Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections

Firdaus, Riyadh; Sukmono, Raden Besthadi; Melati, Annemarie Chrysantia; Marzaini, Berial Dewin

doi:10.1155/2018/5050273

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…Firdaus et al ( 6) compared vapocoolant spray and EMLA cream for reducing pain during spinal anesthesia and found no difference in pain scores and patient movement. They also stated that the majority of patients had movement regardless of pain during spinal injections, which may be related to many factors, such as anxiety and fear (6). In our study, VAS scores of patients who experienced unintentional movement during dermal puncture were higher (1.44 ± 0.59 vs. 1.98 ± 0.58; P < 0.05).…”

Section: E35supporting

confidence: 43%

“…For optimal conditions and patient comfort during spinal anesthesia, different methods have been studied, such as local anesthetic infiltration, application of lidocaine patch, EMLA (eutectic mixture of local anesthetics) cream-patch, vapocoolant spray, and local anesthetic application with needle-free drug delivery systems (1,5,6). The use of topical local anesthetic methods is limited in clinical practice, as they need a long time for satisfactory effect (7).…”

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confidence: 99%

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The Effect of ShotBlocker on Pain and Patient Satisfaction for Spinal Anesthesia: A Randomized Trial

2020

Pain Phys

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BACKGROUND: During spinal anesthesia, patients may experience pain and discomfort associated with dermal puncture. It may also cause involuntary movement, which often disturbs the patient’s posture thus affecting the success of spinal anesthesia. Different methods have been studied to cope with needle-related pain. “ShotBlocker” is a flexible, plastic, U-shaped device, which has several blunt points. It is suggested that blunt points provide a nonnoxious physical stimulation and inhibit the transmission of injection pain. OBJECTIVES: The purpose of this study was to examine the effectiveness of the ShotBlocker for dermal puncture pain during spinal anesthesia. STUDY DESIGN: Prospective randomized trial. SETTING: University hospital, operating room. METHODS: Ninety-four patients aged 18 to 65 years with physical status American Society of Anesthesiologists (ASA) I or II scheduled for elective surgery under spinal anesthesia were randomly assigned to either a ShotBlocker (n = 47) or control group (n = 47). In the ShotBlocker group, lumbar punctures were performed with the application of ShotBlocker. Needle-associated pain score and patient satisfaction were assessed by the patient, immediately after completion of the spinal anesthesia using a 10-cm Visual Analog Scale (VAS) and a 5-point Likert scale for satisfaction. Patients were also closely observed for symptoms of discomfort such as spontaneous vocalization and involuntary movement. RESULTS: A total of 88 patients completed the study. There was no significant difference in VAS scores, patient satisfaction, or procedure time between groups (P > 0.05). Spontaneous vocalization did not occur in both groups. However, incidence of unintentional movement during dermal puncture was higher in the control group (6.8% vs. 31.8%; P < 0.05). LIMITATIONS: Study was conducted in a single-center with a relatively small population of patients. Only the attending anesthetist collecting data was blinded to the procedure. Patients older than age 65 years were also excluded from the study, thus our results cannot be generalized. CONCLUSIONS: ShotBlocker did not show any advantage on VAS scores but decreased the incidence of unintentional movement during dermal puncture. KEY WORDS: Spinal anesthesia, pain, ShotBlocker, needle, pin-prick pain, dermal puncture, neuraxial block, regional, needle phobia, lumbar puncture

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Section: E35supporting

confidence: 43%

mentioning

confidence: 99%

The Effect of ShotBlocker on Pain and Patient Satisfaction for Spinal Anesthesia: A Randomized Trial

2020

Pain Phys

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“…Diameter jarum spinal berhubungan dengan nyeri yang ditimbulkan saat penyuntikan dengan ukuran jarum 32G menimbulkan nyeri pada 31% pasien, jarum 27G menimbulkan nyeri pada 53%, dan jarum 23G menimbulkan nyeri pada 63% pasien. [1][2][3] Kemampuan seorang dokter anestesi dalam mengurangi nyeri akibat penyuntikan jarum ini tidak hanya memberikan kenyamanan dan kepuasan bagi pasien, tetapi juga memungkinkan pelaksanaan pembiusan lebih cepat dan mudah. Nyeri akibat penyuntiksi jarum spinal memengaruhi keberhasilan anestesi dan kepuasan pasien.…”

Section: Pendahuluanunclassified

“…Penelitian di Indonesia tahun 2018 terhadap pasien yang menjalani anestesi spinal sebelum prosedur brachytherapy menunjukkan derajat penurunan nyeri yang bermakna secara statistik pada subjek yang mendapatkan EMLA. 1,3 Beberapa penelitian menunjukkan bahwa EMLA adalah agen yang dapat digunakan untuk memberikan efek analgetik. Oleh karena itu, penulis tertarik untuk menilai efektivitas EMLA untuk mengurangi nyeri penyuntikan jarum spinal di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung.…”

