Effect of cold application versus local anesthetic ointment during intravenous cannulation among patients
Keywords:
effect, cold application, local aesthetic ointment, intravenous cannulationAbstract
Aims: To assess the effect of cold application versus local anesthetic ointment on pain, hemodynamic parameters, and local reaction among patients during intravenous cannulation.
Background: Insertion of the intravenous catheter during hospitalization causes pain and discomfort. Today many various methods are being made to reduce pain severity such as local anesthetic ointment (EMLA) and cold application.
Design: A pre-experimental two-group post-test design.
Methods: Data collected between January 2021 to March 2021. 60 samples (30 in each group) who underwent intravenous cannulation were taken as a sample size by purposive nonprobability sampling method. The local anesthetic ointment was given to experimental group 1 for 5 min and cold application to experimental group 2 for 3 min prior to intravenous cannulation. Hemodynamic parameters were monitored, and the pain was assessed using a Visual analog scale and local reaction by local reaction assessment scale during intravenous cannulation.
Results: There was a non-significant difference (p=0.812) in the mean post-test pain score of intravenous cannulations and in the mean score of hemodynamic parameters (p> 0.05) in both experimental groups. No local reaction was found.
Implication: The present study proves that both cold application and local anesthetic ointment application are effective and therefore these simple noninvasive modalities can be incorporated. This can be followed as routine care during intravenous cannulation. It has to establish as evidence-based nursing practice and should be incorporated in the nursing manual/SOP.
Conclusion: From the findings, the study interprets that both cold application and local anesthetic ointment application had an effect on reducing pain and had no change in the hemodynamic parameters of patients during intravenous cannulation.
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