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Journals / Türk Anestezi ve Reanimasyon Dergisi / 2010 / Cilt: 38 - Sayı: 6

Comparison of lidocaine infltration and lidocaine-prilocaine cream application for radial artery cannulation

Radiyal arter kanülasyonunda lidokain infiltrasyonu ile lidokain-prilokain krem uygulamasının karşılaştırılması

Seden KOCABAŞ
Fatma Zekiye AŞKAR
Esra ÇAĞIRAN
Demet SERGİN
Pages
418–427
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

In both groups, a decrease was established in VAS-2scores as compared to VAS-1 (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Our aim was to compare the effects of subcutaneous 2 % lidocaine infltration and topically appliedlidocaine-prilocaine cream (EMLA®) on perception of pain, complications, patient and physician satisfaction in patientsscheduled for cardiovascular surgery who were to receive invasive arterial monitoring.Materials and Methods: The study included 128 ASA II-III patients aged 40-80 years who were randomized to receive either 0.5 mL 2 % lidocaine infltration 5 minutes before the radial artery cannulation (Group L) or 1 mL of EMLA®cream 1 hour before the attempt (Group E).
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Key Findings & Data:Before, during and after the cannulation, noninvasive systolic, diastolic andmean arterial pressures (SAP, DAP, MAP), peripheral oxygen saturation (SpO2 ), respiration rates (RR), and heart rates(HR) were recorded.
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Conclusion & Impact:In both groups, a decrease was established in VAS-2scores as compared to VAS-1 (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Our aim was to compare the effects of subcutaneous 2 % lidocaine infltration and topically appliedlidocaine-prilocaine cream (EMLA®) on perception of pain, complications, patient and physician satisfaction in patientsscheduled for cardiovascular surgery who were to receive invasive arterial monitoring.Materials and Methods: The study included 128 ASA II-III patients aged 40-80 years who were randomized to receive either 0.5 mL 2 % lidocaine infltration 5 minutes before the radial artery cannulation (Group L) or 1 mL of EMLA®cream 1 hour before the attempt (Group E). Before, during and after the cannulation, noninvasive systolic, diastolic andmean arterial pressures (SAP, DAP, MAP), peripheral oxygen saturation (SpO2 ), respiration rates (RR), and heart rates(HR) were recorded. Visual Analogue Scale (VAS) scores were noted during the frst (VAS-1) and ffth minute (VAS-2)after the completion of cannulation. Thereafter, number of attempts, complications, patient and physician satisfactionwere evaluated. Results: No signifcant difference was found between the two groups in terms of individual data; HR, SAP, DAP,MAP, SpO2and RR values, as well as the number of attempts. In both groups, a decrease was established in VAS-2scores as compared to VAS-1 (p

Özet

Amaç: Kardiyovasküler cerrahi planlanan ve invaziv arter monitörizasyonu yapılacak hastalarda subkutan % 2 lidokain infltrasyonu ile topikal uygulanan lidokain-prilokain kremin (EMLA®); ağrı, komplikasyonlar, hasta ve hekimmemnuniyeti üzerindeki etkinliklerinin karşılaştırılması amaçlandı.Gereç ve Yöntem: Çalışmaya radiyal arter kanülasyonu işleminden 5 dk. önce 0,5 mL % 2 lidokain infltrasyonu (GrupL) veya girişimden 1 saat önce 1 mL EMLA® krem (Grup E) uygulanmak üzere rasgele seçilen 40-80 yaş arası 128 ASAII-III grubu hasta alındı. Kanülasyon öncesinde, sırasında ve sonrasında noninvaziv sistolik, diyastolik ve ortalama arterbasıncı (SAB, DAB, OAB), periferik oksijen saturasyonu (SpO2 ), solunum sayısı (SS) ve kalp atım hızı (KAH) kaydedildi.Vizüel Analog Skala (VAS) skorları kanülasyon tamamlandıktan sonra 1. (VAS-1) ve 5. (VAS-2) dk.’larda not edildi. Dahasonra, girişim sayısı, komplikasyonlar, hasta ve hekim memnuniyeti değerlendirildi.Bulgular: Bireysel verilerde, KAH, SAB, DAB, OAB, SpO2ve SS değerlerinde ve girişim sayısında iki grup arasındaanlamlı bir fark bulunmadı. Her iki grupta VAS-2 skorlarında VAS-1’e göre azalma saptandı (p

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Cite This Article

KOCABAŞ, S., AŞKAR, F. Z., ÇAĞIRAN, E., SERGİN, D. (2022). Comparison of lidocaine infltration and lidocaine-prilocaine cream application for radial artery cannulation. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 38 - Sayı: 6, 418–427. https://ajindex.com/articles/619874

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References (13)

  1. Scheer B, Perel A, Pfeiffer UJ. Clinical review: Complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Critical Care 2002;6:198-204
  2. Olday SJ, Walpole R, Wang JY. Radial artery cannulation: topical amethocaine gel versus lidocaine infltration. Br J Anaesth 2002;88:580-582
  3. Joly LM, Spaulding C, Monchi M et al. Topical lidocaine-prilocaine cream (EMLA®) versus local infltration anesthesia for radial artery cannulation. Anesth Analg 1998;87:403-406
  4. Kim JY, Yoon J, Yoo BS et al. The effect of a eutectic mixture of local anesthetic cream on wirst pain during transradial coronary procedures. J Invasive Cardiol 2007;19:6-9
  5. Usmani H, Singh PS, Quadir A et al. A comparison between emla cream application versus lidocaine infltration for postoperative analgesia after inguinal herniotomy in children. Reg Anesth Pain Med 2009;34:106-109
  6. Bjerring P, Arendt-Nielsen L. Depth and duration of skin analgesia to needle insertion after topical application of EMLA cream. Br J Anaesth 1990;64:173-177
  7. Russell GN, Desmond MJ, Fox MA. Local anesthesia for radial artery cannulation: a comparison of a lidocaine-prilocaine emulsion and lidocaine infltration. J Cardiothorac Anesth 1988;2:309-312
  8. Pirat A, Karaaslan P, Candan S, et al. Topical EMLA cream versus prilocaine infltration for pediatric cardiac catheterization. J Cardiothorac Vasc Anesth 2005;19:642-645
  9. Rosen DA, Morris JL, Rosen KR et al. Analgesia for pediatric thoracostomy tube removal. Anesth Analg 2000;90:1025-1028 10. Yu H, Yang XY, Liu B. EMLA® Cream coated on the rigid bronchoscope for tracheobronchial foreign body removel in children. Laryngoscope 2009;119:158-161
  10. Gursoy A, Ertugrul DT, Sahin M, et al. The analgesic effcacy of lidocaine/prilocaine (EMLA) cream during fne-needle aspiration biopsy of thyroid nodules. Clin Endocrinol 2007;66:691-694
  11. Liberty G, Gal M, Halevy-Shalem T, et al. Lidocaine- Prilocaine (EMLA) cream as analgesia for hysterosalpingography: a prospective, randomized, controlled, double blinded study. Hum Reprod 2007;22:1135-1139
  12. Hata TM, Moyers JR. Preoperative evaluation and management. In: Barash PG, Cullen BF, Stoelting (eds). Clinical Anesthesia. 5th edition. Philadelphia: Lippincott Williams&Wilkins 2001,18:475-501
  13. Skubas N, Lichtman AD, Sharma A, Thomas SJ. Anesthesia for cardiac surgery. In: Barash PG, Cullen BF, Stoelting (eds). Clinical Anesthesia. 5