| Pain during arterial puncture. | |
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MedLine Citation:
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PMID: 8989058 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To quantify the level of pain reported by patients during arterial puncture with or without local anesthesia, and to compare the results with levels reported for venous puncture. DESIGN: Double-blind study of puncture with and without local anesthesia. SETTING: Pulmonary function laboratory, department of pneumology. PATIENTS: We studied 270 consecutive patients undergoing arterial puncture divided into two groups. In group A (n = 210), we assessed level of pain with and without local anesthesia and with placebo. In group B (n = 60), we compared pain of arterial and venous puncture. INTERVENTIONS: The arterial puncture was performed in the radial artery; venous puncture was in the median basilic vein. MEASUREMENTS AND RESULTS: The pain was quantified on a visual analog scale (10 cm). Mean level of pain for all arterial punctures without anesthesia or placebo was slight to moderate (3.01 +/- 1.94 cm). Subcutaneous anesthetic infiltration before arterial puncture significantly reduced pain by more than 50%, to 1.50 +/- 1.54 cm, a level that was significantly lower than the pain level reported after conventional venous puncture (1.80 +/- 1.10 cm). The pain reported by patients who received no anesthesia was not significantly different (p = 0.45) from that perceived by those who received subcutaneous infiltration of saline solution (placebo). CONCLUSIONS: Arterial puncture with prior infiltration of local anesthetic is the least painful procedure among those studied. Use of local anesthesia is indicated whenever conventional arterial puncture is required. |
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Authors:
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J Giner; P Casan; J Belda; M González; R M Miralda; J Sanchis |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Chest Volume: 110 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1996 Dec |
Date Detail:
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Created Date: 1997-01-29 Completed Date: 1997-01-29 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1443-5 Citation Subset: AIM; IM |
Affiliation:
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Departament de Pneumologia, Universitat Autónoma de Barcelona, Hospital de la Santa Creu i de Sant Pau, Catalonia, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Local* Arteries* Blood Specimen Collection Double-Blind Method Female Humans Male Middle Aged Pain / etiology*, prevention & control Pain Measurement Prospective Studies Punctures / adverse effects* Veins |
| Comments/Corrections | |
Comment In:
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Chest. 1997 Nov 5;112(5):1444-5
[PMID:
9367494
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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