KUMJ | VOL. 20 | NO. 1 | ISSUE 77 | JANUARY - MARCH, 2022
Efficacy of Eutectic Mixture of Local Anesthetic Cream and Vibrator Device in Pain Reduction during Peripheral Venous Cannulation in a Tertiary Care Center of Central Nepal
Paudel B, Acharya R, KC N, KC S
Abstract: Background
Venous cannulation is a commonly performed procedure which often leads to patient
anxiety. Application of a vibrator device and or prior use of topical anesthetics are
proven methods to decrease associated pain.
Objective
To compare the clinical efficacy of prior use of Eutectic Mixture of Local Anesthetic
(EMLA) cream and vibrator device in pain reduction during peripheral venous
cannulation.
Method
A true experimental study was conducted in November 2019 among 78 patients
aged 20-60 years receiving peripheral cannulation at operation theatre. They
were included using consecutive sampling and sorted to interventional and noninterventional
group using simple random sampling lottery method. Participants
in the non-interventional group received peripheral cannulation using routine
technique whereas participants in the interventional group received topical Eutectic
Mixture of Local Anesthetic cream or vibrator device prior to cannulation. Perceived
post cannulation pain intensity was measured using numerical pain rating scale.
Kruskal-Wallis test was used for data comparison.
Result
The mean age of the participants was 40.57 ± 12.5 years. The median pain score of
Eutectic Mixture of Local Anesthetic cream, vibrator and no intervention was 3, 3
and 6 respectively. The reduction in median pain intensity was significantly greater
with topical anesthetic cream and vibrator device when compared to the noninterventional
group
(p < 0.05).
Conclusion
Prior interventions with Eutectic Mixture of Local Anesthetic or vibrator device are
useful in reducing pain intensity during peripheral venous cannulation. Routine use
of these in day to day practice could be a part of standard nursing care practice.
Keyword : Cannulation, Eutectic mixture of local anesthetic cream, Pain, Venous, Vibrator