Section: Pendahuluanunclassified

Efek Eutectic Mixture of Local Anesthetics (EMLA) terhadap Nyeri Penyuntikan Jarum Spinal

Putra¹,

Tavianto²,

Bisri³

2019

jap

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AbstrakEutectic mixtures of local anaesthetics (EMLA) dapat mengurangi nyeri akibat penyuntikan jarum spinal. Penelitian bertujuan mengetahui efek EMLA terhadap nyeri saat penyuntikan jarum spinal. Metode penelitian adalah eksperimental secara acak terkontrol buta ganda pada pasien yang menjalani operasi elektif dalam anestesi spinal di ruang operasi sentral RSUP Dr. Hasan Sadikin Bandung dari bulan September hingga Oktober 2019. Data penilaian skor nyeri dilakukan setelah penyuntikan jarum spinal menggunakan Numeric pain rating score yang dianalisis dengan Uji Mann-Whitney. Hasil perhitungan statistik diperoleh Skor nyeri setelah aplikasi EMLA lebih rendah dibanding dengan skor nyeri (1 vs 4) dengan perbedaan yang sangat bermakna (p<0,001). Simpulan penelitian ini menunjukkan EMLA dapat mengurangi nyeri saat penyuntikan jarum spinal.Kata kunci: Anestesi spinal, eutectic mixture of local anesthetics, nyeri, numeric pain rating score, nyeri AbstractEutectic mixtures of local anesthetics can reduce pain caused by spinal injections. The purpose of this study was to understand the effect of EMLA on spinal injection pain. This was an experimental randomized single blind study involving all patients who underwent spinal anesthesia from September-October 2019 in Dr. Hasan Sadikin General Hospital. Pain score assessment was performed right after spinal injection using the numeric pain rating score. Data were then analyzed with Mann-Whitney test. Results showed that injection pain score in patients using EMLA was lower (1 vs 4) than patients who did not use EMLA (p<0.001). Therefore, EMLA can reduce spinal injection pain.

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“…This spray contains 100% w/v ethyl chloride; its vapours create a sudden diminution in the skin temperature, interrupting ion channel activation and impeding pain reception. [ 2 3 ]…”

Section: Introductionmentioning

confidence: 99%

Efficacy of ShotBlocker device versus vapocoolant spray for spinal needle pain relief during spinal anaesthesia in elective caesarean section - A randomised controlled trial

Gautam,

Mall,

Prakash

et al. 2024

Indian Journal of Anaesthesia

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Background and Aims: Apprehension of pain due to a spinal needle is often a cause of anxiety and refusal. ShotBlocker provides non-painful physical stimulation, inhibiting pain perception. The vapocoolant spray contains ethyl chloride vapours, rapidly raising the skin temperature and hampering the transmission of noxious stimuli. The present study compared the effectiveness of the ShotBlocker device and the vapocoolant spray in reducing spinal needle-associated pain in primigravida women undergoing elective lower-segment caesarean section (LSCS). Methods: We enroled 144 primigravida women undergoing elective LSCS and were randomised to Group SB (the ShotBlocker device was firmly pressed over the skin, and the spinal needle was inserted through its slit), Group V (the vapocoolant spray was applied at the puncture site before spinal needle insertion), and Group C (received local infiltration before spinal anaesthesia (SA)). The groups were compared for needle-associated pain and patient satisfaction using a 10-point visual analogue scale (VAS) and a 3-point Likert scale. Results: The mean (standard deviation) [95% confidence interval (CI)] VAS scores of Group SB 3.85 (0.74) [3.64, 4.07] and Group V 3.04 (0.74) [2.83, 3.26] were significantly lower than that of Group C 5.19 (0.92) [3.28, 3.62]). On the Likert scale, the maximum number of patients in the vapocoolant group (64.6%) responded satisfactorily, while in the control group, the majority (62.5%) of participants responded dissatisfied (P < 0.001). Conclusion: Both the ShotBlocker and vapocoolant spray reduce needle puncture-associated pain before SA in primigravida patients undergoing elective LSCS. However, the vapocoolant spray is more beneficial in reducing spinal needle-associated pain than the ShotBlocker device.

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Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections

Cited by 7 publications

References 10 publications

The Effect of ShotBlocker on Pain and Patient Satisfaction for Spinal Anesthesia: A Randomized Trial

The Effect of ShotBlocker on Pain and Patient Satisfaction for Spinal Anesthesia: A Randomized Trial

Efek Eutectic Mixture of Local Anesthetics (EMLA) terhadap Nyeri Penyuntikan Jarum Spinal

Efficacy of ShotBlocker device versus vapocoolant spray for spinal needle pain relief during spinal anaesthesia in elective caesarean section - A randomised controlled trial

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