The effect of EMLA cream on the pain and anxiety before intravenous cannulation

Nam, Sun Hee; Kim, Yong Hee; Choi, Ji Yun

doi:10.14257/astl.2016.128.32

Cited by 1 publication

(2 citation statements)

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“…These findings are consistent with other studies 1,2,20 that have indicated the effectiveness of ice therapy in reducing local pain, including pain from AVF punctures. Also, studies 9,18,21 have supported the use of EMLA cream as a pain reliever for AVF punctures. Furthermore, two studies 8,9 declared that lidocaine spray is useful in reducing AVF pain.…”

Section: Discussionmentioning

confidence: 99%

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Using cryotherapy, EMLA (eutectic lidocaine/prilocaine) cream, or lidocaine spray to reduce pain during arteriovenous fistula puncture: A randomized controlled trial

Al‐Jubouri,

Jaafar,

Abbas

et al. 2024

Hemodialysis International

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IntroductionIn hemodialysis patients, pain associated with needle insertion into an arteriovenous fistula is a physical and psychological problem. The aim of this study was to assess the effectiveness of pre‐puncture application of an ice pack, EMLA cream, or lidocaine spray to reduce pain associated with access puncture.MethodsThis was a multicenter study done in nine hemodialysis centers in Iraq. The study utilized a randomized, parallel‐group design, in which patients being dialyzed using an arteriovenous access were allocated into one of four groups. Access puncture was preceded by nothing (control group), by use of ice pack cooling at the puncture site, by application of EMLA cream, or by application of lidocaine spray. Pain after access puncture was assessed during a single treatment for each patient. Pain was quantified using a Visual Analogue Scale.FindingsA total of 1548 patients agreed to participate, and 1041 patients were included in the data analysis. Use of an ice pack, EMLA cream, or lidocaine spray each was associated with a lower pain score on access puncture compared with no pretreatment. The mean Visual Analogue Scores in the four groups were: 69.7 ± 15.7 in the controls, 39.8 ± 13.2 in the ice pack group, 45 ± 18.4 in the EMLA group, and 52.9 ± 15.2 in lidocaine group. Ranking of the pain severity scores suggested that ice pack use was associated with the least pain, followed by use of EMLA cream and use of lidocaine spray (severity score ranking, from lowest to highest, being 1.62, 2.18, and 2.63, respectively).DiscussionApplication of an ice pack prior to vascular access puncture is a fast and inexpensive technique to limit pain associated with this procedure.

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Section: Discussionmentioning

confidence: 99%

“…A ruler is used to measure the distance between the anchor (0 mm) and the patient's mark on VAS. A higher score indicates severe pain 18 . Demographics include age, gender, level of education, marital status, occupation, duration of fistula, and chronic diseases (diabetes, hypertension, or cardiovascular diseases).…”

Section: Methodsmentioning

confidence: 99%