Pain scores for intravenous cannulation and arterial blood gas test among emergency department patients

Peña, Sendoa Ballesteros; Hoz, Gorka Vallejo-De la; Fernández-Aedo, Irrintzi; Diasure, en representación del Grupo de Trabajo

doi:10.1016/j.enfcle.2017.11.001

Cited by 5 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An observational study which included 820 patients undergoing vein catheterisation or arterial puncture for blood gas was previously performed in EDs of two tertiary Spanish hospitals. 8 This study did not observe a significant difference in pain between the groups. However, because of its observational design, comparison between the two groups was difficult and possibly biassed.…”

Section: Discussioncontrasting

confidence: 50%

See 1 more Smart Citation

Reducing pain by using venous blood gas instead of arterial blood gas (VEINART): a multicentre randomised controlled trial

et al. 2020

View full text Add to dashboard Cite

IntroductionVenous sampling for blood gas analysis has been suggested as an alternative to arterial sampling in order to reduce pain. The main objective was to compare pain induced by venous and arterial sampling and to assess whether the type of sampling would affect clinical management or not.MethodsWe performed an open-label randomised multicentre prospective study in four French EDs during a 4-week period. Non-hypoxaemic adults, whose medical management required blood gas analysis, were randomly allocated using a computer-generated randomisation list stratified by centres with an allocation ratio of 1:1 using random blocks to one of the two arms: venous or arterial sampling. The primary outcome was the maximal pain during sampling, using the visual analogue scale. Secondary outcomes pertained to ease of sampling as rated by the nurse drawing the blood, and physician satisfaction regarding usefulness of biochemical data.Results113 patients were included: 55 in the arterial and 58 in the venous sampling group. The mean maximal pain was 40.5 mm±24.9 mm and 22.6 mm±20.2 mm in the arterial group and the venous group, respectively, accounting for a mean difference of 17.9 mm (95% CI 9.6 to 26.3) (p<0.0001). Ease of blood sampling was greater in the venous group as compared with the arterial group (p=0.02). The usefulness of the results, evaluated by the prescriber, did not significantly differ (p=0.25).ConclusionsVenous blood gas is less painful for patients than ABG in non-hypoxaemic patients. Venous blood gas should replace ABG in this setting.Trial registration numberNCT03784664.

show abstract

Section: Discussioncontrasting

confidence: 50%

“…A multicentre observational study did not show reduction of pain with venous sampling. 8 In contrast, a prospective cohort study of patients with chronic obstructive pulmonary disease found less pain when VBG was performed as compared with ABG. 9 A randomised control study was therefore needed.…”

Section: Original Researchmentioning

confidence: 92%

Reducing pain by using venous blood gas instead of arterial blood gas (VEINART): a multicentre randomised controlled trial

et al. 2020

View full text Add to dashboard Cite

show abstract

“…With the necessary penetration of skin and subcutaneous tissue, nearly all kinds of percutaneous punctures have the potential to induce discomfort (11)(12)(13). However, the discomfort for fine needle aspiration is typically mild to moderate (14).…”

Section: Discussionmentioning

confidence: 99%

Patient Discomfort in Relation to Thyroid Nodule Fine-Needle Aspiration (FNA) Performed with or without Parenteral and/or Topical Anesthetic

et al. 2020

View full text Add to dashboard Cite

“…Evitar la canalización inadecuada de CVP es importante por varias razones: la inserción es dolorosa para los pacientes 4 , implica riesgo de efectos adversos como la infección, y consume recursos en forma de tiempo del personal y de gasto de material fungible 5 .…”

Section: Introductionunclassified

Unnecessary peripheral venous catheters in ambulatory emergency care

Peña¹,

Unanue-Arza

Juaristi

2022

An Sist Sanit Navar

View full text Add to dashboard Cite

Resumen El objetivo de este estudio fue estimar la frecuencia de canalización innecesaria de catéteres venosos periféricos (CVP) en pacientes adultos atendidos en la zona ambulatoria del servicio de urgencias, y analizar potenciales factores asociados. Se realizó un estudio transversal exploratorio en un hospital de tercer nivel durante dos meses consecutivos. Se calculó la proporción de CVP insertados y no utilizados, y se relacionó con variables del paciente. A 701 pacientes se les insertó un CVP, en 103 (14,7%; IC95%: 12,1-17,3) el catéter no llegó a ser utilizado, siendo dados de alta directamente a domicilio. La edad superior a 64 años se asoció a una mayor tasa de inadecuación (19,3 vs 10,8%; p=0,002). Parece existir cierta proporción de catéteres canalizados de forma innecesaria en el área ambulatoria urgencias, lo que justificaría la implantación de programas de buenas prácticas en la valoración y selección de accesos vasculares

show abstract

Pain scores for intravenous cannulation and arterial blood gas test among emergency department patients

Cited by 5 publications

References 22 publications

Reducing pain by using venous blood gas instead of arterial blood gas (VEINART): a multicentre randomised controlled trial

Reducing pain by using venous blood gas instead of arterial blood gas (VEINART): a multicentre randomised controlled trial

Patient Discomfort in Relation to Thyroid Nodule Fine-Needle Aspiration (FNA) Performed with or without Parenteral and/or Topical Anesthetic

Unnecessary peripheral venous catheters in ambulatory emergency care

Contact Info

Product

Resources

About