncture success during intravenous cannula insertion in pediatric population but the effect on procedural pain is limited.
Objective: Venipuncture is a commonly performed procedure in hospitalized patients. In this study we aimed to investigate the effects of etofenamate with nicotinate (Thermo-Rheumon® Cream) on the effectiveness on venous cannulation success and procedural pain in pediatric patients. Patients and Methods: Sixty children, aged 7-12 yr, ASA physical status I-II, undergoing elective adenoidectomy and/or tonsillectomy surgery were allocated into two groups. In group etofenamate (n=30), topical agent was applicated on dorsum of the non dominant hand before venipuncture then covered with a transparent dressing for 10 min. In EMLA (eutectic mixture of local anesthetics) group (n=30), cream was applicated 1 hour before the procedure then covered with a transparent dressing. In both groups, venous cannulation was performed with 22 G cannula. Difficulty in cannulation was evaluated by a 4 point scale and procedural pain by facial pain scale (range 0-10) and behavioral response scale (range 0-3) were scored. Results: Significant venipuncture success at the first attempt was observed in group etofenamate compared with EMLA group (p<0.05). The incidences of pruritus, erythema and discomfort were higher in etofenamate group (p<0.05). Both facial and behavioral pain scores were found lower in EMLA group (p<0.05). Conclusion: We concluded that etofenamate with nicotinate may provide significant benefit in augmenting the venipuncture success during intravenous cannula insertion in pediatric population but the effect on procedural pain is limited.
Açıklama
Anahtar Kelimeler
Etofenamat, Nikotinat, Topikal, Venöz Kanülasyon, Etofenamate, Nicotinate, Topical, Venous Cannulation
Kaynak
Türk Anestezi ve Reanimasyon Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
36
Sayı
4