Effect of warm footbath with vibration on arteriovenous fistula puncture-related pain in hemodialysis patients

Madadi, Zahra; Jalil, Abdul; Falahatpishe, F; Heidari, Mahmoud Alipour

doi:10.18203/2320-6012.ijrms20170165

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…[4][5][6] Warm footbath with vibration can be used as an effective palliative method to reduce pain of AVF puncture in hemodialysis patients. 7 Previous study reported 95% of native autogenous fistula placement in patients presenting for initial permanent hemodialysis access and 70% of maturation rate. 8 AVF failure in the first year after creation was common, which resulted in substantially higher health care costs.…”

Section: Introductionmentioning

confidence: 99%

Effect of Hydraulic Expansion on Arteriovenous Fistula of Hemodialysis Patients

Ren

Jiang

et al. 2019

Thorac Cardiovasc Surg

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Background Chronic kidney disease has become a serious public health problem in China. Our study is to explore effect of hydraulic expansion on arteriovenous fistula (AVF) of hemodialysis patients. Methods A total of 190 patients with end-stage renal disease (ESRD) were randomly divided into hydraulic expansion group (n = 117) and conventional surgery group (n = 73). Age, sex, the cause of ESRD, height, weight, body mass index (BMI), blood pressure, and diameter of artery and vein from ultrasonography before surgery from patients were recorded. Doppler ultrasonography of vessel was performed with a 12-MHz scanning probe for vascular measurements. The time of first cannulation was recorded. Primary and secondary patency rates were compared between the two groups. Results The mean arterial pressure for this cohort of patients was around 98.12 mm Hg. The mean diameters of artery and vein ready for anastomoses measured by ultrasonography before surgery were 1.96 and 2.04 mm, respectively. Age, weight, BMI, sex ratio, the cause of renal failure, history of catheter insertion, mean arterial pressure, frequency of hemodialysis, blood flow of hemodialysis, and the mode of anastomoses of AVF in conventional surgery group were similar to hydraulic expansion group. There were no differences in stroke volume of radius arterial and venous pressure before dilation between the two groups. The stroke volume of radius artery increased significantly after hydraulic expansion than before dilation and control group. The primary patency rates of AVF in patients with hydraulic expansion were higher significantly than conventional surgery group. The secondary patency rates in conventional surgery group were not different from hydraulic expansion group. Conclusion Hydraulic expansion showed no difference from conventional surgery in complication after operation, and could decrease the time reliance on catheters and the risk of catheter-related infection, thrombosis, and decrease the related medical care costs.

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Section: Introductionmentioning

confidence: 99%

Effect of Hydraulic Expansion on Arteriovenous Fistula of Hemodialysis Patients

Ren

Jiang

et al. 2019

Thorac Cardiovasc Surg

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“…For pain reduction, some methods have been suggested and studied, including the use of topical anesthetics, such as lidocaine [16], distraction techniques [3], producing vibration in the tissue of the injection site [17], imposing pressure [18], thermotherapy [19], and cooling the injection site [20,21]. Some effective pharmaceutical methods for reducing patients' pain are topical anesthesia techniques, including gels, ointments, patches, and topical anesthetic sprays, which can reduce the pain caused by medical procedures, such as venipuncture [10].…”

Section: Introductionmentioning

confidence: 99%

Cooling spray or lidocaine spray and needle insertion pain in hemodialysis patients: an open-label cross-over randomized clinical trial

et al. 2023

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Background The needle insertion pain to perform hemodialysis is the main challenge and a common problem that requires pain management techniques for patients’ comfort. Aim This study aimed to compare the effects of cooling and lidocaine sprays on needle insertion pain in hemodialysis patients. Methods In this randomized cross-over clinical trial study, the hemodialysis patients were selected through convenience sampling according to inclusion criteria and randomly assigned to three intervention groups using the block randomization method. Each patient received three interventions in a cross-over design: Cooling spray or 10% lidocaine spray or placebo spray. There was a 2-week wash-out time between each intervention. The pain score was measured four times for each patient by the Numerical Rating Scale. Results Forty-one hemodialysis patients were included. The results showed a significant interaction between time and group (p < 0.05), so only observations of time 1 with adjustment for baseline values were used to evaluate the effect of the intervention. Patients receiving cooling spray reported 2.29 less pain score on average compared to placebo (B=-2.29, 95% CI: -4.17 to -0.43; p < 0.05); Also, patients receiving cooling spray reported a 1.61 lower pain score than those receiving lidocaine spray, but this difference was not statistically significant (95% CI: -0.26 to 3.48; p > 0.05). Conclusion The cooling spray was effective in reducing the needle insertion pain. Although it was impossible to compare the pain scores at different times and following different interventions, the present study results can help supplement the existing knowledge regarding cooling and lidocaine sprays.

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“…Cryotherapy is one of the oldest and most affordable non-pharmaceutical pain management methods which was widely discussed in different studies [18,19]. Application of cold locally appears to be a recommended and efficient way in reducing pain [20].Oppositely, two studies had reported that thermotherapy as well may be beneficial as pain reduction technique [21,22]. Also, other studies investigated the use of lavender oil either inhaled or administered to the puncture site seems to have a positive analgesic impact [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

The effect of cold packs, lidocaine spray, and flashlights on cannulation pain in patients undergoing hemodialysis: a randomized controlled trial

Gouda,

EL said,

Fahmy

2023

Futur J Pharm Sci

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Background Pain is a frequent and critical problem in daily hemodialysis practice. The pain experienced during arteriovenous fistula cannulation varies from 12% to even 80% in hemodialysis patients depending on the pain assessment tools used. Pain can lead to sleep problems, decreased compliance with hemodialysis therapy, frequent hospital hospitalizations, a decline in quality of life, and high death rates. Despite utilizing several methods as pain relief, it is still unknown in the literature and practice which method is the most effective. The purpose of the study was to compare the effect of lidocaine spray, cold packs, and flashlights on the pain induced by arteriovenous cannulation in hemodialysis patients. This was a prospective randomized open-label controlled trial. Hundred and eight adult patients on regular hemodialysis were recruited and simply randomized into one of four groups (lidocaine spray, cold packs, flashlights, and control) before cannulation. Results The mean pain severity using visual analog scale was 4.3 (3.3–5.7) in lidocaine group, 4 (3–5.7) in cold packs group, 4.3 (3.3–5.3) in flashlight group, and 4.7 (3–6) in control group. There was a borderline significant difference between groups using Kruskal–Wallis test (p = 0.054). The post hoc Tukey test showed that only cold packs differ from control group with borderline significance (p = 0.051). Conclusion The results showed that cold packs were safe and effective than lidocaine spray or flashlights in reducing cannulation pain. It is suggested to implement this method before cannulation in hemodialysis patients to reduce pain and improve quality of life. Future studies are needed to compare different application times of cold packs and its impact on pain scores to recommend the optimum time needed to achieve maximum analgesic effect. Trail registration: Clinical trials.gov NCT05822063, REC #194. Graphical abstract

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Effect of warm footbath with vibration on arteriovenous fistula puncture-related pain in hemodialysis patients

Cited by 4 publications

References 11 publications

Effect of Hydraulic Expansion on Arteriovenous Fistula of Hemodialysis Patients

Effect of Hydraulic Expansion on Arteriovenous Fistula of Hemodialysis Patients

Cooling spray or lidocaine spray and needle insertion pain in hemodialysis patients: an open-label cross-over randomized clinical trial

The effect of cold packs, lidocaine spray, and flashlights on cannulation pain in patients undergoing hemodialysis: a randomized controlled trial

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