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Tytuł:
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Comparison of the Effects of Vapocoolant Spray and Topical Anesthetic Cream on Pain During Intraarticular Injection of the Shoulder: A Randomized Double-Blind Controlled Trial.
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Autorzy:
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Moon YE; Department of Anesthesiology and Pain Medicine (Moon), Catholic University Seoul St. Mary's Hospital, Seoul, Korea.
Kim SH; Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon, Korea. Electronic address: .
Seok H; Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon, Korea.
Lee SY; Department of Physical Medicine and Rehabilitation, College of Medicine, Soonchunhyang University Hospital, Bucheon, Korea.
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Źródło:
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Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2020 Oct; Vol. 101 (10), pp. 1689-1695. Date of Electronic Publication: 2020 May 20.
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Typ publikacji:
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Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Philadelphia, PA : W.B. Saunders
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MeSH Terms:
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Anesthetics, Local/*administration & dosage
Injections, Intra-Articular/*methods
Pain/*drug therapy
Shoulder Joint/*pathology
Adult ; Aged ; Double-Blind Method ; Ethyl Chloride/administration & dosage ; Female ; Humans ; Male ; Middle Aged ; Pain Measurement ; Patient Satisfaction
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Contributed Indexing:
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Keywords: Anesthetics; Injections; Pain perception; Rehabilitation; local
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Molecular Sequence:
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ClinicalTrials.gov NCT03484832
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Substance Nomenclature:
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0 (Anesthetics, Local)
46U771ERWK (Ethyl Chloride)
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Entry Date(s):
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Date Created: 20200524 Date Completed: 20201125 Latest Revision: 20201125
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Update Code:
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20240105
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DOI:
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10.1016/j.apmr.2020.04.021
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PMID:
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32445850
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Objective: This study was performed to compare the effects of a vapocoolant spray and a eutectic mixture of local anesthetics (EMLA) cream on reducing pain during intra-articular (IA) injection of the shoulder.
Design: Double-blind randomized placebo-controlled clinical trial.
Setting: University hospital.
Participants: Patients (N=63) who underwent IA injection of the shoulder joint were randomized into the spray group, EMLA group, or placebo group.
Intervention: Placebo cream+vapocoolant spray (spray group), EMLA cream+placebo spray (EMLA group), or placebo cream+placebo spray (placebo group) before IA injection.
Main Outcome Measures: A 100-mm visual analog scale (VAS) for injection pain and 5-point Likert scales for participant satisfaction and preference for repeated use were administered immediately after IA injection.
Results: The VAS scores for pain during IA injection were 30.0 (95% CI, 19.7-41.2) in the spray group, 50.0 (95% CI, 37.7-63.0) in the EMLA group, and 53.8 (95% CI, 41.6-65.0) in the placebo group (F=6.403, P<.01). The spray group showed significantly better Likert scale scores than the placebo group for participant satisfaction (P=.003) and preference for repeated use (P<.001).
Conclusions: Vapocoolant spray was effective in reducing pain during IA injection of the shoulder.
(Copyright © 2020 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
