The effects of Valsalva manoeuvres on venepuncture pain

European Journal of Anaesthesiology
G BasaranogluL Saitoglu

Abstract

Stimulating the vagus nerve reduces pain. The purpose of this study was to evaluate the effect of a Valsalva manoeuvre, which stimulates the vagus nerve, on perception of pain during peripheral venous cannulation in adult patients. This was a prospective randomized clinical trial. One hundred and ten patients scheduled for elective surgery were randomly divided into two groups. Half of the patients, Group A, underwent venepuncture during a Valsalva manoeuvre and the other half of the patients, Group B, underwent venepuncture without performing a Valsalva manoeuvre. Patients made a pain assessment using a 0-10 point numerical rating scale. The numerical rating scale score was 1.5+/-1.2 for Group A and 3.1+/-1.9 for Group B, the difference being statistically significant (P<0.0001). On the basis of data from this study, the Valsalva manoeuvre may be of the value before venous cannulation as a simple and practical method to reduce pain from venous cannulation.

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Citations

Apr 17, 2013·Pain Practice : the Official Journal of World Institute of Pain·Mustafa SurenSerkan Dogru
Oct 28, 2017·Journal of Clinical Nursing·Dilek Yılmaz, Ülkü Yapucu Güneş
Jan 10, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Taras I UsichenkoKlaus Hahnenkamp
Mar 14, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Nurten Alan, Leyla Khorshid

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