A Randomized, Double-Blind Trial to Determine if Vapocoolant in the Adult Population Improves Patient Perception of Pain With Peripheral Intravascular Access

Advanced Emergency Nursing Journal
Courtney Edwards, Christina Noah

Abstract

The purpose of this study was to investigate whether the use of a topical anesthetic spray (vapocoolant) at the site of intravenous access reduces pain and anxiety associated with peripheral intravenous (PIV) catheter insertion in an adult emergency department population. A randomized, double-blind, placebo-controlled, single-center trial, conducted from July to August, in an adult emergency department where 72 patients with orders for PIV insertion receiving either topical vapocoolant spray (n = 38) or placebo spray (n = 34). Vapocoolant or placebo was applied to the intravenous site and allowed to evaporate before cleansing and insertion. The primary outcome was patient perception of pain and anxiety with PIV needle insertion using a 0-10 Likert scale. Secondary outcomes included patient/staff preference or desire for vapocoolant/placebo use in future procedures and staff perception of patient pain and anxiety. Patient groups did not vary significantly in the history of intravenous access, nor anxiety preprocedure, and the sprays did not affect ability to obtain intravenous access. Patient perception of pain did not vary significantly between vapocoolant (2) and placebo populations (2.5), nor did the scores vary significantly...Continue Reading

References

Sep 23, 2003·Pain·M Soledad CepedaDaniel B Carr
Jan 1, 1997·European Journal of Pain : EJP·P BiroA S Cummins
Nov 17, 2010·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Steven AndersonJoan Cederna-Moss
Jul 10, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Melanie CrowleyAnnMarie Papa

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Citations

Nov 10, 2021·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Tulay BasakSoner Yilmaz

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