The Effect of topical EMLA Cream for venipuncture on Patients' Pain and Anxiety

Abstract

The purpose of this study was to examine the effect of topical EMLA Cream on venipuncture related pain and anxiety of surgery patient from oct. 27 to nov, 13, 2011, EMLA Cream was applied to the experimental group(n=40) 1hour before the procedure, but was not applied to the control group (n=37). The collected data were analyzed with the SPSS WIN 15.0 program. The percentage, mean and standard deviation were figured statistic, χ 2-test, t-test, ANOVA, Correlation analysis were performed. Consequently, Pain in the EMLA applied experimental group was significantly lower than that of the control group. also state anxiety in the experimental group was lower than that of the control group. correlation of pain and anxiety after EMLA was related. EMLA cream was considered to be an effective local anesthetic for preoperative venipuncture on pain and anxiety

Effects of Lidocaine Spray on Pain and Anxiety in Patients Administered a Contrast Medium during Vein Puncture

“…In contrast to the above findings, a previous study [23] found that a 2% lidocaine intradermal injection or 10% lidocaine spraying had no effect on pain or anxiety reduction in patients with arteriovenous aneurysm undergoing blood dialysis. Nevertheless, 35.3% of their study participants showed satisfaction with the spraying method, and 58.8% wished to reuse it.…”

“…In the previous study, the spraying frequency was set as three times per patient and no effect of spraying frequency was found on the extent of surface anesthesia. Therefore, in this research 10% lidocaine was sprayed three consecutive times on the venipuncture area [23].…”

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

“…The same prior study suggested putting on a tegaderm after applying EMLA cream to maximize skin absorption of EMLA cream. However, we only applied EMLA cream to reduce the inconvenience of multiple manipulations [3]. After at least 30 minutes, the cream was removed with gauzes and vital signs (blood pressure and pulse) were measured.…”

“…Based on prior research of the efficacy of EMLA cream at least 30 minutes after cannulation [3], we applied 2 mm thickness of EMLA cream on an expected intravenous injection site of subjects at least 30 minutes before IV injection. The same prior study suggested putting on a tegaderm after applying EMLA cream to maximize skin absorption of EMLA cream.…”

“…The cream is useful in relieving pain and anxiety from intravenous cannulation in pediatric patients [1][2] [3]. Studies of non-invasive methods, such as the use of topical anesthetics, relaxation therapy, and cryotherapy have been reported [4][5] [6] [7].…”