Benefits of the application of heat and pressure on peripheral venous cannulation in adults: A randomized controlled trial.

Journal of Advanced Nursing
Leticia Carmen Simón-LópezIsmael Ortuño-Soriano

Abstract

To evaluate the effectiveness of the application of topical heat, high pressure or a combination of both on antebrachial venous cannulation. A cross-over clinical trial blinded for haemolysis analysis. This cross-over clinical trial with two periods was performed in the Clinical Trial Unit of Hospital Universitario de La Princesa (Madrid) during June-July of 2017 in 59 healthy adults who were randomly allocated to one of three interventions: (1) Using dry topical heat for 7 min produced by two hot seed bags (N = 21), (2) Applying controlled pressure from a sphygmomanometer inflated to 100 mmHg (N = 18) and (3) combining heat and pressure (N = 20) in one period out of two. All interventions were contrasted to standard clinical practice in the other period. The comparator involved a standard tourniquet around the upper arm to restrict venous blood flow. The primary outcome was effectiveness measured as vein cannulation at first attempt. Secondary outcomes were vein perception, pain, haemolysis in blood samples and adverse events. All the interventions were more effective than comparator. Vein perception was optimized in about all individuals. Moreover, pain relief was significantly higher when high pressure was applied. Haemolysi...Continue Reading

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