A Randomized Controlled Trial on the Effect of Needle Gauge on the Pain and Anxiety Experienced during Radial Arterial Puncture

被引:27
|
作者
Patout, Maxime [1 ,2 ]
Lamia, Bouchra [1 ,2 ]
Lhuillier, Elodie [1 ]
Molano, Luis-Carlos [1 ]
Viacroze, Catherine [1 ]
Benhamou, Daniel [1 ]
Muir, Jean-Francois [1 ,2 ]
Cuvelier, Antoine [1 ,2 ]
机构
[1] Rouen Univ Hosp, Resp Dept, Intens Care Unit, Rouen, France
[2] Univ Rouen, Haute Normandie Inst Biomed Res & Innovat, Grp Rech Handicap Ventilatoire, UPRES EA 3830, Rouen, France
来源
PLOS ONE | 2015年 / 10卷 / 09期
关键词
INTENSIVE-CARE-UNIT; BLOOD-GAS ANALYSIS; ANESTHESIA;
D O I
10.1371/journal.pone.0139432
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Arterial punctures for assessment of arterial blood-gases can be a painful procedure. Lidocaine can be used to reduce pain prior to needle insertion but it is not a widely accepted practice. The purpose of this study was to determine whether a large size needle induces more pain compared to a smaller size needle for radial arterial puncture and to assess the anxiety associated with radial arterial punctures. Methods We conducted a prospective, double-blind, randomized, controlled, monocentric study including all outpatients who had a planned assessment of arterial blood gas analysis. Patients were randomized to have the arterial puncture performed with a 23 or a 25 G needle. The main judgement criteria was pain during arterial puncture. Visual analogue scale for pain (VAS-P) and visual analogue scale for anxiety (VAS-A) were used to assess pain and anxiety during radial arterial puncture. Results Two hundred consecutive patients were randomized. The 25 G needle was as painful as the 23 G needle (6.63 mm [0-19 mm] vs. 5.21 mm [0-18.49 mm], respectively, p = 0.527). Time for arterial puncture was longer with the 25 G needle than with the 23 G needle (42 s [35-55 s] vs. 33 s [24.5-35 s], respectively, p = 0.002). There was a correlation between the level of anxiety prior to the arterial puncture and the pain experienced by the patients (p: 0.369, p<0.0001). There was a correlation between the pain experienced by patients and the anxiety experienced in anticipation of another arterial puncture (p: 0.5124, p<0.0001). Conclusions The use of 23 G needle allows quicker arterial sampling and is not associated with increased pain and symptoms. Anxiety was correlated with the pain experienced by patients during arterial punctures.
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页数:10
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