The effects of Valsalva maneuver on venipuncture pain in children: comparison to
EMLA(®) (lidocaine-prilocaine cream).
Author(s): Akdas O(1), Basaranoglu G, Ozdemir H, Comlekci M, Erkalp K, Saidoglu L.
Affiliation(s): Author information:
(1)Anesthesia and Reanimation Clinics, Banaz State Hospital, Usak, Turkey.
Publication date & source: 2014, Ir J Med Sci. , 183(4):517-20
BACKGROUND: Venipuncture is one of the most painful events for children in
hospitals. Valsalva maneuver (VM) decreases the incidence and severity of pain on
venipuncture pain in adults. This study was designed to evaluate VM as compared
with Eutectic Mixture of Local Anesthetic (EMLA(®)) cream for venipuncture pain
in children.
METHOD: In this study, we evaluated the effect of VM on venipuncture pain in
children. 60 patients scheduled for elective surgery were randomly divided into
three groups. In Group V, children were punctured during VM. In Group E, EMLA(®)
5 % cream and in Group C (control group) vaseline was applied on the non-dominant
hand 60 min before the venipuncture. Patients made a pain assessment using visual
analog score (VAS). Mean arterial pressure (MAP), heart rate (HR), and SpO2
measurements were obtained during the venous cannulation.
RESULTS: Respectively, the VAS was 2.15 ± 1.95 for Group V and 1.00 ± 0.79 for
Group E and 2.55 ± 2.74 for Group C. A significant reduction in the severity of
pain was observed in Group E. The difference being statistically significant (p <
0.05), the VAS of Group V was higher than Group E but lower than Group C (p >
0.05).
CONCLUSIONS: On the basis of data from this study, the VM is a simple and a
practical method to reduce venipuncture pain in children but not as effectively
as EMLA(®).
|