Hemodialysis is the most commonly used therapy for renal replacement being the arteriovenous fistula used for vascular access . Venipuncture in patients causes stress, pain and anxiety.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients over 18 with chronic kidney disease on hemodialysis for at least 3 months Patients having an AVF needle access for hemodialysis is performed routinely . Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: Patients with inability to comunicate (mental state or language) or impaired mental status Patients who are hospitalized Presence of infection at the puncture site or puncture injury that hinders Allergies or reactions to the product indicated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Compare decreased pain during puncture of the AVF with 2 different methods : Using a mixture of local anesthetics ( EMLA : prilocaine / lidocaine) and a volatile spray (ethyl chloride ) for pain control in patients undergoing hemodialysis. Compare the direct cost caused by both drugs.;Secondary Objective: ? Analyze the general characteristics of the patients. ? Assess the perception of pain by using EMLA pain assessment scales . ? Assess the perception of pain by using ethyl chloride pain assessment scales . ? Make a regression analysis between pain perception and the different variables considered. ? Make an analysis of mixed models to evaluate pain perception and the different variables considered . ? Assess patient preference . ? Analyze the difference in direct cost produced by both methods.;Primary end point(s): Pain: at the end of each dialysis session Cost: end the two-month follow-up;Timepoint(s) of evaluation of this end point: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): not applicable;Timepoint(s) of evaluation of this end point: not applicable | — |
Countries
Spain
Contacts
HOSPITAL DE PALAMÓS