Comparative Study of the Effect of Lidocaine Spray and Ice Spray on the Pain Intensity During Intramuscular Injection: A Randomized Clinical Trial

IntroductionAn increasing interest in minimally invasive procedures hassled to a demand for an effective local anesthetic algorithm. The scalp presents a challenge in achieving effective anesthesia due to the presence of hair shafts. This study aims to evaluate the efficacy of different methods during a microneedling procedure, including 25 mg lidocaine and 25 mg prilocaine cream, skin spray with 10% lidocaine, and cold gel compresses.Materials and MethodsSixty‐two men aged between 20 and 50 years underwent three microneedling treatments, each using a different method of anesthesia. The treatment area was divided into two equal parts, with one part exposed to a specific anesthetic method. Patients were asked to rate their pain on a 0–10 verbal analog scale. An attempt was made to objectify the results using algometry.ResultsA negative correlation was observed between the algometry results and the VAS score after the application of the cream and cold compresses.DiscussionWhen choosing monotherapy, it is recommended to use cold gel compresses for scalp microneedling after considering the advantages and disadvantages of different methods.

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Temporal Dynamics of Pain: Examining the Relationship Between Intramuscular Injection Duration and Pain Perception: A Crossover Randomized Controlled Trial

Acarlioglu,

Senturan,

Salimi

2024

Cureus

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Background Effective pain management is crucial for optimizing the patient experience and satisfaction with care. Many factors affect the intensity of injection pain, and one of these factors is the duration of the injection. This study aimed to evaluate the impact of intramuscular injection duration on perceived pain intensity in adults. Methods Fifty participants received injections according to a predetermined research protocol. Each participant served as their own control group. The intervention group was administered the drug over 40 seconds. The control group was given the same drug on the other side dorsogluteal region the following day, according to the unit's routine, in 10 seconds. Pain intensity was measured using the Wong-Baker Faces Pain Rating Scale and the Numerical Rating Scale. Statistical analysis was performed using SPSS (IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp), including Wilcoxon and correlation analyses, with a significance level set at p < 0.05. Results The Wilcoxon test revealed a significant decrease in pain scores for the intervention group (p < 0.05), indicating that longer injection durations were associated with lower pain intensity. Significant correlations were found between hospital phobia and the use of pain relief measures, with pain perception (p < 0.05). Conclusion This research establishes a correlation between extended durations of intramuscular injections and pain intensity. These findings have implications for pain management during medical procedures and can contribute to optimizing patient comfort.

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Comparative Study of the Effect of Lidocaine Spray and Ice Spray on the Pain Intensity During Intramuscular Injection: A Randomized Clinical Trial

Cited by 3 publications

References 16 publications

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Impact of cooling diabetic patients’ fingertips compared to vibrating stimulation on pain from the glucometer needle: A cross-over trial study

Evaluating the efficacy of local anesthetic techniques during scalp microneedling

Temporal Dynamics of Pain: Examining the Relationship Between Intramuscular Injection Duration and Pain Perception: A Crossover Randomized Controlled Trial

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